Sedgwick Denies Short-Term Disability Benefits To United Health Group Employee

February 27, 2013

United Health Group employee suffering with Fibromyalgia is denied short term disability benefits and loses her battle with Sedgwick Claims in a Virginia court.

In the case of Day v. United Health Group, Inc. Short Term Disability Plan, the plaintiff sought disability benefits against the defendant, a self-funded plan that was administered by Sedgwick, due to complaints of abdominal pain and body pain resulting from fibromyalgia. This case is a prime example of why it is imperative to ensure that a claimant's medical records provide actual "objective" medical evidence of their inability to perform the material and substantial duties of their occupation. It may seem logical that the opinion of one's treating physician should take precedent over a third party reviewer hired by Sedgwick.

However, according to many disability policies, it is not sufficient for a claimant's physician to conclude that they are unable to perform the material and substantial duties of his or her occupation, or even document symptompatolgy that explains such an inability. Without "objective" medical evidence of such a condition, some courts are concluding that the denial of benefits based on the lack of such evidence is reasonable.

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Unum Sues Disability Claimant For Social Security Disability Overpayment and Wins $103,963.30

February 4, 2013

Unum Claimant receives over $103,000 in SSDI payments and Unum files lawsuit seeking repayment of disability benefits. Court Order Claimant to Pay Unum $103,963.30.

A Michigan Federal court recently entered a court Order against a Unum disability claimant and former employee of Allegis Group Inc. The Unum claimant submitted a claim for long term disability benefits in 2011 and Unum paid his claim for approximately 10 years. At some time in 2010 UNUM contacted the claimant and requested him to repay Unum over $100,000 in benefits that he had been paid by Social Security Disability. Unum sent several request for payment to the claimant, but according to court records the claimant either ignored the request or claimed he did not owe the money. The claimant never appealed the repayment and Unum terminated any further payments of his disability benefits. Unum filed a lawsuit for re-payment of the social security disability benefits in 2012.

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CRH Maintenance Mechanic Sues Reliance Standard For Recovery of ERISA Welfare Benefits

April 30, 2012

The Plaintiff, Anthony B., has filed a lawsuit against the Reliance Standard Life Insurance Company (Reliance) for the wrongful termination of ERISA welfare benefits. This was done through his Alabama disability lawyer in the United States District Court of Alabama.

In Anthony B. vs. Reliance Standard Life Insurance Company, the Plaintiff is suing Reliance to recover the ERISA welfare benefits that were wrongfully terminated by Reliance.

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CSC Covansys Corporation Employee Sues Standard Insurance Company For Denial Of Long Term Disability Benefits

April 26, 2012

A lawsuit was filed by the Plaintiff against the Standard Insurance Company (Standard) in the United States District Court for the wrongful denial of long term disability benefits as promised under the terms of a long term disability employee benefit plan that was sponsored by Plaintiff's employer, CSC Covansys Corporation (Covansys).

In Mildred L Vs The Standard Insurance Company, Plaintiff seeks long term disability benefits wrongfully withheld by Standard.

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Sun Life Assurance Company of Canada Sued By Two Plaintiffs For Wrongful Denial of Disability Benefits

April 18, 2012

Sun Life Assurance Company of Canada (Sun Life) was recently served with two lawsuits by two different Plaintiffs for the wrongful denial of disability benefits.

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Paramount Studios/Viacom Employee and 2 Others Sue Unum For Denial of Long Term Disability Benefit Payments

April 16, 2012

Recently, three separate lawsuits were filed in California and Alabama against Unum Life Insurance Company of America for the improper termination or denial of long term disability benefits. For each of these individuals, the lawsuits, which were filed with the help of their respective disability lawyers, was their final hope to a just outcome after being denied benefits by Unum.

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U.S. Postal Service Worker Sues Sun Life For Wrongful Termination of Short Term Disability Benefits and Failure to Pay Long Term Disability Benefits

April 13, 2012

In Jacqueline J. Vs Sun Life Insurance Company, the Plaintiff seeks reinstatement of short term disability benefit payments and payment of long term disability benefit payments that she is entitled to. This lawsuit, filed with the help of her Texas Disability Attorney, was filed in the United States District Court for the Southern District of Texas Houston Division.

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Bastion Engineer Specialist Sues Unum Life for Wrongful Denial of Disability Benefits

April 10, 2012

In Wesley M Vs. Unum Life Insurance Company of America and Bastion Technologies, Inc., the Plaintiff seeks the disability benefits that were wrongfully denied to him by the Defendants. The lawsuit was filed with the assistance of the plaintiff's Alabama Disability Attorney.

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After Long Term Disability Benefits Are Terminated, Old Mutual Capital, Inc. Director Sues Unum

April 6, 2012

In Shellie H Vs. Unum Life Insurance Company of America, the Plaintiff, with the assistance of her Colorado Disability Attorney, files this lawsuit after the abrupt termination of long term disability benefits. The Plaintiff seeks reinstatement of long term disability benefit payments as defined by the terms of the Plan.

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Unum Sued by Ford Car Salesperson for Abrupt Termination of Long Term Disability Benefit Payments

April 3, 2012

The Plaintiff, suffering from cervical disc herniation and other ailments, has filed this lawsuit against Unum Life Insurance Company of America (Unum) for its abrupt termination of the Plaintiff's long term disability benefits. Plaintiff was entitled to these benefits based on his employment as an automobile salesperson with John Bleakley Ford, Inc. This lawsuit was filed in the United States District Court Northern District of Georgia Atlanta Division.

In Elmo D Vs Unum Life Insurance Company of America, Plaintiff wants the reinstatement of his long term disability benefits payments as promised under the LTD plan he belongs to.

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CIGNA Faces a Lawsuit in Pennsylvania for Termination of Disability Benefits

March 30, 2012

In a December 2, 2011 lawsuit filed in the United States District Court for the Middle District of Pennsylvania, Sharon H. and her Pennsylvania disability attorney allege that CIGNA Group Insurance unjustly terminated Sharon H.'s disability benefits.

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Weston Engineering Employee Sues AETNA Life Insurance Company for Denied Disability Benefits

March 26, 2012

Richard R. and his Illinois disability attorney filed a lawsuit in Federal Court in Illinois on December 9, 2010 against his employer and AETNA Life Insurance Company for long term disability benefits. A Weston Engineering Inc. employee since July 6, 2009, Richard R., a headache sufferer since he was a teenager, complained to his family doctor of intensification of his headache problems. Consequently, Richard R.'s doctor increased Richard R.'s pain medication to try to remedy the situation.

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56-Year-Old Disabled Employee of Dollar Financial Group Sues AETNA for Denial of Disability Benefits

March 22, 2012

Carmen R. and her Florida disability lawyer take AETNA to task in a suit filed on December 19, 2011 in the United States District Court for the Southern District of Florida Fort Lauderdale Division. Claiming AETNA violated ERISA and other employment laws, Carmen and her lawyer accuse the insurer of wrongfully denying Carmen her entitled long term disability benefits after she became unable to perform her job duties as a result of degenerative and traumatic injuries.

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Another Bank of America Employee Sues AETNA for Denial of Disability Benefits

March 19, 2012

In this AETNA claim denial, yet another Bank of America Employee was forced to file a lawsuit against the insurance giant for failing to pay disability benefits.

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Bank of America Mortgage Loan Coordinator Sues Aetna For The Failure To Pay Short-Term And Long-Term Disability Benefits

March 13, 2012

A Michigan disability attorney recently filed a federal lawsuit in the district court for the Eastern District of Michigan Southern Division against Aetna Life Insurance Company (Aetna). The Plaintiff, Bethany S., worked as a mortgage loan coordinator for Bank of America, thereby making her eligible for an employee welfare benefit plan that was insured and administered by Aetna.

In Bethany S. Vs Aetna Life Insurance Company, the Plaintiff is seeking the short-term and long-term disability benefits at the coverage levels promised under the terms of the Plan.

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