Long-Term Care Insurers Agree to Reconsider Denied Claims

Idaho Department of Insurance Director Bill Deal wants residents to be
aware of a multistate settlement involving Conseco Senior Health Insurance Co. and
Bankers Life and Casualty Insurance Co. that may affect past claims.
Idahoans with long-term care insurance policies from these two companies who filed
claims from January 1, 2005, through December 31, 2007, that were later denied, may
have their claims reviewed for possible adjustments.
Following a multistate market conduct examination of the two companies that found
problems with their claims handling practices, a corrective action plan to address
concerns for the benefit of current and former policyholders was developed.
Long-term care claims that were initially denied will be reviewed a second time. Insureds
may be asked to provide further documentation to support the claim. The companies must
notify affected policyholders by letter that their claim is being reviewed.
Under the settlement, the insurance companies are required to review their claims and
complaint handling practices to ensure that all claims are handled in a timely and
appropriate way that is compliant with applicable state laws.
Conseco Senior and Bankers Life policyholders can call Conseco’s multistate toll-free
information line at 866-452-6589 with questions about how to refile claims or
complaints.
The Consumer Affairs office of the Department of Insurance can help Idahoans with
these or other problems with their insurance. Call 334-4250 in Boise, 800-721-3272
statewide or visit the website, www.doi.idaho.gov.