QMCSO

[karen1027]

Amazingly, after over one year, my ex's employer and health insurance provider, have agreed to implement the QMCSO! I was repeatedly denied by both the employer (who kept pushing it off to the insurance carrier - Isn't it their responsibility to ensure the Order is followed?) and the insurance carrier (who claimed they COULDN'T follow the Order and did NOT have to follow the Order).

I provided the employer and the insurance company with a listing of claims that I did not receive reimbursement; they, in turn, have had the insurer send me a listing of all claims paid to my ex in which the checks were cashed by the ex, and want me to indicate what claims I was not reimbursed by anyone. Is there a reason they are doing this? I provided them a list. Insurer has indicated they will go after the ex for a refund of those items I identify.

Insurance company now indicates their legal department agrees they have to follow the QMCS - last year I was told their legal department indicated they did not have to comply and that I should take my ex to small claims court (among other "recommendations..)

Yesterday I received two checks - the claims were not on the list I provided and the reimbursement is now a higher amount! (I have no idea how they balance their books.)

Why are they asking me to review a listing of reimbursements?

[GMK]

Good for you, karen1027. It's been a long battle for you. Way to stay with it.

I cannot speak for the insurance company, but they may want to check that they haven't paid improper 'claims.'

[karen1027]

This is a joke - almost rwo months later and I haven't received one reimbursement check. Don't know who is more incompetent - the employer or the insurance company.