2009年6月25日 星期四

recission reviews, annulment

Iran Rejects
Bid to Annul
Vote Results
Iran's top election review board ruled out an annulment of June 12 election results, a day after it admitted that voter irregularities may have affected some three million votes.



re·ci·sion (rĭ-sĭzh'ən) pronunciation
n.

The act of rescinding; annulment or cancellation.

[Obsolete French, from Old French, annulment of a judgment, from Latin recīsiō, recīsiōn-, from recīsus, past participle of recīdere, to cut back : re-, re- + caedere, to cut.]




In 2007, Patsy Bates, a California beautician, sued Health Net claiming that they wrongfully terminated her care in the middle of her chemotherapy treatments. Internal company documents made public during the law suit revealed that the company had tied bonuses to dropping coverage in order to encourage its analysts in charge of recission reviews to discover reasons (such as application fraud) to discontinue coverage to clients who the company deems will cost them money. The company pointed out that Bates had withheld critical information - that she had damaged her heart by the use of fen-phen for diet purposes and stated an inaccurate weight; Bates replied that the insurance broker had filled out the form for her and she had been busy in her salon. [1] In February of 2008 the court ruled in favor of Bates, ordering Health Net to pay 8.4 million in punitive damages and $750,000 for emotional distress. [2]


惡意取消癌患保單 判賠2.8億

美國一位中年女性罹癌治療期間,加州最大一家健康保險公司取消她的保單,法院22日裁定保險公司必須賠償她九百多萬美元(台幣2億8000萬元)。

52歲的珮西‧貝茲2004年被「健康網保險公司」(Health Net Inc.)取消保單後,積欠12萬9000美元醫療費。仲裁法官奇安契提22日喻令健康網公司為她支付那筆醫療費,另加840萬美元懲罰性賠償,以及75萬美元賠償她遭遇的情緒困擾。

奇安契提在仲裁書中寫道:「人最難過的情況,莫過於貝茲遭遇的這種情況。她被診出罹患乳癌,乳癌名列女性前幾大死因,而在這時,她被落井下石。」

貝茲是兩個孩子的母親,聞判激動尖叫。她的律師表示,希望其他保險業者注意這項裁決,「我們要阻止這種行為」。

貝茲是美髮師,本來買另一家保險公司的保單,但健康網的業務員以可以省錢為由,說服她改投健康網。她後來罹患乳癌,為消除腫瘤而做化療,只做了兩次,醫師 就不再理她,因為她的化療帳單沒付。她說,她當時難過極了,搞不懂保險公司怎麼幹得出這種事來。她透過一個公家資助的治癌方案完成療程。

貝茲案完成仲裁前一天,洛杉磯市檢方起訴健康網,指該公司非法取消1600名病人的保單,省下3500多萬美元醫療理賠。健康網表示有志改進,以維持民眾的信任,目前已凍結取消保單的政策。

檢方並表示,健康網有一套不合法的獎勵方案,行政人員取消保單的數目如果達到目標,可以分紅。健康網承認2002和2003年實行那套方案,但後來已取消。

加州當局已著手調查健康網和其他保險公司,調查內容包括非法取消保單疑案,以及業者是否在發現投保人的健康紀錄出現差異時取消保單。

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