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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.
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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.
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United Healthcare Faces Class Action Lawsuit For 'Arbitrary' Therapy Payment Policy

United Healthcare Faces Class Action Lawsuit For 'Arbitrary' Therapy Payment Policy November 12, 2018. By Jane Mundy.
Sacramento, CA: Workers in the U.S. who received psychotherapy through their employers’ plans with United Healthcare Insurance Co. and United Behavioral Health (UBH) in California have filed a proposed class action, claiming the insurers have violated mental health laws
Read [ United Healthcare Faces Class Action Lawsuit For 'Arbitrary' Therapy Payment Policy ]

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.
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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 ]

Prosthetic Denial Lawsuits Filed against UnitedHealth Group and Anthem under ERISA

Prosthetic Denial Lawsuits Filed against UnitedHealth Group and Anthem under ERISA September 24, 2018. By Jane Mundy.
Santa Clara, CA: Prosthetics with a variety of microprocessors are the new “wearable technology” and they’re making headlines. Companies have designed the devices with
Read [ Prosthetic Denial Lawsuits Filed against UnitedHealth Group and Anthem under ERISA ]

Amputees Fighting for Insurance Coverage Get Tips from Blue Cross Antitrust Lawsuit

Amputees Fighting for Insurance Coverage Get Tips from Blue Cross Antitrust Lawsuit September 20, 2018. By Anne Wallace.
Wilmington, DE As amputees fight for insurance coverage for advanced, microprocessor- assisted prostheses, it can help to look at other insurance lawsuits that describe a similar pattern of claims denials.
Read [ Amputees Fighting for Insurance Coverage Get Tips from Blue Cross Antitrust Lawsuit ]

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 ]

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