What Do You Mean It's Not Covered: Allegations of Fraud

Enterprise also answered Svec's charges by filing a counterclaim alleging fraud. Generally it argued that Svec had knowingly misrepresented the facts surrounding her medical condition and the medical treatment for which she sought reimbursement in the medical insurance claim form submitted to Enterprise. Enterprise sought a summary judgment in an Ohio court dismissing Svec's claims. Svec filed a brief in opposition to Enterprise's motion for summary judgment arguing that Enterprise should be precluded from enforcing any of these group medical insurance policy exclusions since Svec had received no notice of the exclusions prior to filing her claim.