Disability Insurance Blog

Long Term Disability Insurance Company Denies Benefits To Insurance Agency Owner; Frankel & Newfield Negotiates A Settlemen


Friday, January 6th, 2012

Our client was an insurance agency owner with a disability policy from a large national insurance company. He suffers from depression and was diagnosed as Bi-Polar with Sleep Apnea. After being paid long term disability insurance benefits for two years, the insurance company requested an Independent Medical Exam (IME).

Following the IME, the insurance company denied any further benefits, saying that he was no longer impaired from his occupation and able to return to work. Our client would have liked to be fine, and not to have suffered impairments in his functionality, but, unfortunately, his condition had not meaningfully improved.

He provided us with his medical records and all of the paperwork from the insurance company, and we developed strong arguments to counter both the IME findings and the conclusions of the insurer, and we thereafter represented him in negotiations which led to a settlement of his claim for a lump sum. The value of the settlement was greatly enhanced due to our work in collaborating with both the client and his medical providers to develop a powerful rebuttal to the biased conclusions of the insurer’s hired gun.

The insurer knew that our firm was willing to aggressively litigate this claim in the absence of a resolution. This is an example of the value of engaging an aggressive, experienced law firm that practices exclusively on disability insurance matters.

If you have been denied long term disability insurance benefits and need help in negotiating a settlement, we encourage you to call our office today to learn how we can help you.