Mirror of Justice - All about Law and More
*Home>>>Insurance Law

Can a medical Insurance CO. sue you personally for medical expenses of someone they cover?


My husban got into a physical fight with someone and pleaded "no contest" in court. Now this person is suing him in civil court. Today in court, this person stated that his Insurance co. was suing my husband as well for medical expenses they already covered (we are talking about $45000.00). If my husband did not plead guilty, how can the Insurance company come after us, especially if we would never be able to pay that amount back?

If you are in the US, the medical insurance company would put a lien on the suit that the guy has in civil court, it is called a subrogation lien. So if the case settles for say $100,000, then the attorney for the plaintiff would have to pay the $45,000 minus 1/3 for attorney's procurement costs out of that $100,000. Then the plaintiff would get the rest minus attorney's fees.

They can sue, and they will probably win.

Lesson of this story - grown men should not get into fistfights.

Well, your husband didn't plead "not guilty." He pleaded no contest which, for all intents and purposes, is the equivalent of a guilty plea. As he is admitting to the crime beyond a reasonable doubt (the standard in criminal cases), then he would also be found guilty by a perponderance of the evidence (the standard in civil cases--a lesser burden than beyond a reasonable doubt).

Essentially your husband admitted liability, and, as the insurance company wants to keep their money, they're going after you. Perfectly acceptable. This, by the way, is how things are typically done in car accidents, as well--the person's insurance company represents them.

The "no contest" plea was in response to a criminal charge.

This is completely different. It's a civil matter. The injured party can sue for such things as wage loss, pain and suffering, etc. The insurance company has a right to seek compensation for monies paid out as a result of medical expenses that they covered. This all assumes that they can prove your husband's culpability.

You are best off to hire a lawyer for this one because if you don't respond to the suit, you will be found liable by default and the cost to have the matter reheard will be as much as the amount of the claim.

Unfortunately, if the insurance company is successful, they will be able to garnishee your husband's income until the debt is settled.

The only thing he can do in that case is seek protection under Chapter 11 or go bankrupt.

Good luck with it.

Tags
  Legal Ethics   Landlord and Tenants   Labor Law   Juvenile Law   Investment Law   Intellectual Property   Insurance Law   Immigration Law   Health Care Law   General Civil Litigation   Family Law   Estates Law
Related information
  • Why do individuals get life insurance, when that person gets either poisoned or murdered by relatives?

    Do you not trust your significant other/children/parents enough? Only the person you name as the beneficiary can benefit from your policy after you die. Don't name someone you don't tru...

  • I need to find out about what insurance company someone have?

    Well, this is interesting. You know the name of the mortgage company and his loan number. He could have 2 insurance companies, but that's a lot of bother so he probably only has one insuranc...

  • Hit by car with no insurance is it worth it to sue?

    I would sue. If you are having difficulty obtaining a lawyer contact legal aid or a free legal service and see what your best options are for securing a low cost lawyer. It is inexcusable to ...

  • How long do insurance companies have, by law, to close claims after they receive your claim documents?

    I have had claims in both NJ and NY one on a house fire another in an oil tank break, and in both cases it took three months. They were different companies. A life insurance company can take up to...

  • Insurance or legal question. Was in a car accident 2 years ago. . . .?

    Get a lawyer. Now. Contact the Lawyer Referral Service for a 30 minute consultation for $25 (BC), or the equivalent in your province or territory. You can find the information through the Canadi...

  • Why does auto insurance rates go up after manditory insurance laws pass?

    More importantly, how do these laws ever stand up in court? The idea behind auto insurance, is that you pay a premium for accidents you haven't caused yet, based on the statistical likelihood...

  • My insurance co is denying the claim?

    The FIRST thing to do is to have them resubmit the bill. Oftentimes the bill will get sent out as 'denied' by mistake (well, they say it's a mistake). Send it back and wait to get ...

  • Social insurance number ?

    Canada doesn't recognize US Social Security Numbers. You need to get a social Insurance card.

    ...
  •  

    Categories--Copyright/IP Policy--Contact Webmaster