In this case, Tommy W. Senegal (“Senegal”) had a long-term disability policy that was administered by Reliance Standard Life Insurance Company (“Reliance”) as a benefit of his employment by Cequel III, LLC (“Cequel”). Senegal worked for Cequel as a …
Standard Did Not Act in an Arbitrary and Capricious Manner
Marybeth M. Donlick (“Donlick”) was employed as a truck driver for Chesapeake Energy Corporation (“Chesapeake”). Through her employment, Donlick received coverage for a long-term disability benefits plan, which was administered by Standard Insurance …
Standard Did Not Act in an Arbitrary and Capricious MannerRead More
Liberty’s Long Term Disability Denial was Supported
In this case, David Diaz (“Diaz”) was the district manager at JM Family Enterprises, Inc. (“JM Family Enterprises”) between September 2010 and October 2015. JM Family Enterprises’ had an employee benefit plan which covered long-term disability …
Liberty’s Long Term Disability Denial was SupportedRead More
Court Rules a Suitable Job for Claimant Doesn’t Exist
Carianne Deroo (“Deroo”) worked as an employee for Beaumont Hospital as a Clinical Nurse II. This role involved full-time work as a registered nurse which required patient care. Through her employment with Beaumont Hospital, Deroo was covered by a …
Court Rules a Suitable Job for Claimant Doesn’t ExistRead More
Court Rules That United of Omaha Must Pay
Brenda Counts (“Counts”) previously worked as an employee of Denver Wholesale Florest-Flint as a flower sales specialist. Her job title was formally known as “Inside Sales Associate” which required “[m]aking sales calls, pulling product[,] and …
Court: Sedgwick’s Decision Reasonable and Supported
Lisa Conner (“Conner”) worked as a perioperative nurse at St. Vincent’s Medical Center. Through her employment, she held a policy under the Ascension Health (“Ascension”) Long-Term Disability Plan. This plan was administered by Sedgwick. The language …
Court: Sedgwick’s Decision Reasonable and SupportedRead More
Court Affirms Hartford Decision to Deny Benefits
Keyton Benson (“Benson”) was employed by Tower Hill Insurance Group. Through his employer, Benson was eligible for long term disability benefits through a policy issued by Hartford Life & Accident Insurance Company (“Hartford”). The policy …
Court Rules in Favor of MetLife: Clinical is Not An Ambiguous Term
Case Name: Santana-Diaz v. Metropolitan Life Insurance Company Court: United States District Court for the District of Puerto Rico Date of Decision: March 29, 2017 Type of Claim: Long Term Disability under the Employee Retirement Income …
Court Rules in Favor of MetLife: Clinical is Not An Ambiguous TermRead More
Court Assigns No Weight to Surveillance Video
Case Name: Michelle R. Rouleau v. Liberty Life Assurance Company of Boston Court: U.S. District Court for the Western District of Michigan Date of Decision: January 25, 2017 Type of Claim: Long Term Disability under 29 U.S.C. § …
Court: Nothing Wrong with a File-Only Review by Qualified Physician
Drew A. Carson (“Carson”) was an attorney employed by Miller Goler Faeges LLP. Through his employment, he was covered by a long term disability benefits plan which was administered by Unum Life Insurance Company of America (“Unum”). The plan …
Court: Nothing Wrong with a File-Only Review by Qualified PhysicianRead More