Denials of AETNA disability benefits are certainly not unusual, as many thousands of policyholders can confirm. However, if the denied disability claim eventually makes its way past an ERISA denial, an ERISA appeal, and into a court of law, the game can sometimes change in favor of the claimant. Disability…
An Aetna disability policy holder suffering from a brain injury gets her denial overturned on appeal. Aetna claimed our client did not have post-concussive syndrome that’s affected their ability to work. After an appeal filed by Attorneys Dell & Schafer showed a few things that Aetna got wrong, her denial…
Long term disability insurance attorneys Gregory Dell and Cesar Gavidia discuss things that a person should expect if they have been denied disability benefits by Aetna insurance company. We discuss the ERISA appeal process and how Aetna will review the disability appeal that must be filed following a claim denial.
In a recent case out of Massachusetts, a Court sided with a disabled claimant and found that Aetna’s decision to deny the claim for benefits was wrong. Aetna justified its denial as it believed the disabling medical condition to be a “pre-existing” condition and the policy governing this claim, like…
In this case, a policyholder was diagnosed with an aggressive form of skin cancer and had to undergo treatments. Due to the date of his policy renewal and the date of his treatments, the policyholder did not expect there to be any issue regarding his eventual claim when he had…
In this video, Attorneys Gregory Dell and Cesar Gavidia discuss a current case Mr. Gavidia is litigating in Federal court concerning Aetna’s initial granting, then denying, long term disability benefits to a software engineer who suffered a stroke in 2011. He later returned to work, but after about three years,…
In Sarah G. Gorena v. Aenta Life Insurance Company, Plaintiff was employed for 10 years as a staff analyst for Boeing when she sought disability benefits solely due to her diagnosis of multiple sclerosis (MS), although she had a number of other health issues. After being awarded several periods of…
In Mark v. Aetna Life Insurance Company and FedEx Office and Print Services, Inc., Plaintiff Julia Mark, an employee of FedEx Office, injured her neck, back, ankle, and left knee when she fell on a sidewalk. Her left knee continued to cause her pain. She filed a claim for short…
In Marie West v. Aetna Life Insurance Company, Plaintiff West, a contract administrator at Ciber Inc., fell down some stairs on October 22, 2007. She fractured her spine and suffered a traumatic brain injury (TBI). Although she continued working for a time, by June 2008, she had to undergo a…
Roy Neil Johnston, M.D. v. Aetna Life Insurance Company involves the scope of permissible discovery in an ERISA lawsuit brought when an insurer terminates a claimant’s short-term disability benefits and denies him long-term disability benefits. Aetna initially found Johnston disabled based on the opinion of its own independent neurologist. Apparently,…