It’s a story we’ve heard told over and over again, but still, it remains a seemingly consistent worry in the minds of the insured.

All across the nation, upstanding and responsible individuals are paying their insurance premiums on time. They are working hard and making sure that they handle their financial obligations. Suddenly, tragedy strikes. An injury at work. An accident on the road. A  natural disaster that destroys their home.

It’s moments like this when they face some of their biggest challenges in life that they need support and protection the most. They turn to their insurer, expecting their company to be there. You should expect your insurer to honor their responsibility when you keep yours.

But that isn’t always the case, and a recent investigation into insurance giant Aetna proves just that.

Your bad faith insurance attorneys at Millin & Millin have represented hundreds of individuals and businesses confronted with their insurers acting in bad faith. When profit comes before a client, your team at Millin & Millin is there to make sure you obtain the benefits and compensation that are rightfully yours.

Insurance Company Aetna Fails Its Clients

In February 2018, a shocking discovery first reported by CNN revealed a 2016 videotaped deposition of Dr. Jay Ken Iinuma, former Medical Director for Aetna in Southern California from 2012 to 2015, admitting under oath that he never looked at patients’ medical records when deciding whether to deny or approve their coverage. Instead, Iimuma claimed that he was simply following Aetna’s protocols and was making his decisions based on what nurses recommended to him.

As the third-largest insurance company in the United States with over 23 million clients, this horrific admission has made quite a wave in the news and with lawmakers.

Iinuma made these statements in a courtroom appearance for a lawsuit filed by Gillen Washington in 2016. Washington sued the company because he was initially denied treatment for a rare immune disorder known as common variable immunodeficiency (CVID). Individuals who suffer from CVID are highly susceptible to infection and often deal with recurring health issues in the lungs, sinuses, and ears.

Washington, 23, sued for breach of contract and bad faith when he was denied coverage for the treatments needed when he was 19 years old. The company claimed that his bloodwork was outdated, and that his treatment wasn’t medically necessary. Without that treatment, Washington eventually suffered pneumonia and a collapsed lung while appealing Aetna’s decision.

Iinuma’s denial of coverage to clients like Washington without properly reviewing medical records is underscored by his admission to not knowing what plagued Washington as well as never having treated a patient dealing with the condition.

States and Federal Government Step In

A growing number of state and federal agencies have begun to investigate and request additional information to determine whether any laws were broken.

In the state of California, where the suit took place, two different agencies have begun to look into Aetna’s operations including the California Insurance Commissioner Dave Jones, who noted that the story was of “significant concern” to him. Considering that state law requires medical directors who are unqualified to review a patient’s case to seek consultation from another more qualified expert, the news of Iinuma’s action may prove to have been illegal. The California Medical Association and American Medical Association have shown similar concerns to Commissioner Jones.

Three other states have also begun their own investigation including Colorado, Washington, and Connecticut. Interestingly enough, Aetna is headquartered in Connecticut.

Now included in those state investigations, two Democratic senators have written a joint letter to current Aetna Chairman and CEO, Mark Bertolini. Ron Wyden of Oregon, ranking member of the Senate Finance Committee, and Patty Murray of Washington, ranking Member of Senate Health Committee, have requested for the company to release information related to their review process including “specific responsibilities of medical directors, nurses and chief medical officers, as well as any other company employees who are involved in such decisions.”

The senators also noted that, “In 2009, Aetna Health, Inc. and Aetna Life Insurance paid a $256,000 fine to Arizona insurance regulators for, among other things, denying health care provider payments without requesting additional information that could prove the claim valid.”

Sadly, this haunting truth isn’t the first time the insurance industry has been exposed for its seemingly rampant use of bad faith techniques and strategies to deny or underpay their clients. Thus far the company’s response has been that the testimony was “taken out of context”.

Don’t allow your insurance company to unlawfully deny your claim. Trust in the dedicated representation of your bad faith lawyers at Millin & Millin to provide the unique level of service you need to recover what is legally yours.

If you have any additional questions or simply need assistance with insurance claims and issues contact Millin & Millin at (956) 631-5600 to schedule a free case evaluation. Our compassion, dedication, and personal attention will get you the RESULTS you deserve.

Millin & Millin PLLC is pleased to announce that Gina Karam Millin has joined the Board of Directors of the Texas Civil Rights Project.  TCRP believes that legal advocacy and litigation are critical tools to protect and advance the civil rights of everyone in Texas, particularly our state’s most vulnerable populations, and to effect positive and lasting change to law and policy.  TCRP believes that by serving the rising social justice movement in Texas with excellent legal representation and bold strategies, they can respond to the needs of the communities served.  TCRP has offices in Houston, Dallas, El Paso, McAllen and is based in Austin.  To learn more about this outstanding non-profit organization, please visit https://www.texascivilrightsproject.org.

Hurricane season just started (June 1st) and residents all across the McAllen metro area and Greater  Rio Grande Valley should begin preparing for these potential storms. While the 2017 Atlantic hurricane season forecast has predicted a lower number of storms than historical averages, it is still always in the best interest of homeowners to take the necessary precautions and steps to ensure that they are protected.According to NOAA’s Hurricane Research Division statistics, the U.S. averages one to two hurricane landfalls each year. While these odds may seem to work in your favor, a hurricane, or even tropical storm for that matter, can prove to be a devastating event both emotionally and financially.

At the bad faith insurance law offices of Millin & Millin in McAllen, Texas we believe that the best way to avoid a bad faith insurance claim is to recognize what your rights are and what your insurance does and does not cover. In order to be fully prepared for a disaster, there are a number of elements to consider.

Items to consider before a storm strikes.

  1. Understand what your homeowners insurance policy covers.

The most important step you can take to ensure that your home is effectively covered is to carefully read through and understand what your policy covers. While this is a simple action, it is often the most neglected.

Understandably, insurance policies are full of technical jargon that can be difficult to understand for those unfamiliar with the language. But, unfortunately, your insurer will not accept this as an excuse. Contact a legal expert with experience in insurance law to help you better understand your coverage. You don’t want a disaster to strike only to find out you weren’t covered.

  1. Standard homeowners’ insurance generally does not cover flood damage.

One of the most damaging effects of a hurricane or tropical storm is flood damage. Flood water can damage your property, uproot trees, and destroy your house’s interior.

Flood insurance is generally a separate policy that needs to be purchased alongside your traditional coverage. It should be noted, however, that there is a generally a waiting period (30 days) before the policy kicks in.

Waiting until the last moment before a hurricane reaches landfall to purchase this additional insurance rider can mean you will still be responsible for damages caused by flooding.

  1. Take inventory of your property.

A best practice, you should take a thorough inventory of everything you own and consider whether you have the appropriate coverage in case of the loss of those items. This can help you to identify the value of the items and any potential gaps in your policy.

You should also take pictures of your valuables, and if feasible, record with video. In fact, “touring” your home and video recording it in its current condition - even if the potential for natural disaster is minimal - is a great strategy to stop bad faith insurance.

  1. Know your deductibles.

An unreasonable deductible can leave you high and dry.

Insurers in coastal areas generally offer separate deductibles for hurricanes and windstorms. Depending on the circumstances of the storm and the various scenarios that can get played out, a high deductible can leave you paying thousands of dollars before the insurance even kicks in.

Have you begun saving for this amount? Or does it make more sense to increase your premium and coverage to lower your deductible?

  1. Prepare for a storm.

Aside from insurance considerations, you should also take some real world actions in order to limit the amount of damage that can occur to your property and home. Some of the most important steps you can take to protecting your house include:

The types of damage a hurricane or tropical storm can cause.

Hurricane damage can be varied and affect your home and property in a number of ways. Recognizing where there is a high probability of damage can help you to take the proper steps to securing and protecting your house. The following types of damage are frequently caused by hurricanes:

What to do after a hurricane.

If you, unfortunately, have to deal with the results of a hurricane, there are a number of steps that you can take after a hurricane to ensure that your insurance claim is properly handled.

  1. Deal with the damage.

While you should NOT commence fixing the damage yourself, you SHOULD take the reasonable steps necessary to stop further damage to your property. This can include covering up areas where water is leaking in or removing debris from broken windows. Insurers will use anything they can against you to deny a claim and might argue that you caused some of the damage if you do not properly take care of the limiting the situation.

  1. File a claim immediately.

After a major hurricane, insurance companies are bombarded with calls and claims, and often set deadlines on claimants. Don’t wait to make a claim. This also ensures damage is adequately taken care of in a reasonable amount of time rather than allowing it to continue growing.

  1. Take notes and document all interactions with insurance agents.

Staying informed and documenting all interactions with your insurance company can help to protect you in the case of bad faith tactics or a claims denial.

Also, just as you should take images of your property and valuables before an event, you should also capture images of the damage after the catastrophe has taken place. These detailed shots (and video when possible) are the perfect evidence to show your insurer.

Let the bad faith insurance lawyers of Millin & Millin protect you and your property from bad faith tactics.

If you are having to file an insurance claim, it’s likely due to the fact that you have just suffered through a terrible event. Having to deal with the unscrupulous tactics of an insurance company is the last thing you need on your plate during this time.

Depend on the responsiveness of the bad faith insurance legal team of Millin & Millin to get you the justice you deserve when seeking your rightful compensation after a natural disaster like a hurricane.

Contact ustoday at (956) 631-5600 to get the legal representation you need. Millin & Millin serves the greater McAllen metro area and the whole Rio Grande Valley.

Wet floor warning sign near a swimming pool
Summer offers perfect weather for poolside entertainment. This is especially true here in the Greater McAllen metro area where temperatures can soar into the 100s.

There’s nothing quite like spending a blazing afternoon cooling off in your very own pool or with friends at the local water park. But it is absolutely vital for parents and adults to recognize the risks and hazards associated with pools.

PoolSafely.gov recorded that between 2011-2013 there were over 4,900 pool and spa-related injuries and drownings among children 1-14 years old. Also, more than 50% of drowning victims treated in emergency departments required hospitalization or transfer for further care.

Diving injuries also pose a significant risk to children and adults alike. In more than half of all diving accidents, alcohol use was involved. Additionally, 57.2% of all swimming pool diving accidents occur in water four feet deep or shallower according to “Review of Spinal Cord Injury Statistics Related to Diving and Diving Board Use” from the American Institutes for Research.

The attorneys at Millin & Millin understand that sometimes accidents happen, but the best way to avoid them is to recognize when and how they can occur. Being informed about the most frequent pool accidents that cause serious injury can help you to prevent them before it is too late.

Some of the most common pool accidents include:

Sadly, the Center for Disease Control and Prevention has reported that one in five people who die from drowning are children 14 and younger, with drowning the number one cause of unintentional death in this age group. Even in non-fatal drownings, injuries can cause severe brain damage that can lead to long-term mental health issues. When around pools, parents should never leave a child unsupervised and should provide them adequate safety equipment. Awareness is the first step in safety.

Pool and spa areas pose a high risk of slip and fall incidents, understandably, because the water creates slippery conditions. When coupled with rock-solid cement, slip and fall accidents can lead to some truly serious personal injuries. But a few simple safety precautions can help to lessen the likelihood of a slip and fall accident at a private or public pool including:

Among males, diving ranks fourth in leading causes of spinal cord injuries and fifth for females.

Every year thousands of adolescents are taken to the emergency room because of diving-related injuries, with the majority being caused by headfirst dives. This is especially alarming as roughly 80% of these incidents occur in pools that were 4-feet or shallower - clearly preventable accidents.

While many of these incidents occur in pools, it’s also important to consider that diving injuries can also take place in lakes, rivers, or any other body of water that is used for recreational swimming.

Supervision is the key element to ensuring that a diving injury does not occur to your child or loved one. It is also recommended diving is first attempted with the swimmer’s feet facing downward so that their proximity to the bottom of the pool can be gauged.

Beyond horse playing and dangerous diving attempts, other potential sources of personal injury include product injuries and circulation entrapment.

Entrapment can occur when a swimmer is trapped by the suction of a drain in a pool or spa. If a swimmer’s clothing or jewelry is accidentally caught into the drainage system of the pool, the suction can cause accidental drowning or other serious injuries.

Some ill-designed products can also increase the risk of drowning and cause cases of entrapment as well. Pool cleaning equipment and other products may wrap themselves around the appendages of a swimmer and keep them submerged causing injury.

In these situations, the best preventative measures include:

The attorneys at Millin & Millin want to remind you to have a safe holiday season.

Summer is the season of rest and relaxation for families all across the nation. This often includes time spent at the pool. But safety measures should always be taken into account to ensure that everyone has a safe and fun time.

But accidents happen.

If you are having to file a personal injury insurance claim, it’s likely due to the fact that you or a loved one suffered a terrible accident. Having to deal with the bad faith tactics of an insurance company is the last thing you need on your plate during this time.
Depend on the responsiveness of the Millin & Millin legal team to get your rightful compensation from deceitful insurers.

Contact us at (956) 631-5600 to get help from the premier bad faith insurance lawyers of the McAllen metro and Rio Grande Valley.

One thing the common citizen lives with, without noticing, is the constant construction going on around them. From the new house going up right down the street to the new retail malls popping up everywhere. Something is always being built.All of this construction involves a number of different parties including owners, contractors, builders, suppliers, vendors, and more, who are all involved in some manner in the undertaking of commercial and industrial projects.

The Millin & Millin Attorneys understand that even with the best intentions and efforts to work together, disputes can (and do) arise amongst the many groups involved.

Our experienced attorneys are here to help find a resolution to some of the common construction disputes that arise during a project including:

1. Errors in a contract.

In 2014, this was the number one reason for contract disputes that arose during construction projects. This trend is still being seen today; it is still the biggest cause of disagreements.

The good news is that this can be easily avoided if a contract is thoroughly reviewed by a qualified attorney before everyone agrees on it.

This can save all parties plenty of trouble as the project moves forward.

2.   A party not understanding or failing to comply with their obligations.

This is has become a growing problem in recent years and is something that has to be monitored carefully. Whether intentionally or not, there can be instances where someone involved with construction fails to meet the terms they agreed to.

In these cases, the other groups who are part of the project will typically take some kind of action to rectify the situation. These kinds of disagreements will slow down and distract from other important matters, even after construction has been completed.

3.   Differing site conditions.

When someone places a construction bid, there are assumed working conditions that are part of that agreement. These factors are subject to unexpected changes and surprises, however.

One of the issues that can arise is the condition beneath the surface of a job site.

Regardless of the severity of unplanned differences, the plans that have been laid out will be affected and this leads to disputes.

4.   Costs that go beyond expectations.

This is a common occurrence in construction projects because there are so many variables and moving parts to account for, regardless of the size and scale of the job at hand.

If all groups working together laid out a detailed contract, there will usually be clarity regarding who is responsible for handling these excesses. Still, having to foot the bill, with or without a clear plan, has the potential to pit one party against another.

5.   Not being paid for work completed.

It might seem like common sense to pay somebody when they have finished the work they contractually agreed upon to perform. Sadly, this is not always the case, for a number of reasons.

In the event that they are not paid, a contractor or subcontractor does have legal actions they can take. Usually, place mechanic’s or materialman’s lien will be placed on completed project until there is some kind of resolution.

6.   Work that falls below an acceptable standard.

This is another tough situation that a contractor or subcontractor can find themselves concerning a construction project. When the quality of their work is called into question, it can create a good deal of confusion and discord.

If it is justified, it can still be a lengthy process to decided how to handle the results. There are also cases when these accusations are made to avoid paying someone for the work they have done.

This can lead to the situation as described in dispute number 5.

When one of these construction disputes arises, you can find comfort in knowing that the team at Millin & Millin has the experience to achieve a resolution for you.

Construction projects are complex systems of work that require many people to work together toward a common goal. Even the best of teams, in any arena, united with a single vision experience their share of disagreement.

We believe in building a team of construction experts who will analyze and reinforce your claim until satisfactory results are reached. Our experience in construction litigation extends to:

Contact us today at (956) 631-5600 for a free consultation.

The Texas Supreme Court has set a new precedent regarding statutory bad faith.On April 7, 2017, the high court addressed the issue in a lengthy 37-page opinion, establishing five rules about statutory bad faith in the state’s Insurance Code. These news standards will determine when a policyholder can recover damages and policy benefits from a carrier.

USAA Texas Lloyds Co. v. Menchaca

The Texas Supreme Court’s opinion was issued on a case between homeowner’s insurance company, USAA Texas Lloyds Co. and Gail Menchaca. The high court reversed the decisions of both the court of appeals and the trial court judgement.

In 2008, following the destruction caused by Hurricane Ike, Gail Menchaca made a homeowner’s property claim to USAA.

An adjuster was sent to investigate the claim, who found minimal covered damage, which did not exceed the policy’s deductible. Because of this USAA declined to pay out any benefits.

Nearly five months later, Ms. Menchaca requested a re-inspection of the damages. USAA sent a different adjustor that essentially confirmed the initial findings. Again, USAA refused to pay out on any benefits.

The insured party sued USAA for breach of contract and for unfair settlement practices that violated the Texas Insurance code. Ms. Menchaca sought insurance benefits under the policy, court costs, and attorney’s fees.

The case was tried to a jury in Conroe, Texas.

The jury first determined that USAA had not breached the contract and thus no policy benefits were owed. While the jury also validated that the carrier had not infringed on five provisions of the Texas Insurance Code, they found that the insurer was in violation of not reasonably investigating the claim.

Because the jury found that USAA had been engaged in unfair trade practices, they awarded Ms. Menchaca $11,350 for actual damages and $130,000 in attorney fees. Nothing was awarded for contract benefits as there was no breach of contract.

Both parties motioned for judgement in their favor. USAA argued that the Ms. Menchaca was not entitled to statutory damages as they had effectively complied with policy standards. The trial court denied this motion and ruled in favor of Menchaca.

The recent ruling by the Supreme Court of Texas reversed these decisions and remanded that a new trial take place using the five new rules they developed.

Texas Supreme Court’s 5 Rules

The Supreme Court outlined five new rules in order to help answer the question of “whether the insured can recover policy benefits based on jury findings that the insurer violated the Texas Insurance Code and that the violation resulted in the insured’s loss of benefits the insurer ‘should have paid’ under the policy, even though the jury also failed to find that the insurer failed to comply with its obligations under the policy.”

The five newly established statutes are as follows:

  1. The General Rule: The insured cannot recover policy benefits as damages for an insurer’s statutory violation if the policy did not provide the insured a right to those benefits. This was defined by the Texas Insurance Code which only allows an insured to recover actual damages caused by the insurer’s statutory violation.
  1. Entitled-to-Benefits Rule: An insured who established a right to receive benefits under an insurance policy can recover those benefits as “actual damages” under the Insurance Code if the insurer’s statutory violation causes the loss of the benefits. This was developed as a corollary to the General Rule.
  1. Benefits-Lost Rule: An insured can recover benefits as actual damages under the Texas Insurance Code even if the insured has no right to those benefits, if the insurer’s conduct causes the insured to lose that contractual right.
  1. The Independent-Injury Rule: There are two aspects to the independent-injury rule. The first is that if an insurer’s statutory violation causes an injury independent of the insured’s right to recover policy benefits, the insurer can recover those damages under the statute. The second is that an insurer’s statutory violation does not permit the insured to recover damages beyond policy benefits unless the violation causes an injury that is independent from the loss of the benefits.
  1. The No-Recovery Rule: An insured cannot recover any damages based on an insurer’s statutory violation unless the insured establishes a right to receive those benefits under the policy or an injury independent of a right to benefits.

Millin & Millin is here to answer your bad faith insurance questions.

The manner in which the Menchaca decisions plays out in future cases is still to be seen, but rest assured that your bad faith insurance lawyers at Millin & Millin are diligently following the changes in law that may affect your own situation.

Our bad faith insurance lawyers are strong advocates for McAllen metro residents who have had to deal with bad faith insurance tactics. Our attorneys possess superior experience and the necessary knowledge to bring forth an exceptional case.
Contact us at (956) 631-5600 for a free consultation.

Insurance companies have a number of tactics they use when they are attempting to act in bad faith. One of the most objectionable actions that an insurer can take is to cancel a policy after having received premium payments for years.The attorneys at Millin & Millin recognize such bad faith insurance tactics for what they are and fully believe that no policyholder should ever be subjected to such deceitful behavior.

While insurance companies do have certain rights when canceling a policy, they also have duties owed to the consumer and must follow the terms of the agreement in order to act in good faith. If your insurer has canceled your policy without providing you a written communication explaining their reasoning, then you should immediately contact a bad faith insurance law firm to ensure that you have the proper representation to get what is properly owed to you.

When CAN an insurance company terminate a policy contact?

In order to effectively understand when an insurer is acting in bad faith, it is important to first recognize when they DO have the right to cancel a policy.

First and foremost, it is vital that you as the policyholder always read the contract you are signing, or obtain assistance from an experienced lawyer to help you understand the provisions of the policy. It is your responsibility as the consumer to be as informed as possible.

Depending on the provisions of the contract, most insurance companies are usually allowed to cancel a policy within the first 60 days. During this period, the insurer has more leeway when it comes to reneging on the policy.

Some of the legitimate reasons an insurance agency can cancel your policy include:

If your insurer is legitimately able to uncover faults and conditions that make you ineligible for coverage, then they must send you a written notice explaining their reasons for canceling.

This initial cancellation can be repealed and should be done so if you believe that their arguments are invalid.

What must the explanation say?

Your insurer is not allowed to simply cancel your policy for no reason nor without explaining why.

The Texas Insurance Code sets the legal standard for how insurance companies must go about canceling a policy and sets the requirements for the written statement that must be provided to you, including:

When is it bad faith cancellation?

Bad faith cancellation can occur through a number of methods including:

If your insurer has acted in such a manner under no reasonable proof, then you may be the victim of bad faith insurance policy cancellation.

Unfortunately, post-claim underwriting is often seen following an insurance claim. This is a transparent attempt to avoid paying out what is rightfully owed to the insured and will often lead to the victim carrying the financial burden of the loss.

Did you regularly pay your premiums and hold up your end of the contract? If your insurer is trying to argue that your policy is canceled, you don’t have to go at it alone. Millin & Millin is here to guide you when you most need our legal assistance.

Sadly, some insurance companies are going to attempt to act in bad faith in order to keep as much money as possible. If you have made an insurance claim after a disastrous event and your insurer is attempting to claim your policy was canceled, don’t just accept it, fight back with Millin & Millin.

Our bad faith insurance lawyers have advocated for McAllen metro residents who have had to deal with bad faith insurance tactics. Our attorneys possess superior experience and the necessary knowledge to bring forth an exceptional case.

Contact us at (956) 631-5600 for a free consultation.

April showers bring May flowers...and sometimes a little more than that.Springtime in Texas can change from beautiful breezes one moment to torrential rainfalls the next. For deep South Texas and the McAllen metro area,hail has proven itself to be a devastating natural disaster.

From thunderstorms to hailstorms and more, Texas has seen record breaking losses and insurance claims increase over the last few years. In 2016, March and April recorded storms that caused more than $4 billion in damages to thousands of homes.

Having to file an insurance claim after a disastrous storm can be a difficult process, especially when insurance adjusters attempt to find reasons not to compensate you correctly. That’s why it’s essential that you do some preparation before a storm even hits to help you reduce potential storm damages.

By preparing your home early from weather damage, you give the insurance less reason to deny your claim, and you are able to utilize the home improvements as proof of you taking preventative measures should your insurer attempt to use bad faith insurance claims against you.

Consider taking the following steps as soon as possible to prepare your home for spring storms and to avoid a home insurance denial:

  1. Inspect your roof and siding. While it may seem a bit costly, hiring a licensed roof contractor can help you to identify any roof or siding problems which may not be able to handle a thunderstorm or large hail storm. Missing or damaged shingles can mean holes in your roof after a heavy downpour which can lead to serious internal home damage. You should get any issues repaired (including reinforcing any loose siding which can fly off during high winds); make sure to keep a detailed receipt of the services done on your roof to use as proof during an insurance claim.
  1. Maintain trees and vegetation in your yard. A cool spring weekend offers the perfect opportunity to clean up your yard and remove any dead or weak limbs that can break during a storm and damage your house. You should also check any shrubs or small trees that could get loose in high winds and break windows. Remove any limbs from trees that are above your home, driveway, or around any other property that could be damaged.
  1. Clean and repair drains and gutters. Clear leaves and debris from gutters and outside drains to prevent blockage during spring showers. Blocked gutters and drains can cause water to get into your home while damaging its roof and trim. Also check to make sure gutters are properly attached to your house as a strong thunderstorm can rip from away and cause damage.
  1. Consider using shredded bark mulch. Gravel and small pebbles used as landscaping can be blown around during high winds and break house windows (or even your car’s). Shredded bark mulch is much lighter and will not cause any damage if it is blown around during a strong storm.
  1. Check the structure of your carport. Many homes in the Rio Grande Valley have carports instead of garages, but those structures can get old, unstable, and become a hazard during high winds and heavy rains. Check the roof of the the car port as well any supporting structures like columns and beams to ensure everything is still in good condition.
  1. Check for leaks and examine the seals on your windows and doors. Even with a solid roof, rain can still cause damage to your house by leaking through window seals and doors. Examine the caulking in these areas to make sure they are watertight; fix as needed. You’ll also want to check for leaks in hard-to-reach places such as attics, crawl spaces, and air conditioning systems.
  1. Clean up your property. When cleaning up trees and shrubs, keep an eye out for small items that can easily go airborne during high winds. Such trash can become hazardous debris.
  1. A final inspection. Once you have completed the initial phase of preparing your home for a spring storm, your next project is too thoroughly inspect your house—inside and out—for any final touches. While doing so, make sure to take tons of pictures (and video if possible) to have a clear and perfect image of how your house looks. Should a severe storm damage any of your property, the photographs and video will prove to be a great source of evidence to your insurer and their adjustors.

At Millin & Millin, we are dedicated to helping you get your insurance to pay out what is owed to you and that damages to your home be repaired as quickly as possible. Let us help you protect your property.

If you are having to file an insurance claim, it’s likely due to the fact that you have just suffered through a terrible event. Having to deal with the unscrupulous tactics of an insurance company is the last thing you need on your plate during this time.

Depend on the responsiveness of the bad faith insurance legal team of Millin & Millin to get the justice you need when seeking your rightful compensation from deceitful insurers.

Contact us at (956) 631-5600 to get the legal representation you need. Millin & Millin serves the greater McAllen metro area and the whole Rio Grande Valley.


A devastating property loss can be an overwhelming experience, leaving you confused, and unsure of what steps to take next. Unfortunately, there are numerous occasions in which large-loss claims are denied, either at home or at a business, and oftentimes these are done in “bad faith.”

Your bad faith insurance attorneys at Millin & Millin understand that after a major property loss, you may not have the fortitude to fight against unfair treatment from your insurer. However, it’s important to remember that you have rights and that you deserve to be treated fairly after making claim.

It’s also beneficial to recognize your responsibility as the insured and to understand what legitimate reasons are given for a large-loss claim denial.

Insurance companies may deny a claim in good faith when:

  1. You lack coverage. As a business owner or proprietor of commercial properties, you may not necessarily carry the coverage that you need at the time of the incident. Because of the complexity of owning properties, you simply may not have been aware of what types of insurance coverage you may need. At times it may be that a portion of the property was not included in the policy or you were not covered for a specific type of damage. These are known as exclusion clauses.
  1. You fail to make a claim on time. Insurers will oftentimes have time limitations on when you can file a claim. By failing to notify your insurer in a promptly manner, you run the risk of having your claim denied. As additional damage can occur over the matter of a few days, insurance companies require filing and documentation of a claim to be submitted in a timely manner.
  1. Misunderstanding of what policy covers what type of damage. Business owners and large commercial property owners usually have several different policies that cover different aspects of their business. One policy may cover water damage, while another may cover fire damage, and in these instances, it can be quite easy to mistake the two and submit to the wrong policy or insurer. Insurance companies can make the claiming process much more difficult by passing on the responsibility to another insurer, so it is the responsibility of the policyholder to be aware of what policy they need to submit to—especially when considering time limitations.
  1. Non-payment of premiums. Keeping up with your premium payments is undeniably one of the most essential aspects of an insurance policy. Failing to pay your premium on time may mean cancellation of your policy (even if you aren’t aware of it), and even worse, a lack of coverage when you need it most.
  1. Insufficient or inaccurate documentation. Your responsibility as filer is to provide your insurer with proof that will validate your claim. It is essential that you therefore accurately document damage, take photographs of the damages, file all documentation accurately and truthfully, and submit everything in a timely manner as requested by your insurer. While insurance companies will act in bad faith by requesting an overabundance of documents, it is in your best interest to document all conversations that you have with the insurance, and maintain as many accurate documents as possible.
  1. Questionable claims. It is in your best interest to remain truthful throughout the claims process and to avoid adding any questionable claims. Insurance adjustors will investigate the claim and identify reasonably suspected damage, as well as, unrelated issues. Any “suspicious” claims may lead to a denial, even if legitimate. Therefore, do not make the process any more difficult on yourself.
  1. Failing to take preventative measures following a loss. Insurers will expect a policyholder to take preventative measures after a loss to mitigate the extent of loss. If it can be proven that you ineffectively left the damage exposed, nor took any reasonable steps to reduce the damage, a denial may be expected.

Steps you can take to help you in the claims process:

You must take your responsibility as a policyholder serious to prevent a claims denial and to inhibit the insurer from merely taking advantage of you.

Many of these tips fall in line with reasons why you may be denied, so take the necessary steps forward to properly file your claim.

  1. Contact your insurer immediately. As previously mentioned, all policies have a deadline of when you can file a claim. These timeframes vary by policy, so be aware of the specific time limit in your own.
  1. Make a list of damaged items. In instances of property damage to a house, you should create a list of items that have been damaged beyond repair. Do not throw out these items as the insurance adjuster will want to see them if they have been included in your claim.
  1. Track all living expenses. If you have been displaced and are forced to obtain accommodations at a hotel, then track all these expenses, as your insurer may reimburse you for those expenditures. Keep accurate records and do not include impractical charges.
  1. Take preventative measures. As previously stated, your insurer is going to expect you take the necessary steps to prevent further damage to your property. Only do so, however, after taking plenty of photos of the damage and accurately documenting the issues.
  1. Provide your insurer repair estimates and maintain receipts. It is in your best interest to hire a reputable independent adjustor who can make estimates on the damage. Provide these numbers to your insurer.

More than just a claims denial? Are bad faith tactics being used? The attorneys at Millin & Millin are your number one advocates.

If after several attempts to rectify the issue and negotiate a claim effectively, the insurance company continues to act in a malicious manner, contact Millin & Millin immediately at (956) 631-5600.

Bad faith lawsuits can be complicated, but our experienced lawyers have the know-how to deal with any insurance company—big or small. The Millin & Millin bad faith insurance lawyers of the McAllen metro and Greater Rio Grande Valley even offer free case evaluations.

Let us fight for your rights!

The death of loved one can have a profound affect on our lives. Losing a close relation is difficult enough, but sometimes insurers can make the recovery process much more challenging by not paying out on a life insurance policy.

In Texas, and throughout the United States, life insurance companies generally have 2-year window known as the contestability period. The clock starts the day after the life insurance policy has come into effect.

The contestability period was developed as a means by which to prevent cases of insurance fraud. During this time frame, the insurer has the ability to investigate a life insurance claim by reviewing the life insurance application, the insured's medical history, as well as determine whether there was material misrepresentation.

Unfortunately, families are often unsure what steps to follow after a claims denial, but it is important to remember that you can obtain legal support from bad faith insurance lawyers like Millin & Millin to help you find out exactly why your claim is being delayed or denied.

It is also in your best interest to understand some of the key components of the contestability period so you can avoid any issues should you have to undergo investigation.

  1. Insurance companies will investigate your life insurance application. This means you need to always be straightforward when answering questions during the application process and be as honest as possible. Understandably, minor mistakes may be made when answering questions, but you should never purposely lie or withhold information on any of the forms.
  2. You can still be held liable for fraud even after the contestability period. Fraud is fraud regardless of when it is done. Once again, always make sure to answer every question throughout the application period to the best of your ability and truthfully. On top of dealing with the loss of a loved one, you don’t want to have to deal with a possible denial because of a minor misrepresentation.
  1. Accidental mistakes do not guarantee a rejection on your claim. If you inadvertently answered a question on your insurance application that is later shown to be factually wrong, that does not necessarily mean your claim will be wholly rejected. Instead, the insurance company may calculate what the premium on the policy should have been and reduce the benefit amount based on that number. Ultimately, however, the insurer is given the right to make the decision based on how severe the misrepresentation was.
  1. The contestability period does not mean the contract is void. This 2-year time frame provides insurers with the ability to investigate your claim, but if everything is accurate and no misrepresentation found, they still have to pay the life insurance benefits. As long as the insurance policy was in effect, and all information is shown to be valid, then you are rightfully owed your just due.
  1. Be wary of a new contestability period if you transfer policies. Be aware that if you fail to pay your premium and must get it reinstated or if you decide to purchase a new policy, even from the same company, you will face a new contestability period. Insurers may even purposely push you to purchase a newer policy knowing that a new contestability period will take effect.
  1. An investigation during the contestability period may lead to payment delays. If the insurer notices any sort of irregularity in the cause of death, then they may investigate the claim, which will lead to a postponement in payment. However, if you notice that the insurer is stalling continuously, this may be the sign of a bad faith tactic.

What happens if the insurance company finds that material misrepresentation occurred?

There are a number of possible outcomes should your insurer happen to find mistakes in the application or if they determine that misrepresentation occurred:

If your loved one filled out the insurance policy truthfully and correctly, there is no reason that their family should have to deal with the stress of an investigation.

Insurance companies will often utilize this contestability window to avoid having to pay a claim or to reduce the amount paid. If you received a denial from your insurer, then it is in your best interest to contact the bad faith insurance law offices of Millin & Millin in McAllen, TX.

Our experienced and trustworthy team will make sure that the insurers are acting legally and not in bad faith. We know how to deal with insurance companies - no matter how big they are.

Contact us today at (956) 631-5600 for a free case evaluation that can help beneficiaries take action against bad faith insurance company tactics.

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