(Download) "Lincoln Income Life Insurance Co. v. Wood" by Supreme Court of the State of Oklahoma * eBook PDF Kindle ePub Free
eBook details
- Title: Lincoln Income Life Insurance Co. v. Wood
- Author : Supreme Court of the State of Oklahoma
- Release Date : January 12, 1976
- Genre: Law,Books,Professional & Technical,
- Pages : * pages
- Size : 63 KB
Description
2 The respondent, Barbara Wood, is an employee of the State of Oklahoma and an enrollee under the state employees group health insurance plan with Lincoln Income Life Insurance Company, petitioner. She alleges that she inquired of petitioner by and through its agents whether she had coverage under her policy for an operation to correct a bicornate uterus, and she asserts she was advised that she had sufficient coverage and, if she desired, she should proceed to have surgery. The respondent filed a claim with the petitioner for $1,582.65 subsequent to the operation which was denied on the basis that the surgery corrected a pre-existing condition which was not waived under the policy until it had been in effect for one year. The policy had not been in effect for one year and the petitioner determined respondent was not covered under the group plan. A petition was filed in district court alleging that the assurance of the petitioners agent she had sufficient coverage to pay for her surgery constituted a modification of the original contract and the insurers failure to pay the claim after it had misrepresented the terms of the contract resulted in detriment to the respondent from which she suffered a loss not only financially, but to her reputation.