According to the Sun Herald-Leader,
Texas Mutual Insurance Company was caught falsifying medical records so it could deny an injured worker his benefits. J
udge Martin Hoffman found that Texas Mutual committed fraud by falsifying a
medical record in pending litigation in which the insurance company tried to
overturn an order from the State of Texas to pay for a workplace injury. The judge ruled that Texas Mutual's fraudulent manipulation of the medical
record was committed "knowingly and intentionally" to "gain an advantage in
this suit."
Judge Martin ordered the insurance company to pay $30,000 as a sanction and post the court's order to its website. I looked for the order but did not see it.
Texas Mutual has been a strong proponent of changing the laws to cap damages and to shield insurance companies from
bad faith litigation.
Juan Mr. Narvaez is represented by
Mike Doyle,
Jeff Raizner, and
Quentin Haag,
of Doyle Raizner LLP in Houston, and Peter N. Rogers, of Rogers, Booker &
Lewis in Richardson, Texas.
Fortunately, Kentucky has laws that help hold insurance companies accountable when they wrongfully deny benefits to Kentucky claimants. In Kentucky, an insurance company can be sued for "bad faith," and violations of the Kentucky Unfair Claims Settlement Practices Act.
Hans Poppe
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