erisa disability appeals Archives

The promises sound great – no more glasses, no more contact lenses – unlimited vision. And for most people, Lasik surgery is a life changer. But not everyone has a success story. Many men and women who undergo Lasik surgery are left with double and triple vision, an inability to drive at night, painful dry […]

Our disability insurance law firm has come up against Sedgwick, a third party administrator of disability insurance claims, and Dr. Martin Mendelssohn, an orthopedist who is a hired gun for many insurance companies, performing paper only reviews supporting claim denials and terminations, so it is always rewarding to read about a federal judge who agrees […]

In an ERISA disability case that began with an appeal filed in 2014, a plaintiff sought a judicial review of the determination by Life Insurance Company of America (LINA, a member of the CIGNA family of disability insurance companies) that his occupation did not fall under the classification of Sales Personnel and therefore he was […]

If you’re not already mad as hell about how decisions are made by disability and health insurance companies already, reading the deposition of Dr. Jay Iinuma, a medical director for Aetna Insurance, will certainly send you in that direction. We are linking to this deposition here, because we believe that every person who has an […]

Ask anyone with fibromyalgia if the disease is real. Because disability insurers often deny claims for fibromyalgia or chronic fatigue syndrome, claiming that are not illnesses, but “conditions”, and questionable ones at that. Today, medical science has proven that fibromyalgia is real. Research has proven that fibromyalgia is related to brain activity that worsens the […]

On February 26, the U.S. District Court for the Western District of Oklahoma issued a decision under the Employee Retirement Income Security Act, known as ERISA, in which the judge meaningfully interpreted the law casting favorable light on the claimant’s legal rights. The plaintiff had sought review of the insurer’s denial of her long-term disability […]

If a disability insurance policyholder is denied a claim for benefits, he or she has the right to appeal the denial per the Employee Retirement Income Security Act of 1974 (ERISA). While the appeals process can be complex, often necessitating the assistance of an attorney, it is possible to prevail on an appeal of a […]

No one is guaranteed that they will stay in good health during the course of their career. However, whether it is cancer, a spinal cord injury or even something like arthritis, a person could find themselves in a situation that they never expected — that they are too injured or ill to go to work […]

No one in America is guaranteed good health. While everyone will get their fair share of minor colds and injuries, leading them to miss a couple days of work, some are not so lucky and will suffer from a serious illness or injury that causes them to miss work for an extended period of time. […]

Sometimes a worker suffers an injury or illness so severe that it disables him or her. Not being able to work can be a financial blow, but if a person has a long-term disability insurance plan, they may be provided with the benefits needed to help support them and their family during a difficult time. […]