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Unum: the Gift of Giving and Taking Away

Unum: the Gift of Giving and Taking Away December 6, 2018. By Jane Mundy.
Chicago, IL: Yet another lawsuit was filed in November against First Unum for allegedly denying long-term disability benefits. In the same month, Unum announced to the media that it had donated $300,000 to a high-school girls’ leadership program.
Read [ Unum: the Gift of Giving and Taking Away ]

Fibromyalgia Sufferer Brings LTD Lawsuit against Life Insurance Co. of North America

Fibromyalgia Sufferer Brings LTD Lawsuit against Life Insurance Co. of North America November 16, 2018. By Anne Wallace.
Los Angeles, CA On September 14, 2018 Marisa Finnerty filed a long term denied disability lawsuit against the Life Insurance Company of North America (LINA), alleging that she had been wrongly denied benefits under her employer, Quest Diagnostics’, long term disability and group life insurance plans. Two things stand out about this lawsuit.
Read [ Fibromyalgia Sufferer Brings LTD Lawsuit against Life Insurance Co. of North America ]

Unum’s Denial of Opioid Overdose Deaths

Unum’s Denial of Opioid Overdose Deaths November 15, 2018. By Jane Mundy.
New Orleans, LA: The giant insurance company Unum—also known as First Unum -- typically denies accidental death benefits (as do most other life insurance companies) by excluding in their policy coverage for deaths related to prescription overdose or for medical or surgical treatment of a sickness or disease. But Unum’s denial didn’t sway Judge Martin Feldman this past August.
Read [ Unum’s Denial of Opioid Overdose Deaths ]

Is a Health Plan Liable for the Negligence of an Unqualified Claims Reviewer?

Is a Health Plan Liable for the Negligence of an Unqualified Claims Reviewer? October 23, 2018. By Anne Wallace.
Sherman, TX Johnson v. UnitedHealthcare raises more questions than it answers about how ERISA protects health plan participants who bring bad faith insurance lawsuits over denied medical claims. Stephen Johnson had more than his share of hardship. The law hasn’t helped him. But it’s a complicated story that will affect claimants and health insurers denying medical claims in California and throughout the country. So hang on.
Read [ Is a Health Plan Liable for the Negligence of an Unqualified Claims Reviewer? ]

UNUM LTD Claimants Must Beware of Exhaustion of Remedies Roadblock

UNUM LTD Claimants Must Beware of Exhaustion of Remedies Roadblock October 15, 2018. By Anne Wallace.
Chattanooga, TN On September 25, 2018, the Sixth Circuit Court of Appeals granted UNUM Life Insurance’s motion for summary judgment, thus ending Richard Ravenscraft’s UNUM disability lawsuit on the grounds that he had not exhausted administrative remedies. These are the rocks on which many long term disability lawsuits have been dashed.
Read [ UNUM LTD Claimants Must Beware of Exhaustion of Remedies Roadblock ]

Mother with Post-Partum Depression Denied Disability Benefits by Hartford

Mother with Post-Partum Depression Denied Disability Benefits by Hartford October 10, 2018. By Jane Mundy.
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 [ Mother with Post-Partum Depression Denied Disability Benefits by Hartford ]

Wheeler v. Metropolitan Life Insurance Company Seeks LTD Benefits for Injured Seaman

Wheeler v. Metropolitan Life Insurance Company Seeks LTD Benefits for Injured Seaman September 14, 2018. By Anne Wallace.
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 [ Wheeler v. Metropolitan Life Insurance Company Seeks LTD Benefits for Injured Seaman ]

Dentist Claims Injury, Unum Claims Sickness to Deny

Dentist Claims Injury, Unum Claims Sickness to Deny September 13, 2018. By Jane Mundy.
San Diego, CA: A dental surgeon has filed a bad faith lawsuit against Unum, or First Unum after the giant insurer denied his long term disability benefits claiming his injury is a sickness. The Unum lawsuit claims that Unum denied the dentist his rightful benefits to protect their own interests.
Read [ Dentist Claims Injury, Unum Claims Sickness to Deny ]

Aetna Denies Disability – Is there a Doctor in the House?

Aetna Denies Disability – Is there a Doctor in the House? September 3, 2018. By Jane Mundy.
Los Angeles, CA: California's insurance commissioner in February 2018 launched an investigation into Aetna after discovering a former medical director for the insurer (independent medical examiner) admitted under oath that he never looked at policy holder’s records to decide whether to approve or deny their long term disability benefits. Now a California woman has filed a complaint against the huge insurance provider claiming a similar issue.
Read [ Aetna Denies Disability – Is there a Doctor in the House? ]

Disability Claims Consultant Explains Unum’s Latest Practice to Dispute or Deny Long Term Disability Benefits

Disability Claims Consultant Explains Unum’s Latest Practice to Dispute or Deny Long Term Disability Benefits August 14, 2018. By Jane Mundy.
Santa Clara, CA: As a disability claims consultant and former Unum employee, Linda Nee knows just about every trick in the insurance company’s books to dispute and deny disability benefits to claimants. She says that Unum, or First Unum is “nickel and diming” its policy holders by alleging overpayments associated with SSDI and other monthly earnings offsets, including Retirement Income.
Read [ Disability Claims Consultant Explains Unum’s Latest Practice to Dispute or Deny Long Term Disability Benefits ]

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