Question

Am I at risk of losing my Metlife benefits if I have a secondary mental illness (the primary disabling condition is physical)?

Asked on April 28th 2011 by Marcy
Please help. I have recieved LT disability through MetLife for 2 1/2 years due to severe osteoarthritis, knee surgeries and knee replacement. Just recently I was approved for SSDI. My SSDI has me disabled due to “mental” issues (I have chronic depression and anxiety – everything went wrong with me mentally and physically after I got West Nile Virus 3 1/2 years ago). Anyway, can Metlife now change my disability status to a mental diagnosis and decline benefits according to their “mental” clause of 24 month maximum beneifit period? If so, can they go back and demand to be repaid for anything paid over the 24 months? I still have the orthopedic issues and other medical issues due to West Nile. I am involved in Metlife’s rehabilitation program and they were going to begin paying for additional education starting in August. There is a plan in place with MetLife for me to eventually return to work in about 2 1/2 years. Is everything on the line now due to the SSDI’s ruling? Am I at risk for losing my Metlife benefits?

Answer

Answered on May 4th 2011 by Attorney Gregory Dell

Marcy, if the primary disabling condition is physical and your mental illness is secondary then the 2 year limitation should not be a concern. If you continue to be disabled by orthopedic issues then the findings of social security will not have any retroactive implications. If you are accepted to the Rehab program I have never heard of a situation where MetLife revoked approval.