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Re: I e-mailed this to the lawyer,but any help appreciated!


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Posted by Blair Brininger (66.141.3.216) on March 09, 2003 at 21:03:41:

In Reply to: I e-mailed this to the lawyer,but any help appreciated! posted by Sue Stewart on March 05, 2003 at 20:29:02:

You need to consult with a lawyer familar with ERISA. This question is just too fact specific for someone to answer without a face-to-face meeting.

: I was employed by Tandem Health care( Baldwin Manor) in Kenton,Ohio.I had insurance(BC/BS) through them for my son & myself. In Sept. 2002,I had a medical problem/injury,that prevented me from working.So I think I was terminated, ( I took a medical leave,& have not been released to go back to work yet), BUT>>>>>>>>>>>they never really told me if I even had a job still or not? EVER! I spoke to them several times, never got any real answers about benefits, or even If I still had a job?

: I have been in & out of hospital, for various testing, and to several specialists since then.( Sept.) In December around Christmas, I was at My oncologist's office, standing there while she called to verify coverage.....BC/BS said I was covered.( this was the 3rd week in Dec 2002)

: I was admitted to the hospital around first week of Feb.2003 for a HGB of 6.1 ( blood loss somewhere) As time went by,I noticed

: Bills were being denied. I called my employer & BC/BS.....No real answers? After speaking with a representative of Tandem, she told me, I had fallen throught the cracks,they officially caught the error? So, on Jan 30 or 31,of 2003, they cancelled my insurance w/o notification.. However she ordered cancellation of my insurance RETROACTIVE to 12/01/02. NO COBRA was ever offered, until I questioned them when bills didn't get paid.Then I get a letter,offering COBRA..

: Now, it is March 1st,I get a letter offering COBRA, However, they have made it retroactive to Dec O1,2002 & want close to $3600.00 to catch it up! Is this legal? The best I can find is they were supposed to notify me w/i 30 days......they did not.( Well she says they did,by notifying me March 1st,as that is when they did the actual cancelation), but the fact they made it retroactive,has me wondering if any laws have been broken or STRETCHED? I have no income.I am actually confused as what to do now,as I have another procedure scheduled already for March 20 to see where the bleeding is coming from.I have no problems with starting COBRA & paying the Bill effective March,as this is actually when they notified me,but going back 4 mos, without notifiying me so I could try to save money or find another CHEAPER plan, seems as tho somehow they broke a law??? Am I wrong,or am I screwed?

: Any help or ideas?

: PLEASE!

: thanks

: Carolyn Sue Stewart

: Ph # 419-273-0139

: 3/5/2003
:




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