Learn how a waiver of coinsurance clause in insurance policies can eliminate part of your claim payment obligation under some conditions, and understand its implications.

A bill introduced Thursday by House Democrats would prohibit forced arbitration clauses in health insurance contracts that prevent customers from suing over denied claims. These clauses require ...

FCS LEGAL This story is reprinted with permission from FC&S Legal, the industry's only comprehensive digital resource designed for insurance coverage law professionals. Visit the website to subscribe.

Most insurance policyholders believe that once they are admitted to a hospital, the insurer will pay the bills. However, health insurance policy documents often include a “reasonable and customary" ...

Insurers in Texas can no longer use discretionary clauses that give them the right to interpret their policies and decide what benefits should be paid. In announcing the new rule, Texas Insurance ...

With numerous protesters hospitalized or seeking treatment following recent demonstrations, social media lit up with activists advising one another to check their health insurance policies for ...

Backers of controversial abortion language added to the House health overhaul bill last week say it merely continues longstanding policy that bans federal funding of the procedure. But opponents say ...

At claim time, insurers don’t reject the claim — they just pay their share, leaving you to fund the gap. That shock often ...