MetLife (Metropolitan Life Insurance Company) faces long term disability lawsuits alleging the company unjustly or improperly denied, delayed, or canceled long term disability benefits. Insurance lawsuits filed against MetLife allege the company has breached its contract with policyholders by cancelling insurance benefits or by unreasonably denying or delaying payment of insurance claims.
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MetLife Long Term Disability Denials
Policyholders have filed lawsuits against MetLife alleging they were unfairly denied their long-term disability claim. As with other insurance companies, MetLife faces allegations of not properly investigating claims, contradicting medical opinions by declaring a policyholder not disabled, and breaching its contract by failing to authorize legitimate claims. Policyholders argue that while they appeal their insurance denial they are in a financially vulnerable position and could risk losing their homes or not obtaining vital medical treatment.
MetLife Bad Faith Insurance
In some cases, insurance companies make honest errors in judgment, based on the evidence they have at the time. In other cases, insurance companies make decisions to protect profits or meet quotas, regardless of any evidence of disability or illness. In such cases, when insurance companies breach their duty of good faith they may be liable for bad faith insurance.
MetLife ERISA Lawsuit
Whether policyholders have to file an appeal of an insurance denial or can file a lawsuit right away depends on whether the policy is covered by ERISA. If the policy was purchased as part of an employee benefit program, it is covered by ERISA. In such cases, the policyholder must first exhaust an appeals process before filing a lawsuit. If the policy was purchased privately, then a lawsuit can be filed as soon as the claim is denied.
Even in cases involving ERISA, the appeal process can be complex. Evidence submitted in support of an appeal is the only evidence that a judge will see if the claim winds up in court. Policyholders filing appeals of their denial may want to consider speaking with an attorney about their options.
MetLife Denied Insurance Lawsuit
MetLife faces a lawsuit filed by Derek Williams, who alleges he was wrongly denied long-term disability benefits. According to court documents, MetLife’s decision to deny the benefits - which were filed for post-traumatic stress disorder, anxiety, and depression - was “arbitrary, illegal, capricious, unreasonable, discriminatory and not made in good faith.” Initially, Williams had been granted short-term disability. That decision was later reversed and the benefits were denied but were ultimately reinstated.
The lawsuit is Williams v. Metropolitan Life Insurance Company et al, case number 2:16-cv-01283, in the Southern District of West Virginia.
MetLife Denied Long Term Disability Legal Help
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San Francisco, CA In one of the earliest decisions of 2019, the Ninth Circuit gave plaintiffs in long term denied disability lawsuits a new way to challenge benefit denial decisions. It may turn out to be significant. READ MORE
Chicago, IL: Even though Angela tried to return to work after suffering from postpartum depression, her boss advised that she apply for long term disability with Hartford Health Insurance. But Hartford didn’t agree with Angela’s boss. READ MORE
San Diego, CA Christopher Wheeler was a Coxswain/Diesel mechanic, a contractor doing heavy physical work for the U.S. Navy Fifth Fleet. On March 17, 2015, he was badly injured during a storm at sea off Bahrain. Hospitals and rehab landed him a computer job for which he had no aptitude or training. When that didn’t work out, his employer, Exelis, Inc. terminated his employment and Metropolitan Life Insurance (MetLife) denied his long term disability benefit application. He filed a long term denied disability lawsuit on August 2, 2018 in the Southern District of California. California’s de novo standard for the review of disability claims under ERISA may work to Wheeler’s benefit. READ MORE