Employees of Boeing and Bank of America sue Aetna for denying disability benefits under ERISA regulations
Aetna Life Insurance Company (Aetna) was recently sued three times in the Federal District Court of South Carolina by three separate Plaintiffs for short-term and/or long-term disability benefits violations under the Employee Retirement Income Security Act (ERISA). In each of the three cases filed by South Carolina disability attorneys, Aetna is accused of illegally denying the Plaintiffs’ claims for short-term disability (STD) and/or long-term disability (LTD) benefits as promised under their respective plans.
The First Case
Tiffany H. was employed by The Boeing Company, which made her eligible for short-term disability coverage via a plan that was fully insured by Aetna.
Plaintiff ceased working on due to certain problems that she suffered from. She filed a claim for short-term disability benefits. Aetna denied the Plaintiff’s claim, as well as denied her appeal of their initial denial.
Plaintiff has exhausted all administrative remedies, which has led to the filing of this lawsuit. Plaintiff claims that Aetna denied Plaintiff’s disability claim due to a conflict of interest that led to Aetna ignoring relevant evidence and relying upon biased information and flawed expert opinions.
The Second Case
Craig D. was employed with Bank of America Corporation (Bank of America), which made him eligible for the short-term disability Plan that was fully funded by Bank of America. Plaintiff was also eligible for the long-term disability Plan that was fully insured by Aetna Life Insurance Company (Aetna). Aetna was the corporation that decided whether claims for both the STD and LTD would be paid or not.
Plaintiff ceased working due to the disability caused by specific problems from which he suffered. Aetna denied his short-term disability benefits claim, which also led to their denial of his long-term disability benefits claim.
This prevents the Plaintiff from seeking administrative remedies on his LTD claim, which led to the filing of this lawsuit. Plaintiff claims that Aetna denied Plaintiff’s disability claim because of a conflict of interest, which led to Aetna ignoring relevant evidence and coming to its decision based upon biased information and flawed expert opinions. Aetna’s claim evaluators and reviewing physicians were also motivated to deny Plaintiff’s claim due to Aetna’s financial interests.
The Third Case
Daniel M. was an employee of Bank of America Corporation until January 2011. This made him eligible for the short-term disability coverage that was fully funded by Bank of America Corporation. Plaintiff was also provided with long-term disability insurance coverage because of a plan that was fully insured by Aetna Life Insurance Company (Aetna). Aetna is the sole entity that decides which STD and LTD claims get paid or denied.
Plaintiff ceased working due to certain problems he suffered from. Because of this, he filed for short-term disability benefits. Aetna denied this claim, as well as the appeal of the initial denial.
Plaintiff has exhausted all administrative remedies, due to the fact that Aetna automatically denies Plaintiff’s long-term disability claim because Aetna denied Plaintiff’s short-term disability claim. This has led to the filing of this lawsuit. The lawsuit claims that Aetna denied Plaintiff’s claim due to a conflict of interest, specifically ignoring relevant evidence submitted by the Plaintiff and relying upon biased information and experts. Aetna’s reviewing physicians and claim evaluators were also motivated to deny the Plaintiff’s claim due to Aetna’s financial interests.
Relief Sought in the Lawsuits
In the three previously mentioned cases, the Plaintiffs want the following relief from Aetna in their lawsuits:
- A judgment that the Plaintiffs are to be immediately reinstated to their respective STD and/or LTD Plans, with all short-term and/or long-term benefits that should have been paid, along with accrued interest.
- A judgment that the Plaintiffs are entitled to all future long-term benefits as listed in the respective LTD plans as long as they are deemed totally disabled according to the terms of their respective LTD Plans.
- Full reimbursement of all attorney costs and fees.
- Any and all other relief that the court deems proper and just.