ComplaintsforFedAdvantage
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Complaint Details
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Initial Complaint
08/10/2023
- Complaint Type:
- Order Issues
- Status:
- Answered
I have a long term disability policy with the Standard from Federal Advantage. In Dec ***************************************************************************************** 2016 while working. Since 2016 I been under medical treatment, physical therapy etc. I returned to work in a limited duty capacity in 2018 in Law enforcement but soon after had to switch career fields because of my injuries still working with restrictions. Then in Dec 2022 my conditions were exacerbated and required trips to the ER.I was removed from work and filed a recurrence of disability with the US ***. They *** paid my hospital bills but denied paying me WC stating they didnt have enough medical information, despite having it all. In March *********************************************************************************************************************************** late April or early May the standard denied me, relaying their facts that are contrary to the written record.as a result I file a appeal with them and produced more records. In June my recurrence was approved by ***.In July the standard again denied me, relaying their definition of disability isnt the same as *** yet the policy is sold to federal workers.Basically the Standard and Federal Advantage took my premiums over the years and when I needed them when I was without pay for 6 months abandoned me as waiting for *** to get their c*** inorder.Waiting on I hear back from lawyers on lawsuit.Premiums should be refunded for the bad faithBusiness response
08/19/2023
********************, I have read your complaint through the BBB, and have made inquiries into your claim situation with the Standard. Unfortunately, due privacy laws around HIPPA I am unable to truly understand the circumstances surrounding their decision to deny your claim. At FedAdvantage we are not involved with the claim process as that is conducted through the Standard, however, we are your advocate and will work to help get to the bottom of your claim issue. In order for me to help you I need the following information:
1. All written correspondence between you and the ****************** this includes denial letters and appeal information that was sent to them.
Please send the information to me directly and I can work with you to get answers to your questions. I'm not promising they will change their mind; however, I can make certain they are processing claims to the terms of the contract.
You can send your information to me at ****************************************************.
Regards
**************** Torre
President and CEO,
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Customer Complaints Summary
2 total complaints in the last 3 years.
0 complaints closed in the last 12 months.