Prudential Decides to Terminate Long-term Disability Claim of Disabled Chevy Chase Bank Manager That It Had Paid for 11 Years, But It Overturns Decision After Attorney Dell & Schaefer’s Appeal

Our client, Connie, worked as a Manager for a Chevy Chase Bank branch in Virginia. In 2006, at the age of 25, she suffered a stroke which caused her to lose vision in her left eye and left her with cognitive and memory issues.

It was determined that her stroke was caused by, Thrombotic Thrombocytopenic Purpura (TTP), a rare blood disorder that causes the blood to clot in small blood vessels throughout the body, limiting (or blocking) the flow of oxygen-rich blood to the body’s organs, such as the brain, kidneys, and heart. After her stroke, she also complained to her doctors that she was having difficulty thinking and “figuring things out”. Her physicians referred her to a neuropsychologist, who performed a neuropsychological examination showing that the stroke had indeed caused cognitive and memory impairments.

Connie soon had to inform her employer that she would not be returning to work and would need to file a long-term disability claim with her employer’s long-term disability insurer, Prudential Insurance Company of America (“Prudential”). After receiving the claim, Prudential and its medical consultant reviewed Connie’s records, and in particular the results of the neuropsychological examination. It did not take long for Prudential to conclude that Connie was totally disabled from her own occupation as a Branch Manager.

For the next 11 years not much changed. Connie continued to suffer with her loss of vision and the cognitive impairment left by the stroke. As part of its claim review to determine if Connie was disabled from Any Gainful Occupation for which she would be qualified based on education, training or experience, Prudential required Connie to attend a neuropsychological examination with its own hand selected neuropsychologist. The neuropsychological examination confirmed that Connie continued to suffer cognitive impairment. The results confirmed that there were cognitive changes affecting her motor, sensory, arithmetic, attention, and vigilance related skills which were sufficiently severe as to undermine her ability to function. Prudential’s neuropsychologist that Connie had reached maximum medical improvement from the effects of her stroke and no additional improvement was anticipated.

Which brings us to 2017, and yet another medical review by Prudential. This time, instead of requiring Connie to attend another neuropsychological examination, Prudential referred the medical file to a neurologist for a paper review to determine whether Connie was capable of effectively engaging in sustained work activities. Prudential’s neurologist, despite never examining Connie, and likely never so much as reviewing the results of her past neuropsychological examination determined that with the exception of no driving , operating heavy machinery and working at heights, Connie was capable of working in a gainful occupation.

After getting over the shock and dismay that the benefits that she had received from Prudential for the past 11 years were suddenly discontinued Connie hired Attorneys Dell & Schaefer to prepare her administrative appeal.

Attorney Gavidia and his team, which included his Appeal Specialist and Legal Assistant, worked to collect the medical records and evidence and prepare the first of two appeals available to Connie under her long-term disability plan with Prudential. Within a month after submitting her long-term disability appeal, Prudential informed Attorney Gavidia that it was overturning its previous decision and would be reinstating Connie long-term disability benefits.

Connie’s claim is currently being managed by Attorney Gavidia and his team in order to ensure that Prudential cannot once again terminate her disability claim and cause a massive and traumatic interruption in her life. Feel free to contact our Disability Attorneys for a free consultation on this or any matter relevant to your disability claim.

Learn more about the Prudential disability appeal.

Questions About Hiring Us

Do you help Prudential claimants nationwide?

We represent Prudential 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 Prudential disability insurance policy?

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

How do you help Prudential claimants?

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

  • 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, 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   *****

Celestine D.

I am a 61 year old Senior Business Analyst. I had been working at a health insurance company for approximately 11 years when I became disabled and have had numerous, bulging disks, nerves that were severely impinged, and active arthritis and degenerative disk disease throughout my spine. I underwent back surgery for L1 thru L5 infusion which included insertion of 2 titanium rods and 6 pins. I continue to undergo physical therapy 3 xs per week. Not to mention the surgery left me worse than before the surgery considered a FAILED BACK SURGERY. I’m unable to sit or stand for more than 2 hours with getting up. I am unable to walk for more than 1 city block. I also have many other medical conditions. After collecting LTD from Lincoln Financial for about 3 years, the harassment began. They decided that I was no longer disabled. In short they felt I was capable of returning back to the work force. (Social Security Disability deemed me permanently disabled)

After fighting with Lincoln and exhausting my appeals I decided to research and hire an attorney. I selected Dell & Schaefer based on their website, case success statistics, and the speed at which they returned my calls and emails.

Let me tell you, my experience in working with Rachel Alters and her assistant Michal Mizrahi is nothing short of outstanding. They responded quickly to phone calls and emails and were mindful of my concerns and information needs. Talking with the both of them made me feel confident and assured they were doing the best for me. I cannot say enough good things about Michal. She anticipated my needs and was proactive in keeping me informed as my case progressed. What a TEAM they make. Any time I reached out with questions or concerns they were very responsive and always left me feeling satisfied that I had the best in my corner. Rachel is an angel. She is so down to earth compassionate, professional and trustworthy attorney. Rachel was there to guide me from the start and helped me get through this stressful and lengthy process.

While attempting to handle it on my own, my long-term-disability claim had been denied two previous times. With the help of Rachel Alters and her team, I was able to obtain a settlement I never would have been able to get without their assistance. Rachel and her team far exceeded my expectations in every capacity. She was focused, clear, responsive, efficient and above all exceedingly knowledgeable.

***** 5 stars based on 202 reviews

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