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Gary O'Neill's avatar

Your gift for imagery shines even in this tale of slogging through the bureaucracy. I'm glad it all worked out.

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James Golden's avatar

As a lawyer, this part stands out to me:

"I was told that my policy was entirely separate from hers and not directly tied to her coverage—a time bomb of misinformation that exploded on me in July 2025."

Whoever told you this is the villain, if the representation was contrary to the actual insurance policy.

Unfortunately, there is not likely much you could do about it. The contract most likely contains an "integration clause" providing that it is the complete agreement of the party; and, because the promise is contrary to the policy itself. Unless this promise is in the written contract, it is likely unenforceable -- though, if you lived in California like me, the courts might let you sue for fraud anyway. Generally, oral promises that are contrary to a written contract are unenforceable.

Insurance is especially frustrating because we never even seen the written insurance policy and it can be hard to even get the insurance company to give it to you -- additional arguments that might have had merit had you needed to file a lawsuit. Indeed, if you were never given a chance to read the contract before agreeing to it, you might even have a strong argument on this point.

As to who is to blame: Surely all of the above, but most especially the government takeover of both the health care and insurance markets, which make it almost impossible for the insurance companies to make money, and which only make things worse for consumers.

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