Mass Mutual attempts to deny disability benefits to OBGYN after ten years on claim

Our Client, an OBGYN from New York, suffered significant spinal injuries following a fall from his horse. Total Disability benefits were paid for approximately 10 years without question. As part of his physical therapy and to prevent further degeneration of his spinal cord, back muscles and leg muscles, his doctor advised him to lift weights. During one of the insurer’s regular disability surveillance observations, our client was videotaped while in the gym lifting weights. This doctor was subsequently contacted by the insurer and advised that there were some questions related to his claim and his disability.

After paying benefits for 10 years, the insurer advised my client that they believed he could return to work in some capacity, however, they never clearly established his pre-disability duties. As such, they wanted documents and information to verify the pre-disability duties, as they were not sure that he practiced as a full time OB/GYN 10 years ago. My client advised the carrier that he sold the practice 10 years ago and that any and all documents that could specifically show the procedures he performed at that time were no longer in his possession, and most likely not in the possession of the doctor to whom he sold the practice. Apparently this response was not sufficient and the insurer continued to harass my client as well as one of his former employees. At that point he hired our law firm.

We immediately advised the carrier that there actions were not only unreasonable, but the claims handling actions illustrated bad faith. Additionally, we met with the claims adjuster and one of the company’s vice presidents to further discuss the carrier’s mishandling of this claim. After agreeing to keep our client on claim, we negotiated a very lucrative, confidential lump sum buyout for him, allowing him to end the scrutiny and unforeseeable acts of his disability insurance carrier.

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FAQ

Do you help Mass Mutual claimants nationwide?

We represent Mass Mutual clients nationwide and we encourage you to contact us for a FREE immediate phone consultation with one of our experienced disability insurance attorneys.

Can you help with a Mass Mutual disability insurance policy?

Our disability insurance lawyers help policy holders seeking short or long term disability insurance benefits from Mass Mutual. 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 Mass Mutual.

How do you help Mass Mutual claimants?

Our lawyers help individuals that have either purchased a Mass Mutual 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 Mass Mutual:

  • ERISA and Non-ERISA Appeals of Disability Benefit Denials
  • ERISA and Non-ERISA Disability Benefit Lawsuits
  • Applying For Short or Long Term Disability Benefits
  • Daily Handling & Management of Your Disability Claim
  • Disability Insurance Lump-Sum Buyout or Settlement Negotiations

Do you work in my state?

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.

What are your fees?

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.

Do I have to come to your office to work with your law firm?

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.

How can I contact you?

When you call us during normal business hours you will immediately speak with a disability attorney. We can be reached at 800-682-8331 or by email. Lawyer and staff must return all client calls same day. Client emails are usually replied to within the same business day and seem to be the preferred and most efficient method of communication for most clients.

Dell & Schaefer Client Reviews   *****

Alicia G.

When I called Dell & Schaefer I was at a loss of what to do after receiving notice from Cigna that they were terminating my disability benefits after 8 years of having them with no issues. When Jay Symonds called me back, he was very empathic & took plenty of time to answer all of my questions. Given that I had never gone through this before he even advised me to look into other law firms if it would make me more comfortable. We had a few conversations before I retained them & he was very thorough in explaining everything that I could expect from them as my attorneys as well as what to expect from the appeal process.

Throughout the entire appeal Vanessa or Mr. Symonds always kept me up to date & always made themselves available to talk & answer any questions I had. I am so glad I went with Dell Schaefer versus another firm because I doubt I would have received the same personal attention, & that meant a lot to me under such a stressful situation. Everyone I’ve encountered at Dell & Schaefer has been professional & courteous & I would highly recommend their firm to anyone needing a disability attorney.

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