Woman claims insurer denied payment

Annie Cosby Dec. 29, 2014, 11:12am


A Texas woman is suing over claims her employer's health insurance plan denied payment to her claims after she was hospitalized.

Julieta Dike filed a lawsuit Oct. 10 in Jefferson County District Court against Conmed Inc., doing business as Conmed Healthcare Inc., Carefirst Inc. and Blue Cross and Blue Shield of Texas Inc.

According to the complaint, Dike began working for Conmed Healthcare on Jan. 29 and began receiving health care benefits under the employer's health insurance plan March 1. The complaint states that on March 8, she had a routine colonoscopy and subsequent hospitalization due to abdominal pain.

Dike says that she submitted these claims to the defendants but they were denied or have not been paid. The defendants are accused of breach of good faith and fair dealing, violating their fiduciary duty and violating the Employee Retirement Income Security Act.

Dike seeks damages, attorney fees and costs of court.

She is represented by attorneys Lance P. Bradley and Craig J. Tahaney II of Bradley, Steele and Pierce in Port Arthur.

Jefferson County District Court case number: D-196250

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