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Health plan sued by customer over medical claims

Tuesday, May 29, 2001 | 11:09 a.m.

The New Las Vegas Country Club sued a health insurance plan provider and its agent, alleging they breached an agreement to pay more than $150,000 in medical claims to the club's employees.

The club sued SAI Plus LLC, which it claims is operating as an unlicensed insurance company, and its agent, Harry Bout, alleging they made false claims that they were an "insurance company with a ... plan regulated by the Department of Labor and that the club won't be responsible for any losses beyond the maximium rates quoted."

But SAI Plus, which claimed it had "excellent to superior" reinsurers in place to ensure against shortfalls and claims payments, allegedly stopped paying the club workers' medical claims after allegedly accepting the club's monthly payment of $13,240 on Dec. 31, 1999, the suit said.

The defendants could not be reached for comment.

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