While employed, at the Redwind Casino, the employees were granted an insurance program from Combined Insurance. I paid into this policy approx. 3 years. It included hospital, intensive care and disability.
In June, I was injured on an off road vehicle. The insurance covered my emergency room and one night stay in the hospital. I had a severe back injury with nerve damage.
I tried my best to continue working, but, when they forced me to stand the 10 hours required to do my job, my back pain was too much. I left my job, on the suggestion of my Doctor, on August 28. I waited the 30 days to file for my disability; the required paperwork was filled out by my doctor and the HR department at Redwind by the 28th of Sept. I thought everything was done correctly so there would be
no problem.
I mailed the completed paper work in on the 5th of October. A week later, I called to make sure everything was satisfactory. They claimed they didn't receive it and to call back in a few days. I did and still nothing. This went on for at least 3 weeks, each time talking to a differant person. I finally got everything together again and faxed it to them.
I waited a couple days, called to make sure they got it and was told they did, but it would take 7 to 14 days to process it.
So, after 2 weeks, I called again. This time I talked to Jackie Hooker. She had all kinds of questions for my doctor, claiming the paperwork wasn't filled out properly. We agreed to have my files, from my doctor, faxed directly to her.
The next day, I called her. She said that wasn't "useful" information. During our conversation, she referred to something that was on the original papers, that was mailed the 5th of October (that they claimed was never received). The time line on this is now going into end of November.
Ms. Hooker said she would fax the information required to the doctor, Nov. 23th.
In the meantime, I went to another doctor for treatment to relieve the pain with injections in my back (pain blockers). I took a claim form, he filled it in and it was faxed the 30th of Nov. I called the Insurance office about my claim, some guy pulled up my file on his computer and told me they are still waiting for "information". He said there is no fax from the Tacoma doctor, no information from the fax sent to my primary doctor. NOTHING.
I've called my doctors. They have not received anything!
The last time I spoke to Ms. Hooker was the 30th of November, when she told me that "because my doctor wont respond, I will have to start my 30 day waiting period over again and they will have to go with the new doctor I started seeing Nov. 18th"
It has been (going on) 4 months run-around with these people. They've lied to me so much, I don't know what I can do to get this settled.
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