Articles Posted in Aetna Disability Claim

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 short-term disability, in July 2015, she made a claim for long-term disability benefits (LTD). Her claim was denied, as was her administrative appeal. After exhausting her administrative remedies, she filed this ERISA lawsuit.
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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 term disability benefits (STD) with Aetna, the disability Plan Administrator to whom FedEx had delegated authority to interpret the plan.
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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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