RESULTS: Health Insurance Matching Program Defense at LOIS

Civil Practice Team Attorney Chris Major, Esq., successfully defends HIMP-1 claims in New York. The total demand was $250,000 over six claims. We settled all six in one day for $21,000 total: three of them for $2,500, two for $0, and one for $13,500.

None of them even came near our client’s potential liability under the New York State fee schedules, which is what the client was expecting to pay.   When the adjuster took the settlements to management for final approval, they were baffled at the low settlement amounts and couldn’t fathom how two cases settled for $0!

CASE: Multiple
CLIENT: A National Insurance Carrier
DATE OF DECISION: June 15, 2020
LOIS ATTORNEY: Christopher Major, Esq.


Risk Transfer, Subrogation Services, and HIMP-1 Defense at LOIS

Lois LLC counts among its clients several general liability, premises liability and automobile liability insurance carriers and third party administrators. Our attorneys regularly represent these clients’ insureds in defense of personal injury matters filed in all counties in Metropolitan New York, all counties in New Jersey and in the federal courts. We also defend the rights of carriers and self-insureds in reimbursement claims under New York WCL § 29 and New Jersey’s Section 40 (N.J.S.A. 34:15-40).

As with all litigated matters, we take a proactive approach to the defense of claims of personal injury and, as a result, our clients enjoy a very high rate of success in settlement and at trial.

Our Approach

Within seven (7) days of referral, we provide our clients with a comprehensive legal action plan and budget, setting out the likely recovery or exposure, a clear plan of action to get the case to close, analysis of any potential legal defenses or barriers to recovery, and identify the handling/trial attorney and paralegal assigned to the case. We provide you with any court- or venue- specific information, such as who the judge is, evaluation of the treating providers, best IME doctor to use, etc.

Where We Go

We actively pursue risk transfer opportunities for our clients across State lines and across the country where workers’ compensation benefits have been paid in New York, New Jersey, or Longshore. We have pursued recovery across the country, literally from California to Maine. We handle the defense of first-party matters in New York and New Jersey state and federal courts.

Rates.

We are strictly time and expense. Contact Greg Lois for our rates.

Attorney Contact(s).

Contact partner Greg Lois with questions or to make referrals.

Defending Employers in New York, New Jersey, and Longshore.