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  • Hacks, Embezzlements, and 401(k) Mismanagement – What You Can Do to Protect Your Retirement Nest Egg
    Nov-17-18 Washington, DC When asked why he robbed banks, Willie Sutton reportedly replied, “Because that’s where the money is.” Now, however, roughly $5 trillion, or a fifth of all U.S. retirement assets, sit in 401(k) accounts . Today’s Willie Suttons are there, too, as recent ERISA lawsuits and criminal prosecutions confirm. Don&rsqu...
  • Fibromyalgia Sufferer Brings LTD Lawsuit against Life Insurance Co. of North America
    Nov-16-18 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. It’s...
  • Unum’s Denial of Opioid Overdose Deaths
    Nov-15-18 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 s...
  • United Healthcare Faces Class Action Lawsuit For 'Arbitrary' Therapy Payment Policy
    Nov-12-18 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 Policy Holders Pay More The lawsuit, filed in the U.S. District Court for...
  • Is a Health Plan Liable for the Negligence of an Unqualified Claims Reviewer?
    Oct-23-18 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 in...
  • UNUM LTD Claimants Must Beware of Exhaustion of Remedies Roadblock
    Oct-15-18 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. An earlier...
  • Los Angeles Sweatshops Cited for Wage and Hour Violations
    Oct-14-18 Los Angeles, CA In early September 2018, the California Labor Commissioner’s Office fined six garment contractors a total of $573,704 for labor law violations after uncovering a scheme where the contractors operated illegally under one license to avoid complying with California wage and hour laws. But what happens to the workers? Garment workers mak...
  • Mother with Post-Partum Depression Denied Disability Benefits by Hartford
    Oct-10-18 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. “I was pregnant and my job was very stressful at the time. I talked with my supervisors and they said I should a...
  • Health Insurance Fraud Lawsuit News and Legal Information
    A doctor charges $200 for an office visit, but only $80 is covered by the insurer leaving the patient to pay the difference. Investigators allege that health insurance companies are forcing patients to pay more than they should when using doctors and hospitals outside their insurer's networks. Investigators claim an industrywide scheme is deceiving an...
  • Amputees Prosethetics Lawsuit News and Legal Information
    Amputees in many states may not have the cost of their new, permanent limbs covered by their insurance plans. This has sparked a nationwide campaign by amputees and the prosthetics industry to get Congress and the individual states to demand more comprehensive coverage for prosthetics, especially those that are now enhanced with microprocessor technology. La...
  • Prosthetic Denial Lawsuits Filed against UnitedHealth Group and Anthem under ERISA
    Sep-24-18 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 accelerometers, gyroscopes and magnetometers, state-of-the-art and cutting edge technology. But they aren’t available for every amputee who wants this advanced prosthetic limb techn...
  • Amputees Fighting for Insurance Coverage Get Tips from Blue Cross Antitrust Lawsuit
    Sep-20-18 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. LifeWatch Services v. Highmark is actually an antitrust lawsuit dealing with telemetry cardiac monitors. Nonetheless, a recent opinion in the T...
  • Wheeler v. Metropolitan Life Insurance Company Seeks LTD Benefits for Injured Seaman
    Sep-14-18 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. ter...
  • Dentist Claims Injury, Unum Claims Sickness to Deny
    Sep-13-18 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. In September 2014 Dr. Frank L. Pavel sustained severe in...
  • Amputees’ Fight for Insurance Coverage Focuses on ‘Medical Necessity’ of Microprocessor Prosthetics
    Sep-4-18 Washington, DC Lucky to live, unlucky to lose a foot or a leg, survivors of the Boston Marathon bombing soon found themselves facing the harsh truth of inadequate insurance coverage for their prosthetic care. Years on, the good news is that microprocessor-enhanced artificial limbs have gotten better. The bad news is that insurance companies like Anthem...
  • Aetna Denies Disability – Is there a Doctor in the House?
    Sep-3-18 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 Californ...
  • Lawsuits Brewing over Insurance Denials for “Smart” Prostheses
    Aug-21-18 Los Angeles, CA In California and other states, amputees are denied insurance coverage for modern prostheses. These legs and ankles are hugely better than the old titanium alloy stilts because of their microprocessors. Lt. Dan was glad to stand with his bride, but imagine running up the stairs or dancing at a Gump-ish wedding. Nonetheless, Anthem, United H...
  • Disability Claims Consultant Explains Unum’s Latest Practice to Dispute or Deny Long Term Disability Benefits
    Aug-14-18 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 earnin...
  • Hartford Insurance Denies Disability Benefits and Pays Millions to bail out a town
    Aug-13-18 Hartford, CT: Imagine that an injury results in you being disabled and unable to return to work. You apply for long term disability but Hartford, your insurance company, denies your benefits. You don’t have any savings and no other source of income. And then you find out that Hartford, along with two other insurance companies, bails out the town of Har...
  • Drywall Contractor Fined $2 million; Is California Wage Theft Rampant?
    Aug-10-18 Los Angeles: After workers at Fullerton Pacific Interiors Inc., complained about California labor law violations to the non-profit Carpenters Contractors Cooperation Committee, the California Labor Commissioner’s Office stepped in. Investigators found that the drywall company paid a daily rate that didn’t include overtime hours or rest breaks and 28...
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