Disability Insurance Lawsuit Stories

Michigan Court reverses Reliance’s termination decision and finds Plaintiff proved by a preponderance of the evidence that he is totally disabled from working at any occupation due to cognitive disorders.

California Federal Court Finds Metlife Wrongfully Denied Disability Claim By Failing to Order an Examination of the Insured.

The Sixth Circuit Court of Appeals remanded to the district court for fact finding on the effect of employer’s transfer of coverage on employee’s disability claim when she was on medical leave at the time of the transfer.

Oklahoma Court found toxicology report showing decedent under the influence of methamphetamine was enough to deny death benefits under the intoxication exclusion clause.

A district court judge granted judgment in favor of claimant based on MetLife's failure to properly consider claimant’s subjective pain complaints and treating physician’s opinions in evaluating her usual occupation.

Wisconsin Court upholds Sedgwick Claims Management Service’s denial of STD benefits to man diagnosed with CFS when no evidence of how CFS interfered with his job performance.

Colorado Court upholds Hartford's termination of LTD benefits based on new information, including video surveillance and peer reviews.

Louisiana Court upholds Reliance’s denial of disability benefits to riverboat pilot who had pre-existing conditions.

Video surveillance & Reliance Standard's denial of LTD benefits for back pain after paying for 36 months.

Aetna denied a disability insurance policy holder benefits claiming he suffered from a pre-existing condition. The district court overturned the benefit denial and the 1st Circuit has affirmed.

Appellate Court upholds Zurich's denial of death benefits to wife of a man who crashed and died at the scene when it determined the cause of the crash was driver's pre-existing cardiac condition.

Appellate Court held that Omaha's denial of benefits was based on substantial evidence so, it was not arbitrary and capricious.

California Court holds Plaintiff filed his lawsuit prematurely since his claim was still pending and Trustmark had not denied his claim but asked for more information.

Federal Court rules Plaintiff failed to sustain her burden to prove she was entitled to LTD benefits and upholds Unum disability claim denial.

Attorney fails to present evidence to support the conclusory argument that Plaintiff is disabled from performing duties of any occupation for which she is fit.

The case of Marco Martinez v. Sun Life Assurance Company of Canada (Sun Life) provides guidance in determining whether Sun Life, can deduct Veterans' Benefits...

After paying long term disability (LTD) benefits to Plaintiff for 10 years, AIG terminated benefits without providing Plaintiff with the basis of the termination. Under this circumstance, Court held that de novo standard of review would apply.

The Arizona Court held that U.S. Life had a reasonable basis for denying ABA Policy Holder's total disability claim so did not breach its contract nor act in bad faith.

Louisiana Court held that Plaintiff did not have a pre-existing condition and ordered MetLife to pay him back and future long-term disability benefits.

A Court upheld Hartford's denial of long term disability benefits when Plaintiff failed to submit medical records showing he was disabled prior to his termination and through the elimination period.