Question

How do I know what Cigna considers an earnings qualifier for an “any occupation” occupation?

Asked on January 9th 2015 by Linda
Cigna notified me they are starting the needed review for the you know the dreaded 2 year “any” occupation. I got a fully favorable SSDI decision a few months later and then Cigna sent a denial letter for 4 months in the future and that is the 2 year mark. It said they had a doctor review my claim and a vocational expert then used the restrictions he listed and found occupations I could qualify for. Next they say those occupations also satisfy the earnings requirement for my indexed covered earnings under the contract. For 25 years I worked at the same job in a half time position, they used full time hours to calculate those earnings. Can they use full time hours for my covered indexed earnings when I worked half time hours? They already have me working full time with the circus act they have me performing for them.

Answer

Answered on January 10th 2015 by Attorney Alex Palamara

Linda, What Cigna has done to you is becoming all too common. The policy will strictly define what Cigna can consider for determining an earnings qualifier for an “any occupation” occupation. Please feel free to contact our office to discuss your claim further.