Drivers & Passengers Injured In USAA Insured Automobiles In Automobile Accidents File Class Action Lawsuit Complaint Against USAA Over MedPay, PIP, First Party Benefits, Medical Expense Benefits and Automobile Death & Disability Benefits.
A class action lawsuit has been filed against USAA Casualty Insurance Company, United Services Automobile Association, USAA General Indemnity Company, USAA County Mutual Insurance Corporation, Garrison Property and Casualty Insurance Company, (collectively “USAA”), Auto Injury Solutions, Inc. (“AIS”) and certain others (all collectively “Defendants”) in the United States District Court for the District of Oregon (styled Margaret Soukup, Brittney Bathurst, Amber Demeritt and Samantha Jones v. USAA Casualty Ins. Co., United Services Automobile Association, USAA General Indemnity Co., USAA County Mutual Ins. Corp., Garrison Property and Casualty Ins. Co., (collectively “USAA”), Auto Injury Solutions, Inc. (“AIS”) et al,, Civil Action Case No. CV11-565 HU), alleging, among other things, that USAA represented to U.S. service men and women that if they contracted with USAA for first party insurance USAA would pay for reasonable and necessary medical expenses in the event of an automobile injury but that USAA allegedly implemented an undisclosed cost containment scheme which deprived U.S. military servicemen, women, and their families, of insurance benefits for medical treatment, according to the USAA Automobile Insurance Medpay class action lawsuit complaint.
The USAA Automobile Insurance MedPay, PIP, First Party Benefits, Medical Expense Benefits, Automobile Death and Disability class action lawsuit complaint is reportedly brought on behalf of the following putative class of persons, unless otherwise excluded:
a. All persons who, within applicable statutory limitations periods, were injured in automobile accidents while a driver or passenger in an automobile insured by USAA, or who were members/insureds of USAA and whose policy covered them; and
b. The insurance policy provided by USAA covered MedPay, PIP, First Party Benefits, Medical Expense Benefits, Automobile Death and Disability, or any other first-party medical coverage (collectively referred to as “Medpay”); and
c. Who submitted claims for Medpay benefits within January 1,2005, through the present, and
d. Who had bills for health care expenses submitted to review by Auto Injury Solutions, or its parents, subsidiaries or affiliates, which recommended denial of payment and/or partial denial of payment, based upon:
i. A written AIS “Physician Review,” and
ii. USAA denied payment of all, or a portion, of benefits based upon AIS’s recommendation.
The USAA Automobile Insurance MedPay, PIP, First Party Benefits, Medical Expense Benefits, Automobile Death and Disability class action lawsuit complaint is also brought on behalf of an Oregon subclass consisting of the following persons, unless otherwise excluded:
a. All persons who, within the past six years, were injured in automobile accidents while a driver or passenger in an automobile insured by USAA under an Oregon Policy, or who were members/insureds of USAA under an Oregon Policy, and whose PIP policy covered them; and
b. Who submitted claims for PIP benefits within January 1,2005, through the present, and
c. Who had bills for health care expenses submitted to review by Auto Injury Solutions, or its parents, subsidiaries or affiliates, which recommended denial of payment and/or partial denial of payment, based upon:
i. A written AIS “Physician Review,” and
ii. USAA denied payment ofall, or a portion, of benefits based upon AIS’ s recommendation.
For more information on the USAA Automobile Insurance Medpay class action lawsuit complaint, read the USAA Automobile Insurance Medpay class action lawsuit complaint.
If You Have Thoughts On The USAA Automobile Insurance MedPay, PIP, First Party Benefits, Medical Expense Benefits, Automobile Death & Disability Class Action Lawsuit Complaint, Share Your Comments Below.
As a personal injury attorney who often deals with USAA on medpay claims I am very pleased that counsel for the plainitffs have taken the intiative to bring this class action case. I was just thinking that class acton counsel somewhere must be aware of what has been going on with USAA and AIS and should and would bring suit and here it is. Bravo!
I was involved in a three car accident ( me being in the middle, not at fault). USAA paid the cost of my car (TOTALED) but as for my MEDPAY ($10,000.00) that is a whole different story. It is my understanding that they have a third party billing system and they determine what should be paid. And once you have an attorney involved….USAA will no longer talk to you. I have been told by Susan Turner (med pay adjuster) that all contact must go through my attorney. I submitted medical bills for almost $800.00 and have another $1400.00 that I have paid out of pocket (and still counting) and have not been paid one red penny and this has been going on for 3 months now.
My husband and I have been USAA Members for 25 years and have always been pleased with them, that is until now. What good is MED PAY if you are denied the use of it when you need it? SHAME ON YOU USAA!