Lincoln Financial

After two successful approvals of my STD claim, Lincoln Financial suddenly denied my STD claiming I had no certified medical condition.

Reviewed by A. Julian Long on January 27th 2015   Verified Policyholder
Hi: I am a Veteran of the USMC and a Retired police officer living with PTSD: Major Depressive Disorder, Severe Panic attack, and Agoraphobia. I am currently AVP Operational Risk and Compliance Consultant with a major Bank, and have been out on medical leave because my company refused, then purposely delayed, then retaliated against me for requesting reasonable accommodation – which was supported and suggested by my VA Medical staff – that case is now with the EEOC. Lincoln Financial has approved my Short Term disability based on the exact descriptive letter template two time, submitted by my VA Psychiatrist until now, as we are approaching the transition point from short term to long term disability now the third was not acceptable. The letter they sent indicated that the reason for denial was that I did not have a certified medical condition. Needless to say my VA Psychiatrist is not happy at all because he is seeing more and more Combat veterans and First Responders being denied, when their claim is as legitimate as the come. I have already submitted my intent to appeal letter and via telephone a claims manager say that the newly submitted information and the intent to appeal letter is now under review; but I am very skeptical about that so I am also sending the same information via snail mail as well as their suggestion of email. This company is so unreasonable and the claims manager that denied my case while my Dr. and their Dr. were playing phone tag citing that it did not appear that my Dr. had any further information or opinion to give. To the contrary his opinion is that I am unemployable at this time and will remain so until he his satisfied that I am healed from the traumatic mental and physical injuries from my past service to my country and community. If this type of conduct takes root, the average of 22 veterans and first responders committing suicide daily, will certainly rise, as fears of no hope and misunderstanding rise. Please help!
Reply
Sent on January 27th 2015 by Attorney Stephen Jessup

Julian, I would agree that there does seems to be an increase in denials to first responders, or as is probably the case with your policy a 24 month limitation for the conditions that are preventing you from working. Please feel free to contact our office to discuss your claim.