We appeal wrongful long term disability insurance and Social Security Disability denials.
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
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
Case Name: Rose Bigham v. Liberty Life Assurance Company of BostonCourt: United States District Court for the Western District of Washington at SeattleType of Claim: Long Term DisabilityInsurance Company: Liberty Life Assurance Company of …
With De Novo Review Court Should Conduct Bench Trial On The RecordRead More
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
Case Name: Annina Puccio v. Standard Insurance CompanyCourt: U.S. District Court for the Northern District of CaliforniaDate of Decision: February 20, 2015Type of Claim: Long Term Disability under the Employee Retirement Income Security …
Case Name: Armando Mercado v. Federal Express Corporation and Aetna Life Insurance CompanyCourt: United States District Court Southern District of FloridaType of Claim: Long Term DisabilityInsurance Company: Aetna Life Insurance …
Court Holds That Aetna’s Denial of Benefits Was ReasonableRead More
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
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
Case Name: Koning v. United of Omaha Life Insurance CompanyCourt: United States Court of Appeals for the Sixth Circuit, on appeal from the United States District Court for the Western District of MichganType of Claim: Long Term …
Insurer Abused Discretion by Failing to Schedule an IMERead More
Case Name: Godmar v. Hewlett-Packard Company; Hewlett-Packard Company Disability Plan; Sedgwick Claims Management Services, Inc.Date of Decision: December 9, 2015Court: United States Court of Appeals for the Sixth Circuit, on appeal from the …
Abuse of Discretion In Cherry-Picking & Ignoring EvidenceRead More
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