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Former Aetna employee sues Aetna for denial of short-term disability benefits

It is not out of the ordinary to come across a case in which a former employee of an insurance company is denied disability insurance benefits by the same company that they were employed by. Aetna Insurance recently determined that one of their own employees was not disabled and therefore denied her claim for short term disability benefits.

Meadows v. Aetna

Abbie Meadows, a former employee of Aetna Life Insurance Company, is taking her former employer to court for denying her short-term disability benefit claim. Ms. Meadows with the help of her disability lawyer filed a civil complaint in United States District Court in the Western District of Missouri and is seeking:

Since February 1, 2010, Ms. Meadows has been unable to work with reasonable continuity and unable to perform the material duties of her occupation due to disabling conditions not specified in her civil complaint. However, because of the pain, physical limitations, side effects from her medication, and other symptoms pointing to her disabling condition, these would have allegedly precluded her from working as a pharmacy technician for Aetna.

Ms. Meadows applied for short-term disability benefit payments shortly after becoming completely and totally disabled. Aetna subsequently denied her claim. This action prompted Ms. Meadows to exercise and, consequently, exhaust all of her administrative remedies with Aetna. With that being the case, Ms. Meadows was left with no other choice but to file an ERISA lawsuit in order to possibly recover short-term disability benefit payments from Aetna.

Ms. Meadows alleges that Aetna:

To calculate the monetary loss that came as result of Aetna denying her claim, Ms. Meadows asserts she was due short-term disability benefit payments of $438.30 each week for 26 weeks. This came to a total of $11,396. This figure does not include attorney fees or court costs.

It will be up to Ms. Meadows and her disability lawyer to prove Aetna acted in an arbitrary and capricious manner when they denied her short-term disability claim. By way of discovery, Ms. Meadows’ disability lawyer will have to collect all information that is pertinent to his client’s short-term disability benefit claim to build a case against Aetna in order to prove to the court that Aetna acted unreasonably and did not provide a substantive reason for denying Ms. Meadows’ claim for short-term disability benefit payments.

Ms. Meadows will have to furnish the court with reports from her treating physician that state she is unable to work with reasonable continuity as a result of her disabling conditions. Likewise, she will have to demonstrate how Aetna allegedly ignored her treating physician’s report when Aetna denied her short-term disability benefit claim and refused to pay her any benefits.

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Can you help with a Aetna disability insurance policy?

Our disability insurance lawyers help policy holders seeking short or long term disability insurance benefits from Aetna. We have helped thousands of disability insurance claimants nationwide with monthly disability benefits. With more than 40 years of disability insurance experience we have helped individuals in almost every occupation and we are familiar with the disability income policies offered by Aetna.

How do you help Aetna claimants?

Our lawyers help individuals that have either purchased a Aetna long term disability insurance policy from an insurance company or obtained short or long term disability insurance coverage as a benefit from their employer.

Our experienced lawyers can assist with Aetna:

  • ERISA and Non-ERISA Appeals of Disability Benefit Denials
  • ERISA and Non-ERISA Disability Benefit Lawsuits
  • Applying For Short or Long Term Disability Benefits
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Yes. We are a national disability insurance law firm that is available to represent you regardless of where you live in the United States. We have partner lawyers in every state and we have filed lawsuits in most federal courts nationwide. Our disability lawyers represent disability claimants at all stages of a claim for disability insurance benefits. There is nothing that our lawyers have not seen in the disability insurance world.

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Since we represent disability insurance claimants at different stages of a disability insurance claim we offer a variety of different fee options. We understand that claimants living on disability insurance benefits have a limited source of income; therefore we always try to work with the claimant to make our attorney fees as affordable as possible.

The three available fee options are a contingency fee agreement (no attorney fee or cost unless we make a recovery), hourly fee or fixed flat rate.

In every case we provide each client with a written fee agreement detailing the terms and conditions. We always offer a free initial phone consultation and we appreciate the opportunity to work with you in obtaining payment of your disability insurance benefits.

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No. For purposes of efficiency and to reduce expenses for our clients we have found that 99% of our clients prefer to communicate via telephone, e-mail, fax, GoToMeeting.com sessions, or Skype. If you prefer an initial in-person meeting please let us know. A disability company will never require you to come to their office and similarly we are set up so that we handle your entire claim without the need for you to come to our office.

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Karen F. (New York)

I applied for and was denied my LTD insurance a little over two years ago. I was distraught, I had no idea they could just refuse you. My Social Security disability lawyer gave me Dell & Schaefer’s name and phone number. I called the next day, and they immediately called me back and set up an appointment the next day, for me to speak to Alex Palamara on the phone. They are located in Florida.

He was extremely empathetic and friendly. He took all of my information and he and Danielle Lauria, who works with the lawyers, prepared a statement to the insurance carrier. They also send me copies of everything that they send out. They sent a very professional and informative letter explaining why I should not be denied the insurance. The insurance company immediately decided to pay me the insurance that I signed up for.

I have always received quick information and phone calls, whenever I request assistance. They did have to do another appeal for me, recently. It was very involved, but written up extremely well. I was offered a settlement, and they were even able to get the in Insurance company to increase it for me. I would recommend Mr. Palamara and this law firm to anyone who has a problem with their LTD insurance. I don’t have a single complaint about the way I was treated. I’m extremely thankful for their help over the last few years.

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