Manager

Managers 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, a manager can create a solid case for disability.

New York District Court Upholds Hartford’s Denial of LTD for Assistant Store Manager

The claimant in Archer v. Hartford Life and Accident Insurance Company was an Assistant Store Manager at TJX Marshall’s Department Store. She had group Long Term Disability (LTD) coverage. She also had life insurance benefits. Both of these …

New York District Court Upholds Hartford’s Denial of LTD for Assistant Store ManagerRead More

Court Finds There is a Reasonable Basis for USLIC Denial

Mr. Calkin was a 65-year-old manager of architectural design for AIG from June 10, 2013, through June 24, 2014. Mr. Calkin suffered from impingement syndrome in his left shoulder, brachial plexopathy (a form of neuropathy), bilateral shoulder pain, …

Court Finds There is a Reasonable Basis for USLIC DenialRead 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

Appeals Court Reverses District Court And Denies Claim

The case summarized here involves Damon Zaeske (“Zaeske”), who was a project manager employed by Walmart. He ceased working on April 4, 2014, as a result of chronic back pain. Walmart’s insurance plan was underwritten by Liberty Life Assurance …

Appeals Court Reverses District Court And Denies ClaimRead More

With De Novo Review Court Should Conduct Bench Trial On The Record

Case Name: Rose Bigham v. Liberty Life Assurance Company of Boston Court: United States District Court for the Western District of Washington at Seattle Type of Claim: Long Term Disability Insurance Company: Liberty Life Assurance Company of …

With De Novo Review Court Should Conduct Bench Trial On The RecordRead More

Court Reinstates Plant Manager’s Long Term Disability Benefits

In this case, Fredrick Smith (“Smith”) was employed as a plant manager for Charles Craft, Inc. (“Craft”) reaching back to the 1970’s. Through his job, he held group policies with Reliance Standard Life Insurance Company (“Reliance”). Two of these …

Court Reinstates Plant Manager’s Long Term Disability BenefitsRead More

Plaintiff is Entitled to a Description of Additional Material Necessary to Perfect the Claim

Case Name: Annina Puccio v. Standard Insurance Company Court: U.S. District Court for the Northern District of California Date of Decision: February 20, 2015 Type of Claim: Long Term Disability under the Employee Retirement Income Security …

Plaintiff is Entitled to a Description of Additional Material Necessary to Perfect the ClaimRead More

Court Holds That Aetna’s Denial of Benefits Was Reasonable

Case Name: Armando Mercado v. Federal Express Corporation and Aetna Life Insurance Company Court: United States District Court Southern District of Florida Type of Claim: Long Term Disability Insurance Company: Aetna Life Insurance …

Court Holds That Aetna’s Denial of Benefits Was ReasonableRead More

Pre-Existing Condition or Unspecified Medical Problem?

Here, Marcia L. Smith (“Smith”) worked for Arlington Properties, Inc. as a property manager. Through her employment, she was covered under a long term disability plan starting on March 1, 2016. United of Omaha Life Insurance Company and Mutual of …

Pre-Existing Condition or Unspecified Medical Problem?Read More

Court: Peer Reviews Were Not Arbitrary & Capricious

Here, Melissa Maher (“Maher”) was a Manager of Research and Development at Bonne Bell, L.L.C. (“Bonne Bell”). Her job duties were considered to be light with sedentary demand. Further requirements were the ability to use ten pounds of force and other …

Court: Peer Reviews Were Not Arbitrary & CapriciousRead More