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November 2011 Archives

Court Finds Aetna Abused its Discretion in Terminating Long Term Disability Claim

The reliance upon conclusory opinions of non-examining medical reviewers did not support Aetna's claim determination, according to a Federal Judge in Michigan. The Court took issue with Aetna's embrace of these hollow opinions, which were strongly contradicted by the claimant's treating doctors, each of whom clearly opined that the claimant was unfit to work, on the basis of clinical evidence and direct observation.

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