Disability Insurance Blog

Court Finds Numerous Claim Handling Flaws


Tuesday, March 15th, 2011

A local Judge in the Eastern District of New York has found that CIGNA’s claim handling was flawed, with numerous indicia of biased administration of plaintiff’s long term disability insurance claim.

The Court was troubled by CIGNA’s improper selective review of what medical information to consider, as well as CIGNA’s failure to consider the Social Security decision favorable to the plaintiff. The Court addressed this problem, stating that Social Security’s determination regarding the capacity (or lack thereof) to engage in gainful employment was probative evidence supporting the claim.

The Court denied CIGNA’s motion for summary judgment, and the case is now proceeding to determine whether the plaintiff has met his burden of demonstrating entitlement to ongoing long term disability insurance benefits.