April 2011 Archives

Many of our clients suffer from Fibromyalgia, Chronic Fatigue Syndrome (CFS) and similar illnesses that long term disability insurance companies do not consider real sicknesses. We were pleased to share our experience representing CFS and Fibromyalgia claimants and provide information on filing disability insurance claims to subscribers of www.ProHealth.com, a website that offers information, resources […]

Late night television commercials sell life insurance, boasting that no medical exam is required. How about a disability insurance company that doesn’t need a medical exam – in this case, to deny a claim? Maybe these companies need to get together…. Our client is a CPA whose conditions, which include Fibromyalgia, Chronic Fatigue Syndrome, chronic […]

Score one for the disability insurance claimant, as a Federal Judge recently determined that it was improper for Standard Insurance Company to seek to apply a limited benefit period to a claim for benefits resulting from a mixed impairment. The claimant, a physician with a long history of migraine headaches and depression, was paid benefits […]

How claim adjusters made the decision to deny disability never fails to surprise and shock us. This one is so outrageous that it defies understanding. Our client is a 52-year-old management consultant who suffers from early onset dementia, early onset Alzheimer’s, degenerative disc disease, osteoarthritis, obesity, hypothyroidism, hypertension, hyperlipidemia, vitamin D deficiency, fatigue, fibromyalgia, sleep […]

The Epsilon data breach, which took place during the last week of March and was announced over the weekend, has exposed the names and emails of millions of customers of brand-name companies, including Target, Kroger, TiVo, US Bank, JP Morgan Chase, Capital One, Citi, Home Shopping Network, 1-800-FLOWERS, Ameriprise Financial, LL Bean Visa Card, McKinsey […]

A Federal Judge has demonstrated that despite a favorable standard of review for an insurance company, a claim decision must be supported by substantial evidence, or it will be reversed. Aetna reached a claim determination on the purported basis of medical reviews performed by its in house physician and an outside physician consultant, neither of […]