Frankel & Newfield, P.C.

We Have Recovered Over $100 Million In Claims For Our Clients

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WE DO NOT HANDLE SOCIAL SECURITY DISABILITY CLAIMS

April 2011 Archives

ProHealth.com Features Article from Frankel & Newfield - What You Need to Know to Avoid the Disability Claim "Brush Off"

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 and products for individuals with chronic illnesses.

Insurer Unable to Apply Mental and Nervous Policy Limitation

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 under his ERISA group insurance policy, but the claim was terminated at the 24 month mark, on the basis of the mental and nervous limitation.

CIGNA Long Term Disability Claim Denied, Frankel & Newfield Win Benefits Back

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 apnea, migraine headaches, depression, anxiety, TMJ disorder, and plantar fasciitis.

EPSILON DATA BREACH IMPACT ON DISABILITY INSURANCE CLAIMS

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 & Company, Ritz-Carlton Rewards, Marriott Rewards, New York & Company, Brookstone, Walgreens, The College Board, Disney Destinations, and Best Buy, to name just a few.

AETNA CLAIM DECISION LACKS SUBSTANTIAL EVIDENCE

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 whom examined or evaluated the claimant.

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Frankel & Newfield, P.C.
585 Stewart Avenue
Suite 312
Garden City, NY 11530

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