Important: something you may not know that can help you against these lying crooks.
Before I write out my complaint I just wanted to let everyone that is posting one here know if you are not aware every state has a state insurance commissioner. It is the governing body that overseas all insurance in your state, and when you mention contacting them anyone in the insurance filed whistles a different tune because the commissioner can actually impose steep fines on these companies when they are found to be at fault. Locate your state office and file a complaint. In some cases the insurance companies have had to pay negligence fees to the person they drag through the sham game.
My daughter works for Citigroup. She gave birth to a baby girl on 1/21/2012. Back in December her OB/GYN took her out of work because she was suffering from severe insomnia, migraines and sever fatigue, not to mention nausea. The doctor gave her a statement to take her out of work until she was seen at her 6 week check up after giving birth to the baby. My daughter had been on medication for this prior to her becoming pregnant and she had to stop taking the medicine when she found out she was.
We had been told on several occasions that the doctor's office was not completing all the paperwork and only submitting some of what was needed. My daughter had just switched to this doctor when he took her off work and on early leave and MetLife was aware that the switch was made because the other office she was going to was very incompetent and you never got a straight answer. Boy, did they use this knowledge to their advantage combined with the fact that my daughter and her husband are young and very trusting.
After her visit in December (which Amber took the paper with her for the doctor to fill out) they submitted it. Then this lady named Gail called my daughter and acted as if she was on her side and would even contact the doctor's office to help them fill out the paper work. All along my daughter was being told the doctors were not being cooperative and submitting the necessary forms, etc. Fast forward to the day after delivery. My daughter contacted MetLife to let them know she had given birth and to inform them that at that point if they did not have to paperwork back, she would just have her maternity leave start the day she had her daughter and waive the pay for early leave, even though she was entitled to it. Her thoughts were: I have had the baby, they can not deny my leave. Think again.
They told her that since the doctors failed to return the paperwork, that in fact Gail had called them and tried to walk them through the section that was needed and they refused to talk to her on the phone and had her fax the paper. MetLife said they did and never got it back so they denied the claim for early maternity leave, and because she had not worked up to her delivery her maternity leave all together was denied. How can you deny her leave after giving birth based on her not being at work when she was under doctor's care to not go to work? They break any law they can because people are not aware that all insurance companies answers to some powerful people. I am not contacting the commissioner in our state and then MetLife. Bring it on you scam artist because mama bear is ready to tango. Oh, and by the way, I am so glad I found this site last night because it was my intention to call the doctor's office first thing this morning and let them have it. Instead I told them what and who MetLife was blaming it on and the nurse went over all the phone records, fax records and what the doctor wrote to them and will be giving us copy. They did everything requested of them and now they are furious too. I will not stop until I get something done because they need to be shut down. Good luck everyone!
