Case 1:14-cv-01103-SS Document 1-3 Filed 12/12/14 Page 1 of 5 1ilt1

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riOuez-.Menfoza ,

. , T¡avis County .

No. D-l-cN-14-0047A4 ' '

VENKATARAMANI MANI, IN THE DISTRICT COURT OF

Plaintiff

TRAVtrS COUNTY, TEXAS

SIRIUS INTERNATIONAL INSURAhICE
CORPORATION and INTERNATIONAL
MEDICAL GROUP,'INC.,
Defendants ?91Sr - TDICIALDI'TRICT

TO THE HONORABTE COIJRT: : ': . r'

files'this öriginal'petition complaining

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of '

Sirius :)lanA,tnæøation"l Mrdiral Group,Inc.

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('¿International')andwouldshow: ',.' '. ' .', '

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Control Plan, Level2.

denial of an insurarice claim.,

ITI, PittÍes

Plaintiffis an individual residing if Travis County,,fsxas.

 Case 1:14-cv-01103-SS Document 1-3 Filed 12/12/14 Page 2 of 5

Defendant, siti.rs International Insrrance Coqpóration; is a foreigu,urpt r" linos insurance

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company doing business in Texas that does not maintain a registered agent in Texas, and may be
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served with cit¿tion by and through the Commissioner of lnsuance, JuliaRathgeber, P,O. Box

International, Insurance Corporation,'./o Edwæds Mldman Palmer, LLP, 750 Lexington

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Averrue, 8ú Floor, New York, NY 10022-9833.

Defendant, Internationat Medical Gro

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, the'State of Texas that does not mantain

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a:regi

citation by and through the Texas Secreta¡y of.

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International Medical Group, Inc., 2960, North

4715.,..:),

fV, Venuê

' Venue is proper in Travis

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omissions giving rise to PlaintifPs

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CodeAnn. $ 15.002(a)(1). :

VL X'acts of the Case

: : lvh. Mani is a citiZen of India. ,Hr o
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medical insurance from Defendants for thè perio

 Case 1:14-cv-01103-SS Document 1-3 Filed 12/12/14 Page 3 of 5

to Austin, Texàs to visit his son's family: After he had been in the IJrrited States for

approximately a month, Mr. Mani,developed, for the fú$ qtné in his':!ife, acute cholecystitis and
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liver
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Mr. Mani was forced to seek medical fieatntent for these'conditions that first started in
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, the United St¿tes:at great expense.'The liver
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the Cholecy. stltis .was'freatéd wittr. a lapæoscopic

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fromlthese conditions.
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M¡. Mani's medical bills were'submitte

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investi-gatión, Greg'Weâver, RN, of Akeso Care

',Mani's treatment,was, a il'non-covered servic

individuat ïyith MCMC, unote:a letter.ctai

Defendants have not paid any of Mr. Mani's o

rBreach ¡if Côntract '.,

Defendants? actions amount to ¿breach of contract between.Þlaintiff and Defendants.l

plaintiffapplied for and was accepted for rnsurance coÌerage by Ddendants. He paid the

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requüed premiums, entering into a binding co
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breached the conüact by denying Plaintiffs clai
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reçöver his actuat damages, court costs and reaso
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Texas Civil Practice.& Rernedies Code, Section'318,001;et seq.

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 Case 1:14-cv-01103-SS Document 1-3 Filed 12/12/14 Page 4 of 5

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Texas Insurance Code: (1) $5a1.060(a)(1) misrepre¡enting'to a claimant a material fact or policy
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provision relating to coverage at issue; (2) $541.060(a)(2)(A) failing to auempt in good faith to

effectuate a prompt, fair, and equitable settletnenf of a claim with resp ct to which the insurerls

policyholder a reasonable'explanation'of the,basis in the policy, in:relation to the' facts or

applicable law, forthe insurer's deriial'of a'c

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and (4) $5a1.060(a)(7) refrrsing to pay,a clai

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with respect to'the claim; As,a result, Pl
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jurisdictional limits of this cor¡¡t.

DL' Third Câuse of Action¡

' Deféndant?s'actions also arfiount to a violation,of Texas Insurancel Côde, Sèetións: .,

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542.051-0t61 . As such, Plaintiff is :entitled to l8o/o per :

*num i¡ a¿Atio¡ toi the aurotmt 'of his'

claim, plus auornéyst fees.

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. Plaintiffhas requested ttrat this case'be y a jury'as allowed'by, Tex. R, Civ, P

216. T\e appropriate jury fee has been paíd; ' . r l - l, t

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 Case 1:14-cv-01103-SS Document 1-3 Filed 12/12/14 Page 5 of 5

'XI.r Praiêr

which Plaintiff may show himself justly entitled.,

Texas 78731
-100-6
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