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Claim Tips


The first 24 hours after an event that causes serious injury can be critical to the eventual outcome.

If you are notified of a serious injury to a patient using your equipment you should:

  1. Immediately call VGM Insurance Services.
  2. Assemble the details about the patient (diagnosis, equipment, pertinent dates, etc.)
  3. Identify the employees who have dealt with the patient and have phone numbers available.
  4. Assemble all known facts about the incident, but DON'T conduct your own investigation.
  5. Do not admit fault or give out any information before speaking with VGM Insurance Services.

Know Your Manufacturer

Know the name of the manufacturer's for the products that you are selling/renting.

EXAMPLE: A quad cane collapsed causing an injury. No label was on it and no documentation indicating whom the manufacturer was is available. The Home Medical Equipment dealer has now, in effect, become the manufacturer. Generally the manufacturer would also be named in this suit to share in the cost or, in many cases, pay most of the settlement. This type of claim can quickly use up a significant portion of the liability limits of your policy as defense costs.

SOLUTION: Make sure manufacturer's labels are attached to the product and proper documentation of each transaction is recorded. Include manufacturer's name, serial number, model and date of sale in your records. Know whom you are buying from and who made the product. Deal only with reputable U.S. manufacturers.

Van Lifts and Vehicle Modifications

Patients in wheelchairs or who use scooters often need a special lift device so they can get in and out of a van. Lift installation often requires that the vehicle be modified.

EXAMPLE: A van lift was sold and installed in a patient's van by an insured who was not the lift manufacturer. Two years later, the patient was on the lift when it failed to completely descend before the ramp extension dropped. When the patient began to back off the main portion of the lift, it sprang upward and flipped the individual, resulting in a broken leg.

SOLUTION: The seller who installs a van lift must follow the manufacturer's instructions to the letter. When the installation is complete, the patient must be notified that any modifications or required maintenance must be properly documented.

If yet another individual is making modifications or annual adjustments to equipment, it extends the liability potential. Patients should be notified that if adjustments are made by anyone other than the installer, the installer isn't liable for those adjustments. If adjustments that differ from the manufacturer's instructions are made during installation, the patient should be notified and should sign a document indicating approval.

Bath Safety Aids

Bath bars and similar aids are sold and frequently installed by HME dealers. Liability potential exists.

EXAMPLE: A patient was using a grab bar to get out of the bathtub. The bar
came loose from the wall, and she claimed her hand and back were injured.

SOLUTION: Bath bars must be properly installed to prevent liability to the seller. If the bar actually breaks, instead of coming free from the mounting because of improper installation, liability will most likely rest with the manufacturer. The item in question must be examined immediately, and photographs taken to document the defect, if any.

The manufacturer should be notified of potential liability if a defect is identified. Improper installation will likely be alleged. It is critically important to investigate the incident and discover the actual cause so the liability issue can be put in proper perspective.

 

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