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Ex Wife Still Uses His Union Insurance?
Rocky asked:
<BR%20/>Tags: Plastic Surgery, Exwife, Ex Wife, Patient Info, Felony <BR%20/>Hi! My brother and his ex wife got divorced back in 1999. It was a quick divorce and he now has zero ties to her. He pulled his credit report last month and found that she has been using his Union health insurance for plastic surgery as recent as 2006. There are 4 records on his file that he had me call on to get the patient info and they were all from his exwife. Can he sue her for these? Isnt this insurance fraud and a felony?
Your brother has obviously been paying her premiums. It is up to him to get her off the policy as long as she is still named on the policy she can use the insurance.
Having said that, I have never heard of an insurance company that will pay for cosmetic surgery. Something sounds fishy here.
the union should have been told of divorce. the union should go after the x-wife for the money.
Apparently your brother has never taken his ex-wife off the policy. So if she is still on the policy she can use the insurance. I have never heard of insurance covering plastic surgery unless it was to correct scarring from an injury. If she got a boob job the insurance should not have paid.
Have him make sure that she is no longer on the policy. The fraud part is up to the insurance company.
IT should state in his union insurance info that the spouse is no longer covered after divorce. He needs to get ahold of the union and give proof of when they were divorced and then the insurance company will go after her for fraud. It was his responsiblity to notify the company about the divorce. But the insurance company will go after her for the money.
Plastic surgery isn’t covered by any health policies that I’ve ever seen.
He needs to call his insurance company to see why she still has coverage. She should have been deleted when the divorce was final.