Insurers: Third-Party Claims Administrators

Ivie v. MUS Self Funded Workers' Compensation Program [06/09/10] 2010 MTWCC 15 If the adjustment of a claim is found by the Court to be unreasonable, any penalty or attorney fees would be assessed against the insurer pursuant to §§ 39-71-611, -2907, MCA.
Ivie v. MUS Self Funded Workers' Compensation Program [06/09/10] 2010 MTWCC 15 Although ARM 24.5.301 does not prohibit naming a third-party claims administrator as a party in a workers’ compensation benefit dispute, it does not necessarily follow that the Court should allow parties other than the insurer to be named in the caption absent a compelling reason for doing so.  A third-party claims administrator is obligated to cooperate with the insurer for whom it is administering a claim.  If the Court were presented with evidence that an administrator was not cooperating with the insurer and was obstructing discovery, it would consider making the administrator a party.  However, the Court will not exercise jurisdiction over a party that is not necessary to the resolution of a dispute simply because it can.