Our Injury And Disability Blog
When you are denied disability benefits you deserve, or you suffer injuries in an accident, you may have rights to compensation. With frequent posts on our legal blog, the experienced attorneys at Ortiz Law Firm share news, information, and insight into many topics related to these important legal matters.blogblog
Chernequa Dawson v. Cigna Corporation and Life Insurance Company of North America
Here, Chernequa Dawson (“Dawson”) worked as a Care Transition Coordination (“CTC”) Nurse Care Manager and was employed by Cigna Corporation (“Cigna”). Through her employment with Cigna, she was covered under both a short-term and long-term disability plan. For these plans, Cigna pays the short-term disability plan benefits, while Life Insurance Company of North America (“LINA”) […]
Anthony Bowman v. Reliance Standard Life Insurance Co.
Anthony Bowman (“Bowman”) was employed as a Maintenance Mechanic which required the ability to do heavy lifting between fifty and sixty pounds. Injuries throughout his life caused him to have to have a number of surgeries and resulted in chronic neck and back pain. Bowman also had issues with a sleep disorder and pain medication, […]
Marc Kouzmanoff v. Unum Life Insurance Company of America, Thompson Reuters Holdings, Inc.
The present case involves an ERISA claim for disability benefits where the claimant believes that the administrator improperly denied his benefits. Marc Kouzmanoff (“Kouzmanoff”) was a sale representative for Thompson Reuters Holdings, Inc. (“Thompson Reuters”). In 2001, he developed diabetes; later, in 2016, he applied for disability benefits arguing that his job duties included a […]
Charlie Craig Hounihan v. The Proctor & Gamble Disability Committee, et al.
Charlie Craig Hounihan (“Hounihan”) was a technician who was employed by Proctor and Gamble (“P&G”) on the Bounty paper towel line at a plant in Cape Girardeau, Missouri. Through his employment with P&G, Hounihan was covered under both a short term and long term disability benefits plan. The Proctor & Gamble Disability Committee (“Disability Committee”) […]
Denney v. Unum – Court Ruled in Favor of Claimant and Ordered Unum to Reevaluate Claim
Cara R. Denney v. Unum Life Insurance Company of America Cara R. Denney (“Denney”) was an employee of Wagner Equipment Company (“Wagner”) where she was a Computer and Technology Instructor. Her job duties “required extensive computer use” and “the ability to instruct employees on the use of various computer systems.” She was also required to […]
Pamela Fleming v. Unum Life Insurance Company of America – Court Rules in Favor of Attorney Claimant and Found that Unum “Cherry-Picked” the Record
Pamela Fleming v. Unum Life Insurance Company of America In Fleming v. Unum, Pamela Fleming (“Ms. Fleming”) was a litigation attorney at the firm Kern & Wooley, LLP (“Kern & Wooley”). She was in a serious car accident in 1998, which caused injuries to her thoracic spine and neck. After receiving a cervical spine fusion […]
Colon L. Carter v. Aetna Life Insurance Company
Colon Carter (“Carter”) worked as an estimating analyst for Bath Iron Works (“BIW”), a subsidiary of General Dynamics. His job duties included “[d]eveloping cost proposals for new Navy and commercial work; [d]eveloping and maintaining proposal support documents and checklists; [c]reating financial models; maintaining company baselines for all Programs; [a]ssisting management with department staffing plans; [and] […]
Kenneth Baker v. Sun Life and Health Insurance Company
In this case, Kenneth Baker (“Baker”) was an employee who worked for Dunkin Donuts. Through his employment there, he held a policy for long-term disability benefits. Unfortunately, Baker lost all of his administrative appeals with the insurance companies. He also lost at the lower Federal Court. The opinion below relates to Baker’s appeal of the […]
Scott vs. Union Security Insurance Company – Court Upholds Denial of Orthopedic Surgeon’s LTD Claim
Andrew Scott v. Union Security Insurance Company In this case, Andrew Scott (“Scott”) was an orthopedic surgeon with a focus in sports medicine. His employer had a long-term disability (LTD) plan through Union Security Insurance Company (“Union”). The LTD plan defined “disability” as follows: “Disability or disabled means that in a particular month, you satisfy […]
Bradshaw v. Reliance Standard – Court Rules Insurance Company Improperly Applied Pre-Existing Condition Exclusion in Pregnancy Case
Julissa Bradshaw v. Reliance Standard Life Insurance Company In the instant case, Julissa Bradshaw (“Bradshaw”) was a medical biller for Pyramid Healthcare Solutions, Inc. (“Pyramid”). She held a policy through Reliance Standard Life Insurance Company (“Reliance”) for both short-term and long-term disability coverage. Her coverage under this policy began on May 1, 2013. When Bradshaw […]