Quote:
Originally Posted by Papa_Complex
The way that I see it, it's a case of two companies not meeting their responsibilities. The 'employer' is failing to be an advocate for the person they employed, who is now in dire straights. This strikes me as a failure of corporate responsibility, the washing their hands of the entire issue. What else is an HR department for?
As to the insurer, they're doing what many companies have been slapped down for on numerous occasions; delaying, delaying, and then likely denying. I have no problem with a company working to be profitable but this strikes me as both abrogation of basic human responsibility, and breach of contract by failure to perform. Insurance companies in the US have a very poor track record for fulfilling their responsibilities, and allegations (founded) of paying performance incentives for finding ways to avoid those responsibilities.
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I whole heartedly agree that the employer should have some type of advocate on her behalf. She should have an HR person assigned specifically to her until the issue is resolved. The fact that she doesn't is shitty.
Neither of us knows anywhere close to enough about the situation to deal with the insurance issue. If the boy is denied any medical services because of the insurance company delaying or denying the claim, I'll be the first person to shout "SUE!"