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Diagnosed with Lyme Disease, Plaintiff is Denied by Unum Disability Insurance

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The plaintiff suffering from Lyme disease pursued benefits from her LTD insurance provider. Unum even approved short-term, and long-term benefits, before doing an about-face and denying her benefits.

San Diego, CAA medical professional who could no longer fulfill the functions of her occupation due to a diagnosis of Lyme disease, had her long term disability benefits claim denied by her LTD provider. Plaintiff Laura Wakil holds that Unum unfairly denied her LTD benefits that were rightfully hers' according to the terms of her policy, and she is taking the insurer to court after filing an Unum lawsuit in an attempt to achieve benefits resulting from her disability.

Wakil had been practicing as a Board Certified Psychiatrist when she began experiencing debilitating pain, together with other symptoms that combined to make it increasingly difficult to carry out her professional duties. According to her Unum insurance lawsuit, Wakil was ultimately diagnosed with Lyme disease in March, 2016.

Plaintiff's lawsuit claims plaintiff had a right to benefits under her Unum policy



Under the terms of her Unum LTD policy, a diagnosis of Lyme disease translated to a total disability under the terms of her Unum long term disability policy, or so Wakil's Unum disability insurance lawsuit claims.

According to Court documents, Wakil submitted her disability claim with Unum together with a statement of support and corroboration of her diagnosis, and her struggles with Lyme disease, provided by her physician. The plaintiff, according to her Unum disability insurance lawsuit, was approved for short term disability benefits for Lyme disease in July of that year and a month later, was also approved for long term disability benefits.

But then, the bottom fell out. Her benefits were later denied by Unum. An appeal of her denial was also lost.

In the meantime, Wakil continued suffering from pain and other symptoms associated with Lyme disease, and was continuing to struggle without the capacity to earn income by way of her profession.

Wakil filed her Unum disability insurance lawsuit against Unum Life Insurance Company of America and others in December of last year, having exhausted all other administrative means at her disposal to do so outside of litigation.

Wakil asserts that Unum's denial of her legitimate claims for benefits, was unfair and improper.

The case is Wakil v. Unum Life Insurance Company of America et al, Case No. 3:2017-cv-02564, filed December 26, 2017, in the US District Court for the Southern District of California, County of San Diego.

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READER COMMENTS

Posted by

on
what does paying taxes and paying for insurance have to do with each other? If you are paying into a system that is for disability from the state of private company then what is the difference? NONE! This person can’t work and is owed the benefit!! This is why I will not waste my money on these policies because they never pay out!! They are a scam and the government needs to regulate them much better or shut them down!!!

Posted by

on
How is this any different from any lyme person being denied disability benefits? It happens all the time. Just because she paid towards a policy, doesn't guarantee benefits to be paid. Tax paying people should also be able to get disability benefits, but the medical doctors constantly dismiss lyme patients. They feel as long as you can dress yourself and feed yourself, you don't qualify for benefits. It has nothing to do with quality of life.

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