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NORTHERN CALIFORNIA RECORD

Friday, March 29, 2024

Blue Shield seeks nearly $56,000 from insurance company

Insurance 11

LOS ANGELES — Blue Shield is suing an insurance company, alleging failure to provide coverage.

Blue Shield of California Life & Health Insurance Company filed a complaint Oct. 23 in U.S. District Court for the Central District of California against Farmers Insurance Exchange, and Does 1 through 10, alleging failure to reimburse its obligation of nearly $56,000 to its insured under uninsured insurance coverage.

According to the complaint, on Jan. 23, 2016, a Medicare client was killed when he was struck by a vehicle as he walked along the side the road in Concord, California. The suit says the deceased was given health insurance coverage by Blue Shield and it is entitled to receive subrogation under automobile insurance policy for under-insured and uninsured motorist coverage benefits. 

The plaintiff alleges Farmers Insurance Exchange has failed to comply with the terms and provisions of the insurance contract and failed to pay insurance coverage amounting to $55,950.38.

Blue Shield of California seeks trial by jury, reimbursement of $55,950.38, double damages for refusal to reimburse, pre- and post-judgment interest, court costs, necessary expenses and all further relief the court deems just and proper. It is represented by attorney Dennis L. Althouse of Schimley Althouse LLP in Pasadena.

U.S. District Court for the Central District of California case number 2:17-cv-07718-RGK-JC

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