Dameron Hospital Assn. v. Progressive Casualty Ins. Co.

FACTS AND HISTORY OF THE PROCEEDINGS

A. The Complaint

According to the first amended complaint (complaint) Dameron operates a hospital in California. Progressive markets and provides insurance policies in California. M.G. has a UM policy with Progressive. Dameron provided emergency and ongoing medical services to M.G. after she was injured in a car accident. M.G. or her representative signed Dameron’s COA before her discharge. The AOB says, “[t]he undersigned (for him or herself and the patient) assigns to the hospital, and to the physician(s), and to the other health care professionals providing services to the patient during this hospitalization (or on an outpatient basis) all insurance benefits of any kind that are, or that might be owed, or otherwise due for hospital and/or health care services of any kind provided to the patient. This assignment includes, but is not limited to, all health plan and health insurance benefits, all medical payments coverage under any policy of insurance, and all uninsured and underinsured motorist insurance benefits payable to or on behalf of the patient. [¶] The undersigned (for him or herself and the

3 patient) authorizes direct payment…