Articles Posted in Aetna Disability Claim

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 spinal fusion. After attempting unsuccessfully to return to work, she required a second spinal fusion. She was still unable to work due to continuous debilitating pain. Finally, in July 2009, her claim for long term disability was approved based on a finding that she was unable to work in her own occupation.
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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, Aetna’s medical review found Johnston to be disabled, but it denied disability benefits based on a surveillance video.
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The Ninth Circuit ruled that if the internal deadline for a long-term disability claimant to file an administrative appeal falls on a Saturday, Sunday or holiday, the deadline is extended to the next day that is not a Saturday, Sunday or holiday.
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The U.S. District Court for the Central District of California recently ruled that a claimant, diagnosed with relapsing remitting multiple sclerosis and insured under Aetna long-term disability and life insurance policies, qualified for benefits under the long-term disability insurance policy but did not qualify for waiver of premium benefits under the life insurance policy.
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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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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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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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An Illinois disability attorney and his client, Joan W. filed a lawsuit against Aetna Life Insurance Company on October 27, 2011 in the United States District Court for the Northern District of Illinois Eastern Division for the insurer’s unlawful actions in regards to the claimant employee’s disability benefits calculations.

Joan W., a 49-year-old Illinois woman, worked for Accenture as a senior project manager until March 8, 2002. In 2002, Joan W. ceased working due to sustaining a closed head injury when she was involved in a motor vehicle accident. Her closed head injury causes Joan W. to suffer from “chronic seizure disorder, cervical fractures with fusion of C2 through C5 with associated radiculopathy and traumatic brain injury.”
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A Missouri disability lawyer filed a federal lawsuit in the District Court in Missouri against the Aetna Life Insurance Company (Aetna). The Plaintiff, Rosamaria P., worked at Ernst & Young, U.S. LLP (Ernst & Young). This employment allowed Plaintiff to be covered under Ernst & Young’s long-term disability plan, which was administered by Aetna.

In Rosamaria P. Vs. Aetna Life Insurance Company, Plaintiff filed a disability lawsuit to recover wrongfully withheld long-term disability benefits by Aetna.
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