Melinda Ballard (1958–2013) [1] was an American businesswoman and activist for insurance policyholders. In 1999, she sued her insurer over mold damage in her 22-room family home in Dripping Springs, Texas. Her three-year-old son, Reese Allison, developed an unexplained respiratory condition in March 1999. Her husband Ron Allison, was later shown to have signs of Alzheimer's disease. On April 1 1999 after the start of Ron and Reese‘s symptoms, Melinda took a Southwest Airlines flight and became ill, coughing up blood. Air-quality expert and investigator Bill Holder who was sitting in the adjacent seat, asked if there was a leak in their home which she confirmed. He speculated that their ill health could be due to a toxic form of black mold in their 12,000 square foot home, which was based on the movie version of "Tara", the home of Scarlett O'Hara in Gone with the Wind. [2] Their case started as a single claim for water damage and turned into a case about mold contamination in the entire house. [3] [4] They were one of the first cases to highlight the dangerous results of toxic mold [5] and increased public awareness of the dangers of mold.
She and her husband, Ron Allison, were awarded $32 million in 2001 [6] as a result of a lawsuit against Farmers Insurance for their failure to pay claims relating to mold damage. The award was later reduced to $4 million on appeal however a subsequent settlement awarded a larger, confidential sum to the family. [7] As a result of her case and the attention she received, Ballard founded Policyholders of America, a consumer advocacy group and homeowner’s insurance information clearinghouse.
Ballard died in 2013 at the age of 55. [1]
Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to hedge against the risk of a contingent or uncertain loss.
Mold health issues refer to the harmful health effects of moulds and their mycotoxins. However, recent research has shown these adverse health effects are caused not exclusively by molds, but also other microbial agents and biotoxins associated with dampness, mold, and water-damaged buildings, such as gram-negative bacteria that produce endotoxins, as well as actinomycetes and their associated exotoxins. Approximately 47% of houses in the United States have substantial levels of mold, with over 85% of commercial and office buildings found to have water damage predictive of mold. As many as 21% of asthma cases may result from exposure to mold. Substantial and statistically significant increases in the risks of both respiratory infections and bronchitis have been associated with dampness in homes and the resulting mold.
Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.
Brittany Anne Murphy-Monjack was an American actress and singer, known for playing Tai Frasier in the teen movie Clueless (1995), Alex Latourno in 8 Mile (2002) and Daisy Randone in Girl, Interrupted (1999).
Life insurance is a contract between an insurance policy holder and an insurer or assurer, where the insurer promises to pay a designated beneficiary a sum of money upon the death of an insured person. Depending on the contract, other events such as terminal illness or critical illness can also trigger payment. The policyholder typically pays a premium, either regularly or as one lump sum. The benefits may include other expenses, such as funeral expenses.
The Progressive Corporation is an American insurance company, the second largest insurance carrier and the largest commercial auto insurer in the United States. The company was co-founded in 1937 by Jack Green and Joseph M. Lewis, and is headquartered in Mayfield Village, Ohio. The company insures passenger vehicles, motorcycles, RVs, trailers, boats, PWC, and commercial vehicles. Progressive also provides home, life, pet, and other insurance through select companies. Additionally, Progressive offers auto insurance in Australia.
State Farm Insurance is a group of mutual insurance companies throughout the United States with corporate headquarters in Bloomington, Illinois. Founded in 1922, it is the largest property, casualty, and auto insurance provider in the United States.
The Equitable Life Assurance Society, founded in 1762, is a life insurance company in the United Kingdom. The world's oldest mutual insurer, it pioneered age-based premiums based on mortality rate, laying "the framework for scientific insurance practice and development" and "the basis of modern life assurance upon which all life assurance schemes were subsequently based". After closing to new business in 2000, parts of the business were sold off and the remainder of the company became a subsidiary of Utmost Life and Pensions in January 2020.
Liability insurance is a part of the general insurance system of risk financing to protect the purchaser from the risks of liabilities imposed by lawsuits and similar claims and protects the insured if the purchaser is sued for claims that come within the coverage of the insurance policy.
Personal injury is a legal term for an injury to the body, mind, or emotions, as opposed to an injury to property. In common law jurisdictions the term is most commonly used to refer to a type of tort lawsuit in which the person bringing the suit has suffered harm to his or her body or mind. Personal injury lawsuits are filed against the person or entity that caused the harm through negligence, gross negligence, reckless conduct, or intentional misconduct, and in some cases on the basis of strict liability. Different jurisdictions describe the damages in different ways, but damages typically include the injured person's medical bills, pain and suffering, and diminished quality of life.
A public adjuster is a professional claims handler/claims adjuster who represents the insured/policyholder in their insurance claim. Depending on the state, licensed public adjusters are required to prove competency in a variety of ways; written examination, experience time frames, and background checks. In many states, a public adjuster is a lawful fiduciary under either state or federal jurisdiction to legally and professionally represent the rights of an insured/policyholder during an insurance claim. The role of a public adjuster is to recover the best possible indemnification for their claims. Individuals may prefer to avoid the stress of claims handling themselves, and choose public adjuster representation to guide them through the process and minimize the time which must be spent to file their claim properly. Public adjusters negotiate with insurance companies/carriers for an adjustment or settlement. Primarily, public adjusters review the applicable insurance policy to determine coverage for the loss, assess the cause of loss to determine applicable coverage, assist the insured to prepare detailed scope and cost estimates to prove their loss. Public adjusters also provide insurance policy interpretation to determine if coverage exists, and to negotiate with the insurance company/carrier to a final and fair settlement. Most public adjusters charge a percentage of the settlement.
NFU Mutual is a UK insurance composite. It claims to be a mutual, therefore, its policyholder members claim to own the business, and the executives and directors are ultimately accountable to them. The full name of the organisation is National Farmers' Union Mutual Insurance Society Limited.
Insurance bad faith is a tort unique to the law of the United States that an insurance company commits by violating the "implied covenant of good faith and fair dealing" which automatically exists by operation of law in every insurance contract. In common law countries such as Australia and the UK, the issue is usually framed in the context of a failure of the duty of utmost good faith originating in English insurance law, which does not constitute a tort but rather provides the insured a contractual remedy unique to insurance law.
Kerri Rigsby and Cori Rigsby (Moran) are the American sisters who worked for eight years at E.A. Renfroe Company and were managers overseeing catastrophe claims adjusters. Kerri and Cori Rigsby are also the whistleblowers who proved to a Mississippi jury that State Farm committed fraud against the U.S. government. The sisters claim State Farm ignored or minimized wind damage to avoid payments relating to Hurricane Katrina and instead attributed damage to flooding so that the National Flood Insurance Program would cover the claims. The jury verdict was upheld by the U.S. Court of Appeals for the Fifth Circuit, was then affirmed 8-0 by the United States Supreme Court. The Rigsbys were managers who worked in Gulfport, Mississippi for a subcontractor hired by State Farm to adjust wind and flood claims after Hurricane Katrina. They were the first to uncover a fraudulent scheme by State Farm to improperly categorize wind damage as flood damage. This mischaracterization was very important because State Farm had to pay for wind damage out of its own pocket under State Farm homeowner policies, while flood damage was paid by the federal government under FEMA's flood policies. Over the course of several months, the sisters amassed thousands of pages of documents related to State Farm's activities. The Rigsbys' landmark win was historic because they were the first to prove that an insurance company defrauded the government in FEMA's National Flood Insurance Program despite testimony by FEMA’s Executive Director that, after investigating the allegations, he personally didn’t believe that there was any fraud by State Farm, and he confirmed that FEMA had not asked State Farm to repay any money to the National Flood Insurance Program. However, according to court documents, the sisters took the documents without authorization. Their actions in regard to these documents is the subject of ongoing legal action. Eventually, their story went public when ABC's 20/20 show aired it in August 2006. In 2008, Judge Senter of the U.S. District Court of the Southern District of Mississippi found that the sisters and their attorneys had acted unethically when the Scruggs Katrina Group paid the sisters $150,000 per year each to testify, and barred them from testifying or using any of the documents that were taken. Scruggs was later forced to withdraw as their attorney because he improperly paid them for downloading and giving him the State Farm claims files and other documents to use in his lawsuits against State Farm. Scruggs also was later disbarred after pleading guilty to conspiracy to bribe a state circuit court judge in 2008 and separately, to improperly influence another state court circuit judge. He was sentenced to serve five years and seven years, to run concurrently, on the two guilty pleas.
Toka Tū Ake EQC, also known as the Earthquake Commission,, is a New Zealand Crown entity that invests in natural disaster research and education as well as providing natural disaster insurance to residential property owners. In March 2022, a bill was introduced to, among other changes, update the name of the Earthquake Commission to Toka Tū Ake – Natural Hazards Commission.
"Chinese drywall" refers to an environmental health issue involving defective drywall manufactured in China, imported to the United States and used in residential construction between 2001 and 2009 – affecting "an estimated 100,000 homes in more than 20 states.".
Carole Nash is a motorcycle insurance brokers in the UK and Ireland. The company also provides insurance cover for classic cars and performance vehicles, as well as campervans.
William M. Shernoff is a prominent American trial lawyer based in Claremont, California/Beverly Hills, USA. He is one of the pioneers of a branch of law known as "insurance bad faith", in which he investigates the alleged bad faith and misconduct of insurance companies. This began in 1971 with his first insurance case. He then founded the firm of Shernoff Bidart Echeverria LLP, in 2004, heading a team of 10 litigation lawyers who are widely known as the "bad faith insurance lawyers". Shernoff is also the author and co-author of several books on law, including Bad Faith (1984), Payment Refused (1986), How to Make Insurance Companies Pay Your Claims and What to Do If They Don't (1990) and Fight Back & Win (1999). He has served for many years on the board of directors of the national insurance consumer organization, United Policyholders.
Insurance in Serbia refers to the market for risk in the Republic of Serbia. Insurance, generally, is a contract in which the insurer, agrees to compensate or indemnify another party for specified loss or damage to a specified thing from certain perils or risks in exchange for a fee.
Linda Karen Reynolds is an Australian politician. She is a member of the Liberal Party and has served as a Senator for Western Australia since 2014. She held senior ministerial office as a cabinet minister in the Morrison government from 2019 to 2022.