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.
Analysts will find it challenging to get a long term disability claim approved. Insurance companies such as Cigna, Hartford, Lincoln, and Unum will search for virtually any reason to deny the claim. By providing strong medical evidence, keeping a low profile, and not rushing back to work too soon, an analyst can create a solid case for disability.
// by Ortiz Law Firm
In Cassidy v. Aetna Life Insurance Company, the U.S. District Court for the Eastern District of Kentucky ruled in favor of Aetna in a Long Term Disability Insurance Claim. The decision was issued on May 21, 2021. The Long Term Disability Insurance claim was governed by the Employee Retirement Income Security Act of 1974 (ERISA). …
Insurance Company Can Require Objective Medical EvidenceRead More
// by Ortiz Law Firm
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 Security Act of 1974(“ERISA”), as amended, 29 U.S.C. §§ 1001-1461. Insurance Company: Metropolitan Life Insurance Company, aka MetLife for short. Claimant’s Employer: Shell Chemical Yabucoa, Inc. Claimant’s …
Court Rules in Favor of MetLife: Clinical is Not An Ambiguous TermRead More
// by Ortiz Law Firm
Case Name: Kenneth Seese v. Prudential Insurance Company of America Court: U.S. District Court for the District of Minnesota Date of Decision: September 23, 2015 Type of Claim: Long Term Disability Insurance Company: Prudential Insurance Company of America Procedural history: “The above‐entitled matter comes before the Court on Prudential Insurance Company of America’s (“Prudential”) objections to the Report and Recommendation of …
Court Rules ADA Claim Against Prudential Must Be DismissedRead More
// by Ortiz Law Firm
In the present case, Dave Nagy (“Nagy”) was a Quality Assurance Analyst employed by Oracle America, Inc. (“Oracle”). Around September 8, 2011, he began experiencing symptoms of Chronic Fatigue Syndrome (CFS) as well as other mental health and possibly autonomic dysfunctions. Nagy applied for short-term disability (STD) benefits but was denied by Hartford Life and Accident Insurance Company, et al. (“Hartford”), …
Court Holds That Hartford Was Proper in Denying BenefitsRead More
// by Ortiz Law Firm
Case Name: Tricia Kerridge v. United of Omaha Life Insurance Company Court: U.S. District Court for the Western District of Michigan Date of Decision: January 10, 2017 Type of Claim: Long Term Disability under the Employee Retirement Income Security Act of 1974 (ERISA) Insurance Company: United of Omaha Life Insurance Company Claimant’s Employer: SAF-Holland, Inc. Claimant’s Occupation / Job Position: Business …
// by Ortiz Law Firm
Executive Summary: Lisa Jones submitted a claim for long term disability benefits under an LTD Plan provided to her by Boeing. Aetna was the plan administrator; Aetna denied the LTD claim. Ms. Jones sued under the Employee Retirement Income Security Act (ERISA) for denial of benefits and breach of fiduciary duty. The district court (lower …
Court Rules Claimant May Move Forward with Breach of Fiduciary Duty ClaimRead More
// by Ortiz Law Firm
Case Name: Cowern v. The Prudential Insurance Company of America Court: United States District Court, District of Massachusetts Type of Claim: Long Term Disability ERISA Insurance Company: The Prudential Insurance Company of America (hereinafter Prudential) Claimant’s Employer: Staples, Inc. Claimant’s Occupation/Job: Programmer / Analyst Disabilities: Gastrointestinal (“GI”) disorder – inflammatory bowel disorder, with symptoms including diarrhea, bloody stools, …
Vocational Expert Not Permitted To Consider All RecordsRead More
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