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Ortiz Law Firm is dedicated to helping people recover the disability benefits they deserve. We handle group Long Term Disability (LTD) claims, individual disability insurance policy claims, ERISA disability claims, and Social Security Disability claims.

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Home | Case Summary Blog | Page 2

Case Summary Blog

Pifer v. Lincoln – Court Remands Disability Claim For Ehlers-Danlos Syndrome

October 11, 2024 // by Nick Ortiz

Rebecca Pifer, a former dental analyst for Blue Cross Blue Shield of North Carolina, filed a lawsuit under the Employee Retirement Income Security Act (ERISA) against Lincoln Life Assurance Company of Boston to recover long-term disability benefits. Note: Lincoln Life typically operates under the branded name of Lincoln National. Initially …

Read morePifer v. Lincoln – Court Remands Disability Claim For Ehlers-Danlos Syndrome
Category: Case Summary Blog
Tags: Lincoln

Prudential Approves LTD Claim On Appeal And May Pay Nearly One Million In Benefits Over Life of Policy

July 19, 2024 // by Nick Ortiz

I’ve had the privilege of helping many claimants appeal unjust long-term disability claim denials. One such case that stands out involves a claimant who had dedicated years to his role in management at JP Morgan Chase Bank. Unfortunately, he developed severe exertional and non-exertional conditions that severely affected his ability to work, …

Read morePrudential Approves LTD Claim On Appeal And May Pay Nearly One Million In Benefits Over Life of Policy
Category: Case Summary Blog
Tags: Prudential

Successful Reinstatement Of Long-Term Disability Benefits For Sales Manager

June 7, 2024 // by Nick Ortiz

I am pleased to share another recent success story where we helped a deserving client recover her long-term disability benefits after an unjust denial in her long term disability insurance claim. As the owner and founder of the Ortiz Law Firm, I find it immensely rewarding to see justice served and to assist individuals in …

Read moreSuccessful Reinstatement Of Long-Term Disability Benefits For Sales Manager
Category: Case Summary Blog
Tags: Reliance Standard

Ortiz Law Firm Recovers MetLife Long-Term Disability Benefits for IBM Consultant

May 31, 2024 // by Nick Ortiz

As a long-term disability attorney, I have seen firsthand the difficulties individuals face when insurance companies unfairly deny their long-term disability benefits. I would like to share with you a case in which we successfully recovered MetLife long-term disability benefits for a claimant in Texas. This case not only highlights the complexities …

Read moreOrtiz Law Firm Recovers MetLife Long-Term Disability Benefits for IBM Consultant
Category: Case Summary Blog
Tags: MetLife

Gill v. Unum – Cognitive Impairment Claim Denied Based On 24-Month Mental Illness Limitation

May 15, 2024 // by Nick Ortiz

In Gill v. UNUM Life Insurance Company of America, the U.S. District Court for the Northern District of California decided a dispute over long-term disability (LTD) benefits. The plaintiff, Terrance Gill, was a project manager at Union Bank when he applied for LTD benefits. He received benefits under a UNUM policy governed by the Employee …

Read moreGill v. Unum – Cognitive Impairment Claim Denied Based On 24-Month Mental Illness Limitation
Category: Case Summary Blog
Tags: Unum

$85,000 In Future LTD Benefits Reinstated For Cybersecurity Professional

May 3, 2024 // by Nick Ortiz

I recently had the privilege of representing a client whose long-term disability (LTD) benefits were wrongfully terminated after ten years of receiving monthly benefits. Our client, a 62-year-old from Rhode Island, had previously thrived in a highly demanding cybersecurity role as a data security specialist. However, because of severe and …

Read more$85,000 In Future LTD Benefits Reinstated For Cybersecurity Professional
Category: Case Summary Blog
Tags: Reliance Standard

Easter v. Hartford – Hartford Denies LTD Claim For Chronic Fatigue Syndrome

April 17, 2024 // by Nick Ortiz

In Easter v. Hartford Life & Accident Ins. Co., the plaintiff, Audrey M. Easter, a former Social Worker for Intermountain Healthcare, was insured under a disability insurance plan administered by Hartford. Under this plan, Defendant Hartford was the claims administrator responsible for determining benefits and the payor of those claims. ERISA …

Read moreEaster v. Hartford – Hartford Denies LTD Claim For Chronic Fatigue Syndrome
Category: Case Summary Blog
Tags: Hartford

Mucciacciaro v. Hartford – Court Rules “Superhuman Effort” Cannot Serve As The Sole Reason For The Denial Of Disability Benefits

March 27, 2024 // by Nick Ortiz

The case of Mucciacciaro v. Hartford Life & Accident Insurance Company was filed in the United States District Court for the District of New Jersey. This legal battle centers around Sandra Mucciacciaro, the Plaintiff, and Hartford Life and Accident Insurance Company, the Defendant. The legal dispute pertains to a claim for long-term disability …

Read moreMucciacciaro v. Hartford – Court Rules “Superhuman Effort” Cannot Serve As The Sole Reason For The Denial Of Disability Benefits
Category: Case Summary Blog
Tags: Hartford

Leif v. Hartford – LTD Claim For Collections Rep With COPD And Cardiac Impairments

March 18, 2024 // by Nick Ortiz

The case involves Lisa Leif suing Hartford Life and Accident Insurance Company under ERISA, claiming wrongful denial of long-term disability (LTD) benefits. W.B. Mason Company, Inc. employed Ms. Leif as a Collection Representative. Leif suffers from atherosclerotic heart disease, refractory angina, coronary spasms, and COPD. As she was no longer …

Read moreLeif v. Hartford – LTD Claim For Collections Rep With COPD And Cardiac Impairments
Category: Case Summary Blog
Tags: Hartford

Harmon v. Unum – LTD Claim For Facilities Technician With A Back Injury Terminated

March 13, 2024 // by Nick Ortiz

The case of Harmon v. Unum Life Ins. Co. of Am. involves plaintiff Joey Harmon against Unum Life Insurance Company of America regarding a claim for long-term disability (LTD) insurance benefits. Mr. Harmon was a facilities technician for 24 Hour Fitness. He suffered a back injury leading to surgery and claimed LTD benefits under policies …

Read moreHarmon v. Unum – LTD Claim For Facilities Technician With A Back Injury Terminated
Category: Case Summary Blog
Tags: Unum

Evans v. LINA – LINA Denies Disability Benefits To Wireline Operator With Severe Back Pain

March 4, 2024 // by Nick Ortiz

The plaintiff, Heath Evans, was employed by Schlumberger Technology Corporation. Evans worked as a wireline operator, a role the Department of Labor classified as requiring very heavy physical labor. Evans suffered a workplace injury to his back in November 2013, leading to significant back pain and functional limitations. He underwent two …

Read moreEvans v. LINA – LINA Denies Disability Benefits To Wireline Operator With Severe Back Pain
Category: Case Summary Blog
Tags: Life Insurance Company of North America (LINA)

Jette v. United Of Omaha – Legal Assistant Denied Full And Fair Review of LTD Claim

February 19, 2024 // by Nick Ortiz

Karen Jette, formerly employed as a legal assistant, filed for short-term disability (STD) benefits on July 23, 2013, and subsequently applied for LTD benefits on August 16, 2013, due to lower back pain. United of Omaha Life Insurance Company initially approved STD benefits and later approved LTD benefits on May 6, 2014, after an appeal …

Read moreJette v. United Of Omaha – Legal Assistant Denied Full And Fair Review of LTD Claim
Category: Case Summary Blog
Tags: Mutual of Omaha

Zall v. Standard – Dentist’s Right To A Full And Fair Review Was Violated

February 12, 2024 // by Nick Ortiz

The Zall v. Standard Insurance Company case involves a long-term disability claim filed by Eric S. Zall, a dentist and co-owner of a dental practice, under an insurance policy with Standard Insurance Company. Zall filed this claim in 2013, at the age of 48, because of chronic neck pain and right-handed numbness and weakness resulting …

Read moreZall v. Standard – Dentist’s Right To A Full And Fair Review Was Violated
Category: Case Summary Blog
Tags: Standard

Schmill v. MetLife – Court Upholds 12-Month Benefit Limitation For Mental And Musculoskeletal Disorders

January 29, 2024 // by Nick Ortiz

The case of Howard Schmill v. Metropolitan Life Insurance Company (MetLife) involved a long-term disability (LTD) claim under a plan governed by the Employment Retirement Income Security Act of 1974 (ERISA). Please note that the Ortiz Law Firm did not handle this case. Schmill, a Louisiana resident, was a foreman at Turner Industries Group, LLC, …

Read moreSchmill v. MetLife – Court Upholds 12-Month Benefit Limitation For Mental And Musculoskeletal Disorders
Category: Case Summary Blog
Tags: MetLife

Viso v. Federated – Plaintiff Failed To Provide Proof Of Disability

January 5, 2024 // by Nick Ortiz

This case involves Viso, who filed a long-term disability insurance claim with Federated Insurance due to congenital hearing loss. The policy provided for up to 60 months of disability insurance benefits should Viso become disabled before age 65. The policy included the following definitions: Viso’s physician, Dr. Steven Dear, partially …

Read moreViso v. Federated – Plaintiff Failed To Provide Proof Of Disability
Category: Case Summary Blog
Tags: Federated Insurance

Geiger v. Zurich – Failure To Obtain Additional Vocational Evidence Not An Abuse Of Discretion

December 6, 2023 // by Nick Ortiz

The case involves a dispute over long-term disability (LTD) benefits between Geiger, the claimant, and Zurich American Life Insurance Company of New York (“Zurich”), the administrator of an ERISA-regulated benefits plan. Background Geiger worked at CBS News in New York as a writer/editor. In March 2018, at the age of 58, Geiger could …

Read moreGeiger v. Zurich – Failure To Obtain Additional Vocational Evidence Not An Abuse Of Discretion
Category: Case Summary Blog
Tags: Zurich Insurance Company

Sutton v. MetLife – LTD Policy Requires Objective Evidence, Not Conclusive Proof

December 1, 2023 // by Nick Ortiz

The plaintiff, Sutton, filed a lawsuit against MetLife, the defendant, for the wrongful denial of long-term disability benefits under his employer’s plan governed by ERISA (Employee Retirement Income Security Act). Background Under the disability plan’s policy documents, if an employee’s disability is attributable to a neuromuscular or …

Read moreSutton v. MetLife – LTD Policy Requires Objective Evidence, Not Conclusive Proof
Category: Case Summary Blog
Tags: MetLife

The Standard Wrongly Applies Pre-Existing Condition Exclusion To LTD Claim

November 10, 2023 // by Nick Ortiz

Recently, we appealed a claim denial issued by The Standard. The claim had been denied because the insurance carrier had determined that the claimant’s condition was caused or contributed to by a pre-existing condition. This is not an unusual basis for a long-term disability claim denial. However, upon further review, we determined this …

Read moreThe Standard Wrongly Applies Pre-Existing Condition Exclusion To LTD Claim
Category: Case Summary Blog
Tags: Standard

Cannon v. Aetna – Aetna Not Bound By SSA Disability Determination

July 24, 2023 // by Nick Ortiz

Case Name:  Gregory Cannon v. Aetna Life Insurance Company Court: United States District Court for the District of Massachusetts Type of Claim: Long-Term Disability Insurance Company: Aetna Life Insurance Company (hereinafter “Aetna”) Claimant’s Employer: PharMerica Corp Claimant’s Occupation / Job Position: Pharmacist Disabilities: …

Read moreCannon v. Aetna – Aetna Not Bound By SSA Disability Determination
Category: Case Summary Blog
Tags: Aetna

Dardick v. Unum – Court Upholds Cardiac LTD Claim Denial

July 24, 2023 // by Nick Ortiz

In Dardick v. Unum Life Insurance Company of America and First Unum Life Insurance Company, Unum succeeded in denying the claimant long-term disability insurance benefits. Dardick filed a lawsuit after Unum Life Insurance Company of America denied his claim for benefits under a group disability benefits plan provided by his previous …

Read moreDardick v. Unum – Court Upholds Cardiac LTD Claim Denial
Category: Case Summary Blog
Tags: Unum

Gaines v. Aetna – Court Rules Aetna Refused To Credit Reliable Evidence

July 24, 2023 // by Nick Ortiz

Plaintiff appealed the initial denial of benefits under the Plan, stating that her request for disability was not based solely on her thyroid surgery but rather on symptoms associated with lupus and chronic pain. On September 12, 2011, ALIC again upheld the denial of benefits to the Plaintiff. As allowed under ERISA, the Plaintiff sued to challenge …

Read moreGaines v. Aetna – Court Rules Aetna Refused To Credit Reliable Evidence
Category: Case Summary Blog
Tags: Aetna

Brown v. LINA – Can A Peer Review Physician Outweigh My Physician’s Opinion?

July 24, 2023 // by Nick Ortiz

In this case, the Court found that the Plaintiff's complaints of pain were credible there was no reason to question the Plaintiff's credibility. As such, the Defendants' motion for decision was denied and Plaintiff's motions was granted.

Read moreBrown v. LINA – Can A Peer Review Physician Outweigh My Physician’s Opinion?
Category: Case Summary Blog
Tags: Life Insurance Company of North America (LINA)

Abrams v. Unum – Disabling Symptoms Matter, Not The Diagnosis

July 12, 2023 // by Nick Ortiz

Today we review Abrams v. Unum Life Insurance Company of America that was decided by the United States District Court for the Western District of Washington. William Abrams was a trial and appellate lawyer for the Schwabe Law Firm. His disabilities were described as debilitating symptoms from an illness. Although the exact medical condition was …

Read moreAbrams v. Unum – Disabling Symptoms Matter, Not The Diagnosis
Category: Case Summary Blog
Tags: Unum

Paquin v. Prudential – Insurer Wrongfully Disregarded Opinions Of Treating Physicians

April 27, 2023 // by Nick Ortiz

In this case, the claimant won a reinstatement of his long-term disability insurance benefits in the United States District Court for the District of Colorado. The Plaintiff’s Medical History and Claim History:  Mr. Paquin worked for Transistor Devices, Inc. as a Business Development Director. In 2003, Mr. Paquin contracted encephalitis from a …

Read morePaquin v. Prudential – Insurer Wrongfully Disregarded Opinions Of Treating Physicians
Category: Case Summary Blog
Tags: Prudential
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