Metlife’s denial of disability benefits to an event coordinator is upheld

A former Event Coordinator for CITGO covered under a group insurance policy by MetLife was denied long-term disability coverage based on the any occupation definition of long-term disability.

The Event Coordinator filed a claim for long-term disability with MetLife based on hypertension, memory loss, diabetes neuropathy, and post-traumatic stress disorder. MetLife approved his claim under the own occupation definition of total disability for the 12-month period of own occupation disability in the policy. After 12 months, the definition of total disability changed to any occupation, and the nurse reviewing the case determined that the claimant had the ability to work in any occupation other than as an Event Coordinator, and therefore no longer met the applicable definition of total disability under the policy.

On appeal, two independent physicians found there was nothing in the medical records to indicate the former employee could not work in another occupation. The trial court granted summary judgment to MetLife; on appeal, this decision was upheld.

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FAQ

Do you help MetLife claimants nationwide?

We represent MetLife 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 MetLife disability insurance policy?

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

How do you help MetLife claimants?

Our lawyers help individuals that have either purchased a MetLife 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 MetLife:

  • 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.

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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.

Reviews   *****

Ron K. (Georgia)

I was on disability with a major insurance company for five years without any problems, upon a field rep’s visit to my home, I let him know that I was planning to try to go back to work. I did try to go back to work but with my severe sleep apnea and depression and several medications that made me very tired, the work day became impossible, when I let the case manager know that I couldn’t work without getting very tired and having to take a nap after a few hours on the job, he told me that the claim would be reexamined. I waited 9 months without any monthly benefit benefits being paid to me, the company gave me several excuses and I was in a real pickle, I researched disability attorney’s since I was in the insurance business and was told that the very best in the business for representation of my issues was a firm called Dell & Schaefer.

I reached out to the firm and was put in touch with an attorney named Steve Jessup, from that point forward, my problems seemed to fall off my shoulders and into the firms hands, I can’t explain in words what this firm did for me and my family.

Steve Jessup & Gregory Dell began working on my case immediately and I felt confident with every action they took. The insurance company as most wanted to settle my case for pennies on the dollar, but with the skill of the two attorneys, I was able to settle my case for a once in a lifetime lump sum payment from the disability insurance company that will take care of me and my family for life. All I can say is that these guys were like a machine grinding away in the trenches agains the insurance companies attorneys and getting me a great settlement. I would highly recommend this firm for anyone who felt like I did up against bad odds with a large insurance company and no where to turn to.

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