Call Us Today
No coverage for excess medical bills, Court of Appeals decides

No coverage for excess medical bills, Court of Appeals decides

The North Carolina Court of Appeals has held in James v. Integon National Insurance Company that a driver of a motor vehicle did not have access to the underinsured motorists (UIM) coverage of his fiance, because the driver lived with his fiance and she had not listed him on her policy. The driver was involved in an accident while driving his fiance’s car. His medical bills were more than the $50,000 coverage held by the driver who hit him. Therefore, he turned to his fiance’s policy. Integon, the insurance company that issued the policy, objected, saying it had required the fiance to list every member of her household on the policy, and while the fiance had listed her mother, she did not list her fiance, even though he also lived with her. The Court of Appeals agreed that the failure to list the fiance was a material misrepresentation by the policy holder, and coverage was denied. This was true even though the fiance did not intend to commit any fraud against the company.

Lesson: When you fill out forms given to you by your insurance company, be sure to give complete answers. You could lose coverage because of a misrepresentation.

Author Bio

Valerie Johnson

Valerie Johnson
Founder

Valerie Johnson is a North Carolina personal injury and workers’ compensation attorney dedicated to helping injured and working people across the state. A board-certified specialist since 2000, she is the Immediate Past President of the North Carolina Advocates for Justice and author of North Carolina Workers’ Compensation Law: A Practical Guide to Success at Every Stage of a Claim.

Google | SuperLawyers | LinkedIn

More reviews

Offices Across North Carolina — Serving the Triangle, Charlotte, and Beyond

We represent clients statewide, with offices in Durham and Charlotte. Whether you’ve been injured at work or hurt in a crash, we’ll meet you where you are.