Prudential

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, especially given the …

Prudential Approves LTD Case After Appeal And May Pay Nearly One Million In Long-Term Disability Benefits Over Life Of PolicyRead More

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 mosquito infected by …

Paquin v. Prudential – Insurer Wrongfully Disregarded Treating Physicians’ OpinionsRead More

The plaintiff filed a civil action in federal court, asserting four claims under ERISA, a state law breach of contract claim, and an ADA claim. Prudential moved to dismiss the breach of contract claim, as ERISA preempts such a claim. Prudential also moved to dismiss the ADA claim because Prudential is not a proper defendant under that statute.

Seese v. Prudential – Court Rules ADA Lawsuit Against Prudential Must Be DismissedRead More

The Court’s task is not to decide whether Plaintiff was disabled. Prudential denied benefits because Plaintiff was not covered by the Plan when his claim arose. Thus, the question is not whether Plaintiff had a valid disability claim but when his disability claim (whether valid or invalid) arose.

Nieves v. Prudential – Prudential Failed To Provide A Full And Fair ReviewRead More

Here, Melissa Maher (“Maher”) was 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 exertions of lesser amounts more frequently. Because of her employment with Bonne Bell, Maher was …

Maher v. Prudential – Court Rules LTD Denial Was Not Arbitrary And CapriciousRead More

The plaintiff argues that his disability has a physiological cause – in particular, brain damage likely resulting from HIV – and that Prudential should not have applied the mental health limitation. In this case, the Court agreed.

Doe v. Prudential – Court Rules That Mental Illness Limitation Doesn’t ApplyRead More

The Court found that Prudential abused its discretion in relying upon a vocational assessment that was based only on Prudential’s hired external medical reviewer’s opinions rather than all of the medical evidence.

Cowern v. Prudential – Vocational Expert Not Permitted To Consider All RecordsRead More

This case involves James Ampe (“Ampe”), a Senior Development and Test Engineer employed by MIT Lincoln Laboratories (“MIT”). Ampe’s job duties included not only traditional electrical engineer work, but also regular client interactions. He was employed by the company from 2008 to January 26, 2015. Around August 2011, Ampe injured himself when he fell and …

Ampe v. Prudential – Engineer’s Case Remanded For Further ReviewRead More