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Lost Job for Not Disclosing ConditionBy: Question : I was recently terminated for failure to disclose a medical condition. Legal? Who knows? To avoid having to pay unemployment insurance, the employer labeled the reason for termination "misconduct." COBRA conditions for this employer disqualify people terminated for "misconduct" from eligibility to request COBRA coverage. So: If the employer has found a neat-o way to terminate you for a medical disability and then denies COBRA, what do you do? X.O. Answer :
An attorney who deals with employment issues may have to answer the first part of your question. If regulations pertaining to the employment situation are similar to insurance regulations, however, the employer's actions may well be justified. The insurance issue here is misrepresentation, and it is a serious matter. One industry in America that often suffers from fraud is insurance, and far too many people believe it is justifiable to defraud an insurance company. See more about that below. Let's set a couple things straight about unemployment insurance. An employer cannot escape paying for unemployment insurance. The law requires it. Like other types of insurance, however, the rate is determined by the amount of benefits paid out by the insurance. Therefore, employers must be careful who they hire and how they treat employees. Some terminations lead to unemployment benefits, and this will increase the rate for unemployment insurance that the employer will pay. Under certain circumstances, usually involving a "cause" for termination, the employee is not eligible for benefits. In this case, the reason for termination was misconduct, making it a "for-cause" termination. But it was due to the act of the employee -- the misrepresentation -- and the employer should not be penalized with higher unemployment insurance rates.
Again, whether the employer is justified in terminating you is a matter for a legal expert, but from what I can tell, it does not clearly appear to be the employer's way of terminating a person for having a medical condition. Rather, the misrepresentation is at the heart of the issue. If the condition is truly a disability, and you had disclosed it, you would probably be protected under the Americans with Disabilities Act (ADA).
If certain misrepresentations escape the underwriting process, a policyholder's initial claims may reveal other existing medical issues. If the insurer discovers that a claim is due to a misrepresentation on the application, the insurer may rescind (void) the policy and return all premiums paid.
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