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CB&M Obtains Significant Settlement for Client

Craig Kline, Ron Yank and their team obtained a significant settlement on behalf of a small, non-profit association from a major health care insurer. Craig and Ron represented the Ventura County Deputy Sheriffs' Association (the "Association") who had contracted with the health care insurer regarding a self-insured medical program on behalf of its members. The health care insurer acted as a third-party administrator.

The health care insurer failed to timely report a $500,000 claim to the Association's excess insurer. As a result, the Association could not could not collect from the excess insurer. The health care insurer "loaned" the Association $500,000 to cover the shortfall.

Six months later, the health care insurer demanded payment on the "loan." Craig and Ron, on behalf of the Association, contended that the "loan" was offset by the health care insurer's mistakes in handling the large claim. The health care insurer finally agreed to participate in a mediation.

Craig and Ron obtained a complete vindication at mediation, where at the end of the day, the health care insurer agreed to forgive the "loan" to make the Association whole.