Question

If MetLife denied my statement due to Crohn's Disease and then I get hurt for a completely different reason, can I still be covered?

Asked on May 13th 2020 by Shawn H.
I work for a company that provides short and long term disability through MetLife. I pay about $75 a month for both. I filled out the statement of health for MetLife and was denied coverage because I have Crohn’s Disease. I have been in remission for decades. I am challenging the decision and will provide medical information to MetLife. My question is what if I was injure my knee this weekend and need to use the short term coverage? A knee injury has nothing to do with why MetLife denied any coverage.

Answer

Answered on March 14th 2020 by Attorney Stephen Jessup

Shawn, if you do not have coverage then you would have no policy with which to make a claim. I suggest you speak to your HR department to see if you can get more information about why the coverage was denied. Typically there are no issues with getting coverage (or a need for evidence of insurability) under most employer provided plans.