Division of Rehabilitation and Liquidation
Now that my insurance company is in Liquidation, who will adjust claims?
FLAHIGA has taken over AvaHealth’s obligations to pay all valid policyholder claims incurred during the life of the policy, subject to statutory limits. Consumers with questions regarding AvaHealth claims should contact the Third Party Administrator (TPA) retained by FLAHIGA to provide administrative and claims processing services for AvaHealth at (847) 803-9629.
Most, if not all, medical claims are eligible for coverage by FLAHIGA and should not result in the need to file a claim against the estate of AvaHealth. However, claims for losses not covered by FLAHIGA, claims which are limited due to FLAHIGA’s limits or caps, or other creditor claims, may become claims against the estate of AvaHealth and may be submitted to the Receiver by filing a proof of claim form. A proof of claim form can be found on the Receiver’s website, www.myfloridacfo.com/Receiver, under Proof of Claim Form General Information. The deadline for timely filing a proof of claim form is March 1, 2013.
What is the status of my current pending claim?
FLAHIGA has taken over AvaHealth’s obligations to pay all valid policyholder claims incurred during the life of the policy, subject to statutory limits. Consumers with questions regarding AvaHealth claims should contact the Third Party Administrator (TPA) retained by FLAHIGA to provide administrative and claims processing services for AvaHealth at (847) 803-9629.
Most, if not all, medical claims are eligible for coverage by FLAHIGA and should not result in the need to file a claim against the estate of AvaHealth. However, claims for losses not covered by FLAHIGA, claims which are limited due to FLAHIGA’s limits or caps, or other creditor claims, may become claims against the estate of AvaHealth and may be submitted to the Receiver by filing a proof of claim form. A proof of claim form can be found on the Receiver’s website, www.myfloridacfo.com/Receiver, under Proof of Claim Form General Information. The deadline for timely filing a proof of claim form is March 1, 2013.
Do guaranty associations have limits on the covered claims they process and pay?
Yes. The Florida Life and Health Insurance Guaranty Association (FLAHIGA), will pay all policyholder valid claims incurred during the life of your policy, subject to statutory limits. FLAHIGA will do this for a limited time, subject to a $300,000 statutory limit and other applicable Florida statutory law.
What is a covered claim?
A covered claim is defined by Section 631.54, Florida Statutes, and means "an unpaid claim, including one of unearned premium, which arises out of, and is within the coverage, and is not in excess of the applicable limits of an insurance policy..."
There is a lawsuit being brought against me. What should I do?
FLAHIGA has taken over AvaHealth’s obligations to pay all valid policyholder claims incurred during the life of the policy, subject to statutory limits. Consumers should contact the Third Party Administrator (TPA) retained by FLAHIGA to report the notice of a law suit as soon as possible by calling (847) 803-9629.
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