Anyone who had a loved one in a continuing-care retirement community and had to transfer him or her to assisted living or skilled nursing care.
Why Was This Alert Posted?
Attorneys working with ClassAction.org are investigating whether certain insurance companies are improperly reimbursing these residents.
What Companies Are Under Investigation?
All major long-term care insurance carriers including Genworth, John Hancock, MetLife, Conseco, UNUM, Aegon, Prudential, Northwestern Mutual, Ameriprise and New York Life.
How ClassAction.org Can Help:
Attorneys working with ClassAction.org are currently speaking with long-term care policyholders to help determine whether they've been ripped off by their insurance carriers – and whether they can sue to get their money back.
How Much Does It Cost to Talk to These Lawyers?
If you placed a loved one in a continuing-care retirement community and had to transfer him or her to assisted living, skilled nursing or other type of dependent care, it’s possible that you may have paid more than you should have.
What’s Going On?
Attorneys working with ClassAction.org are looking into whether a class action lawsuit can be filed on behalf of members of continuing-care retirement communities. They have reason to believe that some long-term insurance carriers are illegally refusing to pay out full policy benefits when residents have to move into assisted living or skilled nursing care. In fact, one company, John Hancock, has already been sued over this issue.
What Companies Are Under Investigation?
Attorneys are interested in speaking with people who have a loved one in a continuing-care community and have long-term care insurance through any major provider, including, but not limited to, the following:
New York Life
What Started the Investigation?
In late 2015, John Hancock Life Insurance Company was sued for allegedly cheating certain policyholders out of full reimbursement for assisted living and skilled nursing care. The case pertains specifically to residents who first entered into a continuing-care retirement community and eventually needed to be transferred to dependent care.
According to the suit, these residents have pre-paid – sometimes for years – for potential future dependent care. The suit claims, however, that when they actually enter dependent care from an independent living community, they’re only being partially reimbursed for the increased cost.
For instance, assume an individual purchases a policy with John Hancock and eventually moves into a continuing-care retirement community. He pays a $4000 monthly fee that “pre-pays” for future assisted living or skilled nursing care, should it ever become necessary.
Several years later, the man falls and breaks his hip and requires round-the-clock care in assisted living. The cost of the facility’s services per month is $8000, but the man is only reimbursed for the $4000 pre-payment he made prior to his transfer.
The lawsuit alleges that this practice is illegal due to breach of contract and bad faith issues and that patients who have to be transferred into dependent care from independent living are getting ripped off. In fact, according to the lawsuit against John Hancock, the insurance company admitted that if policyholders had entered directly into dependent care, they would have received full reimbursement for the additional services.
How a Lawsuit Can Help
If attorneys working with ClassAction.org can speak with enough people about their loved ones’ long-term care insurance and what their policies covered, they may be able to get a lawsuit started. Lawsuits may be able to help continuing-care residents receive compensation for the dependent care we suspect they were not properly reimbursed for. Taking legal action may also help ensure these insurance companies are prohibited from continuing such practices in the future.
What You Can Do
If your loved one is in an assisted living or skilled nursing facility after being a resident of an independent living community, contact us by filling out the form on this page. It’s possible that your insurance carrier didn’t properly reimburse you for his or her dependent care.
After you contact us, one of the attorneys we work with may reach out to you directly via phone or e-mail to talk more about what, if any, reimbursement you received from your long-term care insurance carrier. They can review the copy of your long-term care policy, your contract with the care facility and the bills you received after your loved one was transferred into dependent care. It costs nothing to contact us or an attorney and you’re not obligated to take legal action simply by speaking to someone about your rights.