Re: The Sad Case of the Patient Protection and Affordable Care Act
The IRS at least has to follow administrative rules which are codified and set forth in the Federal Register. If they fail to do so, your appellate rights are set out for you.
If an insurance company fails to follow its own rules, there's almost nothing you can do. You can sue them for breach of contract, but it's almost always less costly and far easier to win an administrative appeal in front of an administrative law judge than it is a full fledged civil trial.
As someone who's been on both sides of the table, I'd rather go up against a government agency than a mega-corporation any day of the week and twice on Sunday.
Originally posted by FreshFish
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If an insurance company fails to follow its own rules, there's almost nothing you can do. You can sue them for breach of contract, but it's almost always less costly and far easier to win an administrative appeal in front of an administrative law judge than it is a full fledged civil trial.
As someone who's been on both sides of the table, I'd rather go up against a government agency than a mega-corporation any day of the week and twice on Sunday.
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