Well There's been more going on in my hubby's case. The worker's
comp "reform" in this state has jacked up MANY cases, ours included.
The insurance company is on the line for many wrong doings, but it
seems even they are trying to pass the buck to good ole EGW. EGW
human resources more then once told my hubby that they didn't know
who the insurer was, and to drop it or suffer consequence. That is
punishable by a fine to not only us, but the insurance and the state
as well.
So of course the insurance company is fighting this tooth and nail to
prove that the employer and NOT the insurer is responsible for the
delay. As if somehow not answering their own phones and not
responding to faxes makes them any better? It took seven months AFTER
the second injury for the insurance to make themselves known. The
only thing we had access to was the doctor for the employer. They
wouldn't tell us who they billed for compensation either, which we
now know is considered a no-no. The insurance company claims their
first contact was when they sent us the packet seven months later
after the second injury. Really? So who did they think they were
paying for in 2002? We have essentially 2 problems, EGW is considered
responsible for hiding info and for firing him for pursuing
treatment. And the insurance company is unreasonably denying benefits
when the claim is automatically considered approved if there is
silence after 90 days. They maintained silence for one year.
The D.A. is waiting until we have an AME report to use our info
against EGW for unfair and fraudulant business practices. They want
all their ducks in a row before moving. They won't pounce on 1 thing
when they can shoot em with 3 or 4. We're not even sure how many
counts they have. They just told us it involves employee and consumer
complaints. One person took $12,000 in hush money and dropped out.
That's all we know. We haven't been approached for hush money LoL,
but our lawyer says we won't because we have an open WC claim.
Funny that the insurance company would be as bad faith as the
company. They have been sued repeatedly for bad faith, and have lost
every time. They rank 13 in the top 100 of who's bad in insurance,
and have a history of specifically refusing to pay claims. I know you
can't ever be sure you're picking the right companies to represent
you...but I still find it incredibly funny that the insurance company
does mirror some of the EGW principles of get their money and run!
This takes years. Enron could be a prime example of how long it ALSO
takes to bring someone down. It takes seconds once the damage is
revealed. Revealing it can be the hardest part. An open wound
requires a band aid, a gaping hole works better. It takes a long
time.
--- In
eyegw@yahoogroups.com, "qualityfirst37" <dckorn61@h...> wrote:
>
> After Summit bought the company, they created a holding company
> called "VCH" or Vision Care Holdings. Two divisions under VCH:
EGW
> and LVI. Most of the $$ upside is from growing out the lasik
> business; also most of the fines that the company has received
> relate to advertising and business practices of LVI.
>
> They are aggressively advertisng the new pricing structure for LVI
> to see if it works.