So, think Highmark will deny this claim'
NEWS ITEM: Highmark Inc. CEO Dr. Kenneth Melani was suspended without pay on Thursday after being charged with simple assault and defiant trespass.
The head of Pennsylvania's largest insurer was arrested following a fistfight last weekend with his live-in mistress' husband, Mark Myler. The fight occurred after Melani barged uninvited into Myler's house.
HIGHMARK BLUE CROSS-BLUE SHIELD MEDICAL CLAIM
• Patient name: Mark Myler
• Patient address: Canterbury Court, Oakmont, PA 15139
• Highmark subscriber name: Melissa Myler
• Relationship to patient: Estranged spouse
• Subscriber occupation: Highmark sports marketing manager
• Claim submitted for treatment of: ( ) Illness (X) Injury ( ) Other
• Nature of illness, injury or condition: Patient suffered forehead contusion, lacerated nose and several leg lacerations during an altercation with Highmark CEO Dr. Kenneth Melani (see attached Oakmont Police report).
• Is illness or injury work-related? (X) Yes ( ) No
• If so, please describe how, in detail: According to police, three weeks after subscriber began working for Highmark in October, she and Melani began having an affair. Subscriber and Melani moved in together in January, after Melani's wife became aware of their relationship and informed patient what was going on.
Things recently started to go south for subscriber and Melani when subscriber discovered Melani had hired a private investigator to probe her past. Highmark employees learned they were dancing the Hokey Pokey after the resulting argument over the private eye.
At that point, subscriber felt as though she had no choice but to leave the company. When subscriber went to patient's house to inexplicably update him on her plans, an angry Melani arrived and almost immediately started acting like Charlie Sheen on a bender.
Melani accused subscriber of cheating on him -- apparently with the patient -- called subscriber a slut, according to patient, and implied that subscriber only wanted him for his money. Patient led Melani out of the house and onto a porch, where the fight ensued and police were called.
Melani, who heads a $14.6 billion dollar health-care conglomerate and made $4.35 million last year, was arrested after allegedly acting like a jealous, lovesick teenager.
• Are you kidding? ( ) Yes (X ) No
• We check out all of this stuff pretty thoroughly before paying any claim. So seriously, are you kidding?
( ) Yes (X) No
• Please check the following boxes to acknowledge:
(X) The above information is correct and accurate to the best of my knowledge, and that I have attached all relevant forms completed in full by my physician.
(X) This claim most likely will be denied by an apprehensive Highmark paperwork processor who fears for his/her job and wants no part of this tawdry mess.
Show commenting policy
TribLive commenting policy
You are solely responsible for your comments and by using TribLive.com you agree to our Terms of Service.
We moderate comments. Our goal is to provide substantive commentary for a general readership. By screening submissions, we provide a space where readers can share intelligent and informed commentary that enhances the quality of our news and information.
While most comments will be posted if they are on-topic and not abusive, moderating decisions are subjective. We will make them as carefully and consistently as we can. Because of the volume of reader comments, we cannot review individual moderation decisions with readers.
We value thoughtful comments representing a range of views that make their point quickly and politely. We make an effort to protect discussions from repeated comments either by the same reader or different readers.
We follow the same standards for taste as the daily newspaper. A few things we won't tolerate: personal attacks, obscenity, vulgarity, profanity (including expletives and letters followed by dashes), commercial promotion, impersonations, incoherence, proselytizing and SHOUTING. Don't include URLs to Web sites.
We do not edit comments. They are either approved or deleted. We reserve the right to edit a comment that is quoted or excerpted in an article. In this case, we may fix spelling and punctuation.
We welcome strong opinions and criticism of our work, but we don't want comments to become bogged down with discussions of our policies and we will moderate accordingly.
We appreciate it when readers and people quoted in articles or blog posts point out errors of fact or emphasis and will investigate all assertions. But these suggestions should be sent via e-mail. To avoid distracting other readers, we won't publish comments that suggest a correction. Instead, corrections will be made in a blog post or in an article.
- Steelers’ backups Archer, Harris ready to run
- Comeau’s hat trick leads Penguins; Crosby reaches career points
- Starkey: Rutherford will add when timing’s right
- Pregnant woman struck by van in North Side dies; doctors save baby
- Steelers notebook: Roethlisberger says Saints game is ‘must win’
- Amusement parks fight off home entertainment threat
- Pitt plays best game of the season; routs Kansas State
- Police on hunt for suspects in unrelated Penn Township, Manor cases
- Fatal crash closes Flight 93 chapel in Somerset County
- Parents can make holidays ‘teachable moment’ for kids
- Blairsville judge accused in hit-run set to enter program for 1st-time offenders