Sample Claims - Allied Healthcare Claims
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Massage/Spa Services: Rose
Spa and Salon is scheduled to
host Mary’s bridal shower party for a two hour massage
and
day spa session for all nine bridesmaids. Due to a
booking
error, the morning of the event, Mary receives a phone
call
from Rose Spa saying they need to reschedule for the
week
after. Mary is furious as she had paid for four of her
guests to
fly in from out of state to attend the event. She is
unable to
find another venue at such short notice and sues the spa
for
$1,600 to recoup the airline fees for the booking
mistake.
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Dental Assistant/Hygienist: Steven
is a dental hygienist
working for Dr. Muller. While assisting Dr. Muller on a
routine
cleaning, he accidently cuts a patient’s gum with his
dental
instrument. He stops the bleeding and notifies Dr.
Muller of
the cut, but no further action is taken. Four months
later,
Steven receives notice of a lawsuit demanding $5,000 for
an
infection that caused the patient to lose his tooth.
Because
Steven was an independent contractor not covered under
Dr. Muller’s dental malpractice insurance, he soon finds
himself in severe debt trying to pay for lawyer fees and
unpaid leave from work.
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Home Health Aide (non-medical): Happy
Home Helpers is a
small home health aide company with five employees
including Beth. Beth has been assigned work at the home
of
an elderly couple needing daytime assistance. She has
been
working with the couple for almost six months when a
family
emergency forces her to take a leave from work. Happy
Home Helpers quickly replaces Beth’s role with another
employee who is not as familiar with the couple’s daily
routine. Unhappy with the new helper’s services and the
next
two replacements following, the couple begins calling in
complaints to the company. Not getting the response or
apology they want from Happy Home Helpers, the couple
files a lawsuit against the company for professional
negligence for $2,500. Although the lawsuit is closed in
favor
of Happy Home Helpers, the small company is not able to
sustain the defense costs of the long running lawsuit
and is
forced to shut down.
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Mental Health Counselor: Neil
and Kimberly seek the
assistance of Paul Lawson, a relationship/divorce
therapist,
in order to save their marriage. With two successful
businesses they co-own and run, they financially have a
lot
at stake. Utilizing a combination of individual and
joint
sessions with the counselor, they proceed with weekly
sessions for close to a year. After a few months, Neil
begins
to suspect that Mr. Lawson is manipulating Kimberly’s
individual sessions to expedite the divorce process
rather
than to resolve their differences. He is furious when
Kimberly serves him with divorce papers including a
demand
for sole ownership of the two businesses. Neil blames
Mr.
Lawson for swaying Kimberly’s decision and files a
$15,000
lawsuit against him.
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Physical Therapist: Craig
is a machine operator and sole
breadwinner for his family. One weekend, he is in a car
accident causing back and shoulder injuries. He attempts
to
return to work after a few weeks off, but struggles to
perform
his job duties. His boss offers him a desk job with a
pay cut
that his family cannot afford. He seeks the help of a
physical
therapist to work on healing his shoulder injury
quickly.
During his first session, the physical therapist
manipulates
his shoulder to the point where Craig is now in more
pain
than when he began. As a result, he is now forced to
accept
the desk job. He sues the physical therapist for $4,500
for
aggravating the injury further and money lost due to his
demotion.
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Social Worker: As
part of her role as a social worker running
a caregiver support group, Tammy hears many stories of
how her support group attendants cope with the stresses
of
taking care of seriously ill family members. As an
additional
service, she begins giving lectures across the country
on the
same topics using some of the real life experiences from
her
group sessions as examples. After a two month lecture
tour,
she receives a notice of a lawsuit from a former support
group attendant suing her for $5,000 for invasion of
privacy
for detailing his experiences as a caregiver in her
nationwide
lecture without his permission or consent. Word spreads
and
other caregivers follow with letters of complaints.
Although no
additional lawsuits are filed, Tammy is fearful that she
may
be sued by multiple parties.
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*NOTE:
Sample claims may be based on real cases or fictional examples and no
coverage is guaranteed or afforded by any information provided on this
page or this website. Your policy may or may not have any of the
coverages shown in this sample. Policies vary based on terms, coverages,
conditions, and exclusions Please check with your state and local jurisdiction for
rules on operating a business. Coverage options vary by business,
location, and are all subject to underwriting approval. The information is purely for
educational purposes and not quoted from any legal source. This document
does not amend, extend or alter the coverage afforded by the policy. For
a complete under standing of any insurance you purchase, you must read
your Policy, Declarations Page and any Endorsements, and discuss them
with your broker. Your actual policy terms and conditions may be amended
by Endorsement or affected by state laws.

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