$475,000 Settlement-Insurance Bad Faith-Denial of Prosthetic Benefits

Insurance Bad Faith

Conal Doyle obtained a $475,000 settlement on behalf of an amputee whose health insurance company denied her claim for a myoelectric prosthetic arm (i-limb). The large health insurance company denied the arm-arguing that the arm was not “medically necessary.” The plaintiff, a 58 year old school teacher, persisted, arguing that she needed a myoelectric arm for the dexterity it provided in writing on the blackboard and otherwise carrying out her duties as a schoolteacher. After suit was filed, and before discovery began, a settlement was reached where the defendant approved the claim for the i-limb (paying out more than $100,000), and settled the damages claim for an additional $475,000. Due to his national reputation in the field, Mr. Doyle obtained this recovery without taking a single deposition.

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