Plain Dealing Plumbing

[A default letter is provided here which indicates your acceptance of the business's offer.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the offer made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved. If the company does not perform as promised I can get back to you at: [redacted].
Regards,
[redacted]

Revdex.com:
I have reviewed the offer and/or response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
[I notified the insurance company and let them know that he was being moved to a hospice care center since there was no other form of treatment that could be rendered. I also made them aware that there were no doctors on site to immediately sign thephysicians form. I had his socialworker send over paper work that was dated as far as the day he was diagnosed with his illness and assignment to a long term care facility. Forgive me for being hesitant to call in but each time I've called I was given the wrong information or told we would not be able to reach a resolution which is why I had to contact the Revdex.com.  I would like to come to some form of a solution. At this point I would either like to know how we can move forward as far as having the facility furnish a physical or if I can refile the claimas a nonmedical cancellation andbe refunded any amount of mon...⇄ feel like I purchased insurance and seeing how I had to cancel my trip there should be some form of reimbursement.
Regards,
[redacted]

[A default letter is provided here which indicates your acceptance of the business's offer.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the offer made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved. If the company does not perform as promised I can get back to you at: [email protected].
Regards,
[redacted]

Thank you for forwarding this matter to my attention. We apologize for any frustration the claims process may have caused the consumer.  Your airline, cruise line, or tour operator or travel supplier stops offeringall services for at least 24 consecutive hours where you’re...

departing,arriving or making a connection because of: ? a natural disaster; or? severe weather.      Specific requirement:? Your travel supplier doesn’t offer you a substitute itinerary. The consumer filed a claim and indicated “The facility hosting the event I planned to attend closed today. The facility was also to provide housing and some food.” – This reason is not a named peril in the insuring agreement.  If the venue met the definition of a travel supplier as listed in the insuring agreement, and they stopped offering all services for at least 24 hours due to the reasons listed above, the consumer may send in verification of this from the travel supplier.  Sincerely, Kalinda H[redacted]Claims Escalation Examiner[redacted] Drive[redacted], Virginia [redacted]www.allianzassistance.com

Thank you for forwarding this matter to my attention. We apologize for any frustration the claims process may have caused.Our records indicate that the claim has been pending since June 17th. At that time, the consumer was advised of the following:“Thank you for contacting Allianz Global Assistance....

I apologize but we cannot use your email as verification that the airline did not provide a refund. The baggage coverage on this policy is secondary to any coverage already offered by the airline. You will need to contact the airline directly. We will accept a letter on airline letterhead or an email from the airline(that you would have sent to you and then forward to us) confirming the value of any reimbursement tat have already been given. Once this information is received we will review your claim again.”The consumer may send the claim determination letter from the airline to the Claim Department for processing which normally takes 7-10 business days for review.Sincerely,Kalinda H[redacted]

Dear Ms. [redacted]:Thank you for forwarding this matter to my attention. We apologize for any frustration the claims process may have caused the consumer.Our insurance programs are like any other type of insurance in that there are terms, conditions, and exclusions that impact coverage. These terms...

are readily available in the booking path prior to purchase.  The terms were also emailed to the consumer. We show no error in that submission. The insuring agreement included a named perils certificate that included all covered reasons. According to the claim documents, the cause of loss was not listed as a named peril in the insuring agreement as loss tickets are not a covered reason. Due to this, we were unable to honor the consumers request for reimbursement. I regret that we are unable to provide a more favorable response at this time. Sincerely,Kalinda H[redacted]Claims Escalation Analyst9950 Mayland DriveRichmond, Virginia 23233www.allianzassistance.com

Thank you for forwarding this matter to my attention. We apologize for any frustration the claims process may have caused the consumer. As the consumers policy states, we require the loss be reported to the airline within 24 hours and a claim filed. We are secondary to the airline and need the determination from the claim prior to finalizing our claim. Without this information we are unable to move forward.  Sincerely, Kalinda H[redacted]Claims Escalation Examiner[redacted] Drive[redacted], Virginia [redacted]www.allianzassistance.com

Thank you for bringing this matter to my attention.  I apologize for any frustration the claim process has caused the customer.  In regards to claims for medical expenses, the insuring agreement stated the following:     Important     This is...

secondary coverage. If you have health insurance, you must submit your     claim to that provider first. Any benefits you receive from your primary insurance     provider or from any excess coverage will be deducted from your claim.The customer needs to submit their medical expenses to their primary and/or supplementary insurance provider first.  The customer would then be able to forward the explanation of benefits (EOB) to us for further review. Sincerely,Brian B[redacted]

Thank you for forwarding this matter to my attention. We apologize for any frustration the claims process may have caused the consumer. Our records indicate that this claim was paid recently for the tickets. The insurance premium is not a refundable expense.  For additional...

information the consumer may contact the Claim Department at 800-[redacted]-[redacted]. Sincerely, Kalinda H[redacted]Claims Escalation Analyst [redacted] Drive [redacted], Virginia [redacted] www.allianzassistance.com

Dear Ms. [redacted]:Thank you for forwarding this matter to my attention.Please have the consumer provide the correct claim or policy number so that we may address their concerns. The number provided did not bring up a claim. Sincerely,Kalinda H[redacted]Claims Escalation Analyst 9950 Mayland Drive...

Richmond, Virginia 23233 www.allianzassistance.com

Revdex.com:
I have reviewed the offer and/or response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
Their policy clearly states that the policy accepts medical related travel problems.  We have filled out the forms and have done exactly as they have requested.  Yet to date, they have not contacted us directly.  This is a bait and switch operation that needs to be stopped.
Regards,
[redacted]

[A default letter is provided here which indicates your acceptance of the business's offer.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the offer made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved. If the company does not perform as promised I can get back to you at: [redacted].
Regards,
[redacted]

Revdex.com:
I have reviewed the offer and/or response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below. I have provided on more than 1 occasion proof that my wife's pregnancy is currently experiencing complications (which was the reason to cancel the trip - not to avoid complications, but to not compound them).  We have send in a HIPPA release as well so that Allianz can review themselves.  In discussing with them, they had no medical professionals on hand to review, they were simply looking for a specific diagnosis code.  As it stands currently, my wife needs to take injections daily to prevent her from going into labor.  My wife's doctor advised us that taking any type of long trip (plane or otherwise) was ill advised as it most likely would trigger an early labor scenario, which in turn would have resulted in many complications for both my wife and child.  Frankly, I find it offensive that Allianz suggested (verbally to me on the phone), that I should have had my wife board the flight and go into significant preterm labor - as that would have been covered.  The message I received was essentially that I should have put both my wife and baby's health at risk (and caused Allianz significant cost).  Frankly, every conversation I have had with Allianz has demonstrated a high level of ignorance, and general disregard for human life.  If their service only covered certain diagnostic codes, that should have been spiked out in the agreement instead of using general verbiage. 
Regards,
[redacted]

Dear Ms. [redacted],
Thank you for bringing this matter to my attention. The phone call the consumer placed was reviewed by management and during that call the agent advised the consumer that the cause of her loss was not listed as a named peril in the insuring agreement. As with all insurances, we can...

not deny the consumer the right to file a claim. With all claims, verification of the reason for filing was needed.
The documents were reviewed by the Claim Department and unfortunately, we were unable to honor the claim for reimbursement. At this time we show that the proper decision was made.
I regret that we are unable to provide the consumer with a more favorable response.
Thank you,
[redacted] [redacted]
[redacted]
[redacted]
[redacted]
[redacted]

Dear Ms. [redacted]:Thank you for forwarding this matter to my attention. We apologize for any frustration the claims process may have caused the consumer. Our records indicate that the consumer has received a full refund from the travel supplier. We have subsequently canceled the policy and refunded...

the consumer the premium cost. Sincerely,Kalinda H[redacted]Claims Escalation Analyst 9950 Mayland Drive Richmond, Virginia 23233 www.allianzassistance.com

[A default letter is provided here which indicates your acceptance of the business's offer.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the offer made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved. If the company does not perform as promised I can get back to you at: [redacted].
Regards,
[redacted]

Dear Ms. [redacted]:Thank you for forwarding this matter to my attention. We apologize for any frustration the claims process may have caused the consumer. The consumers insuring agreement required that an exam be performed by a licensed physician within 72 hours of cancelation in order for Trip...

Cancelation for medical reasons to apply. To this date, we have not received the physician’s statement form. The claim is pending for that documentation. We were unable to use the death certificate because the death occurred after the insured travel dates, thus the cause of loss was not the passing away of a family member, but the illness of one. To be sure that we can provide coverage for the illness, the form is needed in order to proceed. The consumer may contact the Claim Department at 80-334-7525 for any additional questions. . Sincerely,Kalinda [redacted]Claims Escalation Analyst 9950 Mayland Drive Richmond, Virginia 23233 www.allianzassistance.com

[redacted]Thank you for forwarding this matter to my attention.Our insurance, like any other insurance had terms, conditions and exclusions that impact the coverage. These terms were readily available in the booking path prior to purchase and also emailed to the consumer. The insuring agreement...

provides coverage for complications of pregnancy. Normal pregnancy is excluded from coverage. The agreement does not provide coverage for risk of complications based on passed pregnancies. As the form on file indicates there was a history of pre-term labor without any indication of complications of the actual pregnancy itself, we are unable to honor the claim for payment. Unless we receive documentation that the current pregnancy has complications we would be unable to overturn the denial. Sincerely,[redacted]

Thank you for bringing this matter to my attention. We only receive the consumer’s information from the ticket provider’s website only when the option for insurance is selected in the purchase path.Our records indicate that the consumer has been reimbursed for the premium for cost of the insurance...

on 02/16/17.Sincerely,Kalinda H[redacted]Claims Escalation Analyst[redacted] Drive[redacted], Virginia [redacted]www.allianzassistance.com

Dear Ms. [redacted]: Thank you for forwarding this matter to my attention. We apologize for any frustration the consumer may have endured. Upon review of the product online at the Ticketmaster website, there must’ve been an error when the consumer was misquoted as our insurance would never be...

offered for .21.  The issue was brought to managements’ attention when the consumer initially called.  The only thing we could offer was to have the policy canceled which the consumer did not want. As we are not able to change the price of a product, the cost currently charged would remain the same. Sincerely, Kalinda H[redacted]Claims Escalation Examiner 9950 Mayland Drive Richmond, Virginia 23233 www.allianzassistance.com