Health insurance asking third party to pay...

by Macy
(San Diego, CA)

My daughter broke her leg at my sister's house playing tag with the other kids. She tripped and broke her tibia. Her health insurance sent us a questionnaire and also wants to see if there might be a third party responsible. It asks the date of injury, where it happened, property address, homeowners association if any, etc.

It was truly an accident and I would hate for my sister's homeowners insurance to increase because of this. What should I do? How can I prove it was just an accident?

Visitor Question:
Disclaimer: Information provided in our response is NOT formal legal advice. It is generic legal information based on the very limited information provided. Under no circumstances should the information in our response, or anywhere else on this site be relied upon when deciding the proper course of a legal matter. Our response does NOT create an attorney-client relationship. Always get a formal case review from a licensed attorney in your area.

ANSWER for "Health insurance asking third party to pay...":

Your child's health insurance cannot pursue a claim on its own against your sister's home owners insurance without your initiation, approval and consent. It would be your claim to pursue, if at all. I would advise them that you are not interested in submitting a claim to the third party and that the situation was an accident.

It sounds as though it was an innocent situation for which liability would not flow anyway, but you need to make it clear that it is not your intention to pursue a third party claim to your sister's home owners insurance. Without you, there is no claim.

The above is general information. Laws change frequently, and across jurisdictions. You should get a personalized case evaluation from an attorney licensed in your state. Find a local attorney to give you a free case review here, or call (888) 647-2490.

Best of luck,

Judge Calisi

P.S. Please help us out by sharing this site...

Click here to post comments

Return to Homeowners Coverage Questions.

How Much Is Your Claim Worth?

Find out now with a FREE case review from an attorney...

How Much Are Your
Injuries Worth?

Find out with a
free attorney review: