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Ortiz Law Firm | National Disability Law Firm
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.
Ziegler filed suit after Sun Life denied her long-term disability claim for lupus and related conditions. Despite support from her treating physician, Sun Life relied on three independent rheumatologists who found insufficient objective evidence to support disability. The court upheld the denial, ruling that Sun Life did not abuse its discretion under the ERISA plan.
If your long-term disability (LTD) claim has been denied by Sun Life, one of the most critical parts of the appeals process may involve an “independent” physician review. While this may sound like an objective second opinion, the process is often anything but neutral. In reality, these reviews can be a significant hurdle in securing …
A California physician filed an ERISA lawsuit after Sun Life denied his long-term disability claim for chronic fatigue syndrome. Despite multiple medical diagnoses supporting his condition, the insurer cited psychiatric history and lack of conclusive evidence. The court stayed the case and remanded it for further review, ordering a neuropsychiatric evaluation and a comprehensive reassessment of all medical records.
The Fourth Circuit held that Sun Life abused its discretion when it terminated Wilkinson’s benefits because he provided sufficient evidence to support his eligibility for coverage and because Sun Life’s decision to terminate benefits was not the result of a principled reasoning process and not supported by substantial evidence. The Fourth Circuit, therefore, affirmed the district court’s decision.
The Third Circuit affirmed summary judgment for Sun Life and Health Insurance Company, holding that Sun Life did not abuse its discretion in terminating Kenneth Baker’s long-term disability (LTD) benefits after finding he was capable of performing “Any Occupation” duties. Case at a Glance Insurer Win Case Kenneth Baker v. Sun Life and Health Insurance …
Sun Life Assurance Company of Canada never disputed that Faciane is disabled or that his benefit calculation might have been wrong. The entire ruling turns on a single question: did Faciane wait too long to sue? The court found he did — his policy required any lawsuit within 3 years of when “Proof of Claim” …
A federal court in Connecticut granted judgment to Sun Life Assurance Company of Canada (“Sun Life”), holding that its denial of Meghan Christmas’s long-term disability (“LTD”) benefits claim was supported by well more than substantial evidence, based on three independent physicians’ reviews finding no objective evidence of a disabling condition. Case at a Glance Insurer …
Based upon an exhaustive review of the administrative record, the Court found that the plaintiff had established by a preponderance of the evidence that he was disabled under the terms of the Plan during the relevant period.