Former Employee of Proctor & Gamble Loses Federal ERISA Lawsuit

A Federal Judge has upheld Proctor & Gamble’s decision to deny a former employee’s claim for long term disability benefits. Formerly employed as a production tech at Proctor & Gamble’s Paper Product facility in Russellville, Arkansas, the claimant was forced to leave his occupation on April 6, 2008 due to degenerative disc disease, spinal stenosis and lumbar radiculopathy. Shortly after leaving work, the claimant filed an application for Short Term Disability (STD) benefits by Proctor & Gamble. His STD claim was approved and paid for the full 52 week period. Long Term Disability (LTD) benefits were then approved in April of 2009.

Effective August 1, 2009, Proctor & Gamble found the claimant to no longer be fully disabled, but determined that he was only “partially disabled.” This was a significant decision made by Proctor and Gamble as partial disability benefits on this policy will only be paid for a 52-week lifetime maximum. Although the claimant appealed the decision twice, Proctor and Gamble denied his appeals and found him still only to be partially disabled. Unfortunately for the claimant, since he was only approved as “partially disabled,” his claim was only to be paid through July 30, 2010. Because all of the required administrative appeals were denied, the former production tech was forced to file a Federal ERISA Lawsuit in Arkansas Federal Court.

Federal ERISA Lawsuit Filed

After the final denial issued by Proctor & Gamble, the claimant brought an ERISA lawsuit in the United States District Court for the Eastern District of Arkansas. Unfortunately for the former production tech, the Judge ruled in favor of The Proctor & Gamble Long Term Disability Allowance Policy and upheld its decision to deny the claimant’s claim for benefits.

The Court found that the Trustees of the Policy (those who make the determination of disability for the Policy) did not abuse their discretion in finding that the claimant was only partially disabled. The Judge pointed to the substantial evidence relied upon by the Trustees which indicated that the claimant could perform sedentary work. This evidence included that of his own treating physicians, one of whom stated that he was “doing great from surgery and is without complaints.” Another treating physician also concluded in his own reports that there was no substantial objective medical evidence to suggest an inability to work in a sedentary capacity. With this evidence in its favor, the Judge concluded that the Trustees of The Proctor & Gamble Long Term Disability Allowance Policy did not abuse their decision in denying LTD benefits to the claimant. The Court agreed that the former production tech was not totally disabled within the meanings of the Plan. Finally, the Court also awarded a judgment in favor of Proctor & Gamble as the claimant failed to pay Proctor & Gamble the overpayment owed due to his award of Social Security Disability Benefits.

Although this case was not handled by Dell and Schaefer, if you have been denied benefits under The Proctor & Gamble Long Term Disability Allowance Policy or under any long term disability plan, please do not hesitate to contact us for a free consultation.

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Bruce R. (Arizona)

Steve Dell has done an exceptional job with my disability application process. The firm is extremely well managed. They have acquired an incredible amount of experience over many years. I recommend them for disability insurance claims without reservation. 

Don (Florida)

I called this firm a few months ago completely disparaged due to a company cutting off disability benefits at a time that nearly caused me to lose everything.

Attorney Alex Palmera and Danielle worked hard to reach an amicable settlement and my case was settled a few months later. This is a good firm and the specific expertise in disability claims saved me countless hours of hassle at a time when an already fragile state existed.

Thank you Mr. Palamara and Danielle.

Sandra B. (Arkansas)

I have nothing but good things to say about how my buyout was handled with my disability claim. The level of professionalism was amazing. All of my questions and concerns were answered either by Danielle L. or Alex P. in such a timely manner and with such care I would recommend them in a heartbeat to anyone needing to approach their provider with buyout options.

They did a fantastic job communicating between the provider and me, always keeping my best interest at heart and always answering my many many questions. They really did take most of the stress out of this whole situation. I would give them a 10 out of 10 for every step of this crazy journey. Thank you so much for helping me through this.

Brenda R. (New York)

I needed assistance with an appeal for a LTD claim that was initially denied. Stephen understood what needed to happen to win the appeal and he did win the appeal for me.

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