Posted on March 19, 2010.
Can Blue Cross Blue Shield of North Carolina cancel the insurance retroactive? Not if you paid the premiums.
If you are released, you are released.
Unless and if it is a great ......
If you made a false claim and did not disclose a material fact which places you in a riskier category, then they can claim you filed a false and may even retroactively cancel.
And if they paid any claim under this policy, they may require you to repay them.
The greatest example of what happens when someone is deliberately is they do not have a pre-existing condition and the insurer (BCBS) issued a policy, then after that catch a pre-condition existing on an insured MIB (Medical Information Bureau) report. They will cancel the policy and, since a valid contact has never existed in the beginning, they will take steps to collect all benefits paid to that point.
It's a good reason why everyone should know exactly what is in their MIB report and take action to correct the errors.
Major insurance companies work a bit like the Congress. They get away with anything they want!
Yes, an insurance company may cancel the policy retroactive to the effective date.
This is mostly done when the application was submitted fraudlent, regardless of intent. If you happen to leave out important health information, then start filling out applications are defintely important you may be canceled.
If the policy is canceled, they will usually refund the premiums paid and withdraw all benefits paid. You will be liable for any claim.
You may be able to appeal their decision, contact the online customer support or your agent.
It is always best to disclose too much on a request! You never know what can haunt you later.
Insurance companies can do pretty much what they want, and you have to challenge them in court. If you do not rely on the claim or cause of the cancellation, notify the Bureau of Insurance licenses in your state.
North Carolina is a state difficult to retroactively cancel a policy that their DOI Commissioner is elected by the people and did his job with a tremendous platform for continued re-election.
I have to believe that the Basel Committee has done their homework and their Ts crossed and dotted them on this point.
It is likely tangible evidence of misrepresentation on the application of policies that have greatly affected the rates charged by the Basel Committee or the insurability of the insured. Either there should be a policy cancellation not only flat, but retroactively.
If this is the case, then BCBS would pay the premium charged the insured paid on the former.
You can file a complaint may have its headquarters Jim Long to the DOI in Raleigh, but I have a proof of their good feeling is likly to happen.
Then the only recourse would be by the prosecutor and the courts. Coverage will be granted case is heard, but the insured must reimburse the sums paid to likely BCBS medical providers during this period.
Only if it's because you have replaced coverage with another policy, they had no claims during the period in question and that is less than six months.