• Sedgwick Disability Benefit Claims

Sedgwick continues to deny disability benefits to AT&T employee

An AT&T employee recently shared her experience about dealing with Sedgwick for a short term disability claim. This story is a routine situation for people that are forced to deal with Sedgwick for the handling of their disability insurance claim.

I too work for AT&T. I began my short term disability in Aug 2011. The first 4 months I received my STD pay without issue. Then in Dec. 2011, my claim was put into denied status when my claim representative did not receive my discogram operative report in a time frame she had established. My doctor even called to explain it would take 2 weeks to get the report completed and sent to them. Sedgwick received the discogram report and my doctor has made it clear in his notes that I am also under the care of a neuro surgeon and I need fusion surgery in my lower back. Note from my December doctor’s office visit was provided and I was again denied, reason: they claimed they could not read the handwriting on the office visit note. My claim rep never called the Dr. for clarification, she continued to deny my claim. Then the rep went out on maternity leave.

January 2012: January office visit note was sent which was very detailed and my denial was continued, no response from Sedgwick after repeated calls and the run around. After 3 weeks I was put in touch with my new rep and she stated the denial reason was due to information provided was subjective. I also had a procedure done a week after that office visit and a note was faxed. Denied again: non supportive medical. She informed me that I was still in denied status and she needed a note from the doctor as to why I could not perform my job functions.

My doctor then filled out a work restriction form which included my dx and my physical limitations. Again denied, reason: note did not say why I could not perform my job. Now they want a letter from the doctor stating why I have been unable to perform my job duties since Dec. until current. My doctor is at his wits end. Every note has my medications listed and current findings regarding my condition. My condition has not improved and I am still under his care as I was when I began STD in August. I am also under the care of a neurosurgeon now as well.

I don’t understand how for the first 4 months, the doctor’s notes were sufficient for me to be approved for STD and boom out of no where the notes are no longer sufficient and every time they receive one, there is a different reason the note is not acceptable. My claim rep did admit when I questioned her that she does not have any medical training or certifications. I requested a peer to peer review of my file and she advised that I am unable to request one, it is done at the discretion of Sedgwick. I have spoke to a supervisor who was extremely rude and unprofessional and actually hung up on me.

I have to return to work within the next 2 weeks or I will be unemployed. I will be returning to work in agony as I was unable to schedule my surgery since I have no income thanks to Sedgwick. I no longer qualify for LTD or leave of absence since they have put my STD in denied status. I explained to them that since I have not been paid in 3 months I can no longer afford my medications, doctor visits, mortgage or support my family of 5. They are bankrupting me and making my health condition even worse. HELP!!!

Do I have any recourse to get this overturned and to receive my pay they have withheld from me? Strangely enough, my LTD rep is on my side and cant believe the STD side is denying me. Please, please, please help me… I am at my wits end and I have no where to turn…


Comments (67)

  • My issue is similar with the others, I suffer from PTSD and recently through depression it resurfaced. I was on certain medications for depression and they did not work. So, I took STD through Sedgwick while getting my medication right. I was getting paid. Then, it stopped. I called and asked why? They said that I did not return a form to them from the last visit. It was cancelled and I submitted a letter from my dr office stating it was cancelled by the doctor’s office not by me. They cancelled my payments. I went 45 days without pay. I went back to work but they denied my STD. An operator at Sedgwick told me that they called me on that day. I pulled up my call logs for the previous days and the days after it. I never received a single call from anyone. So, they lied. I appealed on that alone. My question is Is there anything I can do to stop them from screwing up on other people cases.

    Thomas Sep 8, 2021  #67

  • Eric, I assume they have notified you that you have no further appeal options. If so, you may want to contact an attorney to explore what legal options you may have.

    Jay Symonds Aug 3, 2021  #66

  • I work for comcast and I was denied STD and lost my appeal. I just received the formal denial in the mail and the information is Not accurate!
    They are bullies and so completely incompetent. You always speak to someone different that has no idea the details of your situation.
    They remind me of the insurance company in the movie “The rain maker” always deny the claim!

    Eric Aug 3, 2021  #65

  • Employee,

    If you have already appealed the decision Sedgwick will have the 45 days (plus potential 45 day extension) to render a decision. That being said if new medical information arises during the appeal process it would be in your best interest to get them to Sedgwick as part of the appeal review. Another avenue you can take is to reach out to your HR. Sedgwick is not an insurance company and only acts in a third party administrator capacity for your employer’s plan – the ultimate payment of benefits is issued by your employer so sometimes a call to HR can help.

    Stephen Jessup Dec 23, 2015  #64

  • I’m s Tyco/Simplexgrinnell employee and I have been dealing with sedgewick and I have had nothing but

    First it was the the forms were filled out incorrectly however the Doctor stated that I was unable to work at all.

    They also tried saying that I didn’t see a Doctor fast enough, however my PCP was on vacation and I saw him right when he returned.

    I have been out of work for 14 weeks without pay and I have three conditions keeping me from working. Liver/Pancrease/Bile Duct problems, Chronic Pain from breaking my back, shoulders, foot and hand.

    I did not start going to the specialists for each condition until they had an open appointment. I now have worsening conditions and my Pancrease/Liver/Bile Ducts had an ultra sound that came back with bad results and I’m going in for an emergency CT.

    Sedgewick denied my claim saying the documents did not have enough support. How is that possible when it takes time for the soecialists to fit you in and do there diagnostics.

    I have appealed the denied claim and I have been waiting for that to process.

    I wish I could work however I cannot because I’m too sick and the Doctors will not sign off on allowing me to do so.

    The Sedgewick employees don’t seem like they know what they are doing and I have had to spend so much time faxing and calling. They make it seem like its my fault for being sick and unfortunately my conditions are worsening. My Boss told me in writing to go on STD and take care of my health.
    Any recommendations, or what approach should I take on the appeal, since they do not return calls when I call daily for status checks? Thank You

    Tyco/Simplexgrinnell Employee Dec 21, 2015  #63

  • Jen,

    If they formally deny your claim, or have formally denied it, your only option would be to file an administrative appeal of the denial. Please feel free to contact our office should you have any questions.

    Stephen Jessup Dec 16, 2015  #62

  • Wow, based on all these comments, when is there going to be a class action suit against Sedgwick? Anyhow, I am hoping you can give me some insight on my current issue. I am an employee of Blue Shield of CA and had surgery on December 7th, was in the hospital for 2 days. Surgeon completed my leave report and stated I do not return to work until January 18th, 2016. I have a desk job, however, we work 10-12 hours a day 7 days a week this time of year and the surgeon said with the pain meds and limited food intake (liquids only for 4-6 weeks) he does not want me back to work until the 18th. EDD/SDI approved everything, no problem. However Sedgwick has been a nightmare. After 8 phone calls and constant incorrect information by Sedgwick, I finally received an ‘Approval’ today but only until January 3rd. After finally demanding a supervisor, they got the claim specialist to return my call at which she explained that the earlier date was due to “federal guidelines of leave limits” and that they can override the doctors orders. I asked how that was possible and she said they are authorized by my employer. How is that even possible, that some company rep can override a surgeons request? I called the doctor and they said impossible, they don’t have that right and there isn’t anything further they can do that is for me to resolve. I’m stuck and at a loss of what to do. Any info you can provide would be great. Thank you in advance!

    Jen Dec 16, 2015  #61

  • There is an appeals process once you’ve been denied. I’ve worked or had worked at at&t for 18 years before being injured on the job. Not only is at&t out to screw over its employees it has employed the services of sedgwick cms, and sedgwick idsc, both of which I am convinced are a subsidurary of Hades itself, which seems to fit perfectly for both companies. Their main fax line is a scam, it rarely works and that is one way they say they never received you faxes. Also, make sure you are receiving ALL of the paperwork from your stupervisor(not a typo) I have found out that your superiors are not giving you all 4(as ex)documents you need to send in. Does the saying “We didn’t receive all of your documentation, or We didn’t receive Document #4 from your fax” sound familiar. My Manager was a moron so I can’t necessarily blame him. He was printing out what he had been told to. I stood over him and made him print forms out until ALL 4 of the forms appeared. I have found that the Appeals team are actually very professional and have overturned all of my denials on appeal. Try to get to the appeals team if at all possible. Also another thing they don’t like is you having their email address. All sedgwick case managers whether CMS or IDSC email addresses are their first name.last name@sedgwickcms.com ex. shannon.wynn@sedgwickcms.com. email them if you want to get their attention very quickly. There is also a record of each email they receive, so there is even more documentation for your records. They are supposed or someone in their group is supposed to contact you within 24 hours of a phone call or request by email. If no-one contacts you. Call and make sure the customer service person that answers notates that on you file.

    Tra' Nov 18, 2015  #60

  • Stressed,

    How long ago was your claim terminated?

    Stephen Jessup Sep 2, 2015  #59

  • I worked for AT&T for 13 years and a Manager for 12 of those years. I had many commendations and was selected because of my work history to participate in a new department. I began to attend school to obtain my degree for my future in AT&T and move up the ladder as they told us. Unfortunately, in 2007 I had a brain aneurysm and a stroke. I also had occipital seizures from the brain aneurysm, which meant at no certain time and without notice I would loose my sight for a unknown period of time. I was in the ICU for a week and after several days in the hospital I was sent home on experimental drugs. At first my claims were approved and slowly they became more difficult to get approved. I was advised by the doctor not to drive until they determined what was causing the seizures and how to control them. I was placed on several medications and I still experienced them several times a day. I was out on disability for 9 months and had to return against my doctors orders if I did not want to get terminated. When I called sedgwick I was advised that either there wasn’t enough information or the seizures I had did not justify me being out on disability. I advised I could not drive to work. They suggested I take the bus. I was so stressed that I decided to return to work. Upon my return I was suspended pending termination because I had been followed and I was driving at one point. I advised that I had to try to drive since I was being ordered to return to work. I was not alone, I was with my husband who is in the medical field. I also advised that if they were following me they would have noticed that I was not able to drive and my husband began to drive. I was also advised that I attended my grandmothers funeral out of state and that I was really ill I wouldn’t have attended. While at my grandmothers funeral I got ill and had to be taken to the hospital via an ambulance and sedgwick was called and advised from the hospital by my husband. Sedgwick did not want to hear it. Every time we provided a response they came up with some other reason on why it would not be approved. Documentation was provided by both my neurosurgeons, 2 neurologist, neuroptomologist and primary care and it still wasn’t enough.

    Stressed Sep 1, 2015  #58

  • I’m dealing with them now only my issue is that I’m not getting timely not sufficient care… Original date of injury was in June n I’m still waiting on referrals and approvals… Not to mention I was over paid and now having to pay it back after several calls were made.

    Irritated Aug 17, 2015  #57

  • My doctor put be on short term disability for anxiety and depression. At first they kept saying they weren’t getting enough information from the doctor and then they finally partially approved it. I’ve been seeing a therapist as well and she sent in a letter to Sedgwick also and they are still saying that I am denied because they need a summary of what my treatment is. My doctor sent in a statement stating that he has me on medicine and that I am seeing a therapist but they have still denied my claim. This is so frustrating as I am very depressed and going through this process is making my symptoms even worse. The worse part is that if I don’t get approved for STD then I also lose my job.

    christy Jul 15, 2015  #56

  • Esther,

    Please feel free to contact our office to discuss the options available to you at this time.

    Stephen Jessup Jul 1, 2015  #55

  • I stumble upon this site while doing some research on this company, I am currently dealing with them and it has been a nightmare. I am a current at&t employee. In may I was taken by ambulance to the er because I had a seizure and stopped breathing twice while at work a month later I find out that I have stage one cervicle cancer and some other health problems. I have been fighting with them since I had my seizure to get my std, they always say we received no paper work for you. I took it upon myself to fax over 20 pages of medical records and notes, now it’s under review and I am getting calls from at&t stating that I will be removed from payroll because my std was denied. What can I do in this case?

    Esther Jun 30, 2015  #54

  • Sick and tired,

    I have not personally negotiated a buyout or seen one offered by AT&T under the disability policy.

    Stephen Jessup Jun 11, 2015  #53

  • Does AT&T (as administered by Sedgewick) offer buyouts. I’m so tired of playing their games. I have been on LTD for about 18 months and totally disabled for about 2 years now.
    I’m a polio survivor and not going to improve. The best I can expect is to maintain the little health and strength I have left. The stress of dealing with them literally makes me sicker. I would love to see them in my rear view mirror.

    Sick and tired Jun 10, 2015  #52

  • Kristen,

    First and foremost, I am sorry for your loss. An offset an only be applied to your claim if the source of other income (NJSDI) has not been approved – that is the only reason I can think that Sedgwick is not offsetting the benefit.

    Stephen Jessup Jun 5, 2015  #51

  • An Ex-Employee,

    Unfortunately, we would have no way of knowing what AT&T will make available to you following the termination. If you are still entitled to benefits under the LTD plan that may be all you can obtain until SSDI potentially kicks in (if you are out of work that long). The only other option available is to speak with a labor/employment attorney. Please feel free to contact our office and we can assist you in finding one.

    Stephen Jessup Jun 3, 2015  #50

  • Hello Attorney Jessup;
    It looks like you’ve provided good advise to the employees complaints above, and I’m hoping you may be able to assist me with an issue that has continued for two years and recently ended my employment with AT&T last month after 19 years working with the company Two years ago I was brutal beaten from a complete stranger resulting with multiple contusions to my head from the man who was assulted me continuous hitting my head on a rock resulting in TBI, PTSD, depression, anxiety, mood disorder and severe pain due to my assault, but still grateful and lucky to believe alive had i not pretended to be dead.

    I returned to work 5 months later with Doctor’s recommendations to Sedgwick and company to slowly return to work and the need from my supervisor to understand my cognitive issues will need direction with workload to my position. This medical information came from my neurologist and from my Dr. that performed my Nero Phys Exam that was faxed immediately to Sedgwick. After my return to work, my supervisor did not accommodate may medical orders during my transaction. I made continuous calls emails to Sedgwick and my doctors. My doctors assured all medical information was send to Sedgwick office. Sedgwick stated they could not present to my department without full explanation, after repeated tries, I signed a release form to my doctor and Sedgwick to have a clear understanding, and Sedgwick stopped any attempt to rectify the issue.

    During the next 8 months of work, I did the best I could to rise to my company expectations. After many recognitions from miscellaneous departments of my getting the job done in a professional way, raising to the occasion, putting 100% into my work, my supervisor gave me the lowest rating on my Achievements and Developments and zero recognition on the projects completed and training provided to seniors in my group. (I’m a first level, and provided training in our department to 2nd and 3rd levels). I brought this rating to HR and my Director who did nothing to recognize my efforts and placed it behind them.

    In December I received a mild concussion during working hours which increased my cognitive disability and my neurologist requested to Sedgwick that I should take a month off from work to monitor my issues.

    After that month, It was the end of January. At that time, my responsibilities at work increased and my supervisor had put more pressure on my work duties than ever before.
    In the May 2014 time frame the stress anxiety and cognitive impairment had become far worse than the prior work. my doctors STD, and continue to LTD. I was in therapy, inpatient treatment over 60 days and continue therapy currently. Disability stated a LOA should be requested to hold my job since it was 6 months after my LTD became effective. Understanding the department could hold or terminate my job, I made the choice to do what was right for myself and become healthy once again. My doctors requested accommodations which were not all approved. Some accommodations I understood my department could not satisfy due to the needs of the business, but most importantly, my department put a time limit on the assistance I would need with my cognitive issues to only 8 weeks. During the process of accommodations negotiations, I fell and received a significant blows to my head with quite a big cut requiring stitches/glue and diagnosed with yet another concussion. After my concussion my doctor wanted to monitor my symptoms for a month, 2 weeks later my LOA expired I wasn’t notified by Disability, My department, or AT&T until almost a week late that my department decided not to hold my position for me. Instead, I received this information second hand from a peer who received an email from my Supervisor stating that I had decided to leave the company. Which I had no intention of ever leaving this company. And no intention to ever having this string of bad luck. All communication after this date was over the phone with conversation. I requested documentation from Disability and my Department, but was told there was no documentation except to complete the Exit Package. Because of my age and years of service, I’m extremely anxious to know about my medical coverage until I find another job and start all over. My department, HR, Benefits and Disability are not able to answer these questions. After this much lengthy note to you, hoping you were able to understand with help from a friend to write and time you have to read my story, I’m hoping you might be able to help me with any suggestions or direction moving forward. I cannot thank you enough for your time and look forward to hearing from you.

    With much admiration for being an advocate for people in our positions who don’t know where to turn or what to do!

    An Ex-Employee With Many concerns Jun 2, 2015  #49

  • I was approved for short term disability from Sedgwick Att because I had preterm labor and our child passed away from the ordeal… I had an offset for the state of nj I sent all paper work that was needed for the state but they do not approve of the therapist I used so I got ineligible and disqualified from state but approved from Sedgwick… Now I know they can take offset off for Att to pay me out but they keep giving me the run around of what they need from state I fax it all over than they say we’ll talk after they receive it just pulling my leg I appealed from state and still a no go my compensation adds to 5 grand… It’s rightfully owed to me so I’m wondering why Sedgwick isn’t taken the offset off when Att payroll says that’s all they need it should be easy!? Can anyone advise me

    Kristen Jun 1, 2015  #48

  • Pamela,

    Under most disability policies pension/retirement plans from your employer are considered sources of Other Income subject to offsetting your monthly benefit. If your policy indicates same then Sedgwick can unfortunately apply the offset to your benefit.

    Stephen Jessup May 29, 2015  #47

  • I am experiencing similar issues with Sedwick. I work for AT&T in a call center and my initial disability claim was denied. i am in the process of providing additional medical facts/evaluation from a Doctor who is a specialist with mental health issues. Having worked in the insurance industry for over ten years i know that these claim people are trained to deny claims. My first contact with the claims rep. was one where she mocked me. I will fight them all the way to a jury trial if possible and let all know AT&T’s dirty tricks.

    Russ B

    Russ B May 25, 2015  #46

  • Pamela,

    Under most disability policies pension/retirement plans from your employer are considered sources of Other Income subject to offsetting your monthly benefit. If your policy indicates same then Sedgwick can unfortunately apply the offset to your benefit.

    Stephen Jessup May 21, 2015  #45

  • I worked for AT&T for 5 yrs I had 4 major surgeries Starting in Dec 2013. I was on short term disability for a year starting Dec 22 2014. Because I withdrew my pension out Segwick said theY over paid by $300 and will withdraw -$90 from my long term disability can they do this I explained i had to pay medical bills which fell on deaf ears. Is there anyway I can stop this I dont recieve that much anyway.

    Pamela Lyon May 20, 2015  #44

  • Martha,

    I hope this works out for you!

    Stephen Jessup Apr 10, 2015  #43

  • Thank you for responding Mr. Jessup.

    Updating my status: my psychiatrist called and spoke with my IDSC case managers supervisor who told her the info I have sent was subjective and not objective. They wanted to see any testing and results. So this week I went in for those test. I also explained to my therapist the issue of not being seen frequent enough and the best she could do is squeeze me in for weekly therapy at the VA hospital and my psychiatrist also included that in her report. I also faxed medical notes from 11-21-14 that show where I administered a depression test and tested positive for depression with those test results and it shows I began my treatment plan. So I’m waiting for them to review this information which they are making me wait the full 72hrs to respond. I also called my union office last week who has a designated disability agent to mediate between reps and IDSC. And she has been in contact with them as well. I’m praying they approve my disability. I did receive appeal form with denial letter, but my union agent told me to Not fill that out yet. She said to wait to see if they reverse my denial since they agreed to continue to review my case with incoming documentation. So will update once I get more info. Hoping to get a call by tomorrow. Thank you again for your response. I’m still trying…

    Martha Apr 9, 2015  #42

  • I am an employee of Comcast as well and was denied STD due to lack of medical information to support my claim even though I am high risk, been hospitalized, and in preterm labor. Sedgwick can not know more than my obgyn on if I need to be working or not working. First it was back and forth about my FMLA, now because I am on bed rest and 31 weeks I guess they feel I can work. It took 30 days to even get a decision (which I had to log on to the website to find out) when I tried to call it was always it’s pending. I am now facing eviction, losing my car, and not being able to care for my other children. This is a service that we pay for and this is more stressful than if I had stayed at work and worked through contractions! I went on bed rest March 13, 2015, today is April 8, 2015 and I have to appeal this and wait another 45 days for a decision, which is crazy to me because I can’t put myself on bed rest nor return to work until I have my son who is not due til June 8th. This is the worst possible thing to pay for a service and have them make you jump through a thousand hoops and pay fees to have your doctor fill out the same paper work a thousand times to turn around and say no we don’t feel like you or your doctor has provided enough information.

    Ashley Apr 9, 2015  #41

  • Martha,

    I am sorry to hear of your trouble with Sedgwick and AT&T- as you can see you are certainly not alone. If the claim has been denied Sedgwick does have to issue a denial letter and advise you of your appeal rights. Has that occurred?

    Stephen Jessup Mar 21, 2015  #40

  • I also am a 21 year AT&T employee who suffers from depression and anxiety. Due to taking too many intermittent days off which were approved by FMLA my doctor recommended I take 3 months off to do therapy and get adjusted to new meds. I have in the past had no problems w IDSC. This time my doctor went on vacation before I got the disability packet in the mail and I developed a tooth infection where I had a bad reaction to antibiotic and my face swelled up and I got hives right after I called in my claim. Next thing I know my case manager called me and told me she was denying claim due to no info. I told her my doctor was on vacation and I didn’t get packet. So she said, just have someone from her office call in. We’ll the nurse practioner called and confirmed my doctor was out and they told her my doctor would have to call and still denied my case. But when I called them right after, they said they would still review any incoming paperwork when she got back. I told them that wasn’t fair because I have not had a chance to even get the packet. She said she couldn’t keep it open because AT&T would not allow her to. My doctor came back and faxed a letter with my diagnosis, reasons I could not work due to side effect and detailed each one out… Ex. has panic attacks, gets teary, IBS, insomnia and that the incoming collection calls trigger my depression and anxiety which causes excessive breaks that affect her job. Gave them my treatment plan with dates to my next appointments with my psychiatrist, therapist and medication details. I am also a Veteran and go for mental health treatment to the VA hospital. My Therapist wrote another letter stating my diagnosis and how I have excessive worry and unable to control and continued therapy was recommended. I sent VA notes for all my appointments. They said everything I sent didn’t show I couldn’t work. On the IBS issue they said I needed to be tested. I had faxed records showing I had colonoscopy in 2012 and shows I have diviticulitis which with added stress will trigger IBS. I reminded them I had been on disability and had it approved with these same exact symptoms in the past and I didn’t have to send nearly as many documents as I have this time. I told her to look at my previous claims. Also they said if I was chronic I should go to therapy 3 times a week. I told her VA hospital doesn’t allow that due to VA hospital is overloaded with Vets. They do things different. I’m supposed to see my therapist every week but can’t get an appointment for 2-3 weeks. I can’t help that. Her response was the same. So I haven’t gotten paid for a month. I’m in a chapter 13 bankruptcy so my garnish payments aren’t being made. I’m behind on all my bills, have no food, no gas money. I can’t even fax anymore documents because I have no money. Now in my case about 2 years ago. My district manager called me into the HR office and questioned me about my FMLA absences. I told him I was under my doctor’s care. He asked what I was doing to get better? I again said under doctors care and I told him he’s not supposed to question my FMLA time. I have rights. Everything was approved. He then told me I too can exercise my rights and have them go over your medical more thoroughly. I told him you do what you have to do, and I will continue to take care of my medical condition. At that time I told him I was uncomfortable and wanted a union stewart. He said he was done. Ever since it’s like I am a black sheep to managers. I did call EEOC but didn’t follow through… but I do feel he has something to do with what I’m going through now. I no longer can use automated system this time, I go straight to a rep and have no access to the website. I know he’s harassing me this way. Of course no one seems to know why I have no access. Anyway… I have no money for an attorney right now, but just putting my story out there. Good luck to all those on here and God bless you all.

    Martha Mar 20, 2015  #39

  • Jen,

    Please feel free to contact our office to discuss how we can assist you. It would be helpful to have a copy of your policy, denial letters and any appeal submitted.

    Stephen Jessup Mar 15, 2015  #38

  • I am an employee with Comcast and back in November of 2014 I went out on disability due to the fact that I was having complications with a pregnancy severe nausea, cramping spotting and threatened miscarriage. Sedgwick denied my claim and then denied my appeal. They denied my appeal without the peer to peer review and than initiated one but the examiner asked one or two questions to my OB and that was it. Claim still not approved. I am now going back on STD due to more complications with pregnancy frequent headaches, shortness of breath, pelvic pains and back pains. I am afraid I will be denied again even though my doctor has pulled me out of work this time. What can I do?

    Jen Mar 14, 2015  #37

  • Marcela,

    As I am sure you can see from the comments posted that you are not alone in your struggles with Sedgwick and AT&T. Unfortunately, I am not able to advise you as to the legality of AT&T’s actions with respect to your continued health benefits. We would be more than happy to review your disability claim to determine how we may be able to assist you at this point.

    Stephen Jessup Nov 12, 2014  #36

  • I have worked at AT&T for 21 years. Due to high stress from being singled-out by my manager and constantly harrased for sales and quotas on every call and a hostile work environment I have developed many issues in the past 4 years: anxiety disorder, high blood pressure, insomnia, stomach problems, migraines, tension. I have been in an intensive out patient program 2x through my pysciatrist at Kaiser. On July 3 I had a nervous breakdown and have been on disability ever since. I do have a workman’s comp lawyer at this time. However they are doing nothing regarding the Sedgwick situation. Sedgwick originally approved my claim and after 2 months now have denied my claim. They said they don’t have enough medical info to sustain my claim & show I was totally disabled from doing my job. My Doctor spoke to them – asked them what they needed & has sent a letter with all symptoms – medicines, treatment etc. and how much more time I needed for treatments. Still denied! They basically said too bad, so sad! File a appeal, you have 180 days. Meanwhile, since disability denied by Sedgwick, AT&T has put me on a company initiated leave till 11/2/14. They now have removed contributions to my medical/dental/vision plans and have cancelled my Kaiser insurance. I have sent the HR dept. additional medical info and had have no call-backs or letters for extensions – nothing. Also they start deducting days/months from your NCS (date started working) so if you have 21 years and come back now you only have 20. Now, I can’t see my Drs., get my medicines and keep my followup appointments. Is it legal for AT&T to canceled my medical insurance while on disability? I’m so besides myself with all this mess. Do I need to file a lawsuit? Help, I’m so overwhelmed…

    Marcela Nov 11, 2014  #35

  • In Need,

    I am sorry to hear about your issues with Sedgwick. Is your claim to have rolled over into long term disability benefits already? If so, does Sedgwick handle the administering of that policy or does a different insurance company? If it is a different company it may be wise to initiate a claim. As I am sure you know all too well, they are well outside the scope of time to render a decision- please feel free to contact us to discuss your situation further.

    Stephen Jessup Oct 26, 2014  #34

  • I have been off work since February due to problems with my liver. I am dealing with Sedgwick for my short term disability. This is very stressful. I have not received any payment since May of this year but I still have to pay my own insurance every two weeks (which include short-term disability). Keep saying they need more information. Presently, I am dealing with fatigue, muscle/joint pain and abdomen pain. The Gastro doctor was the one who took me off work because of the liver problems so, I guess Sedgwick is looking at my lab work and say it does not support me being off for disability. I wish Sedgwick would look at the whole disease for themselves and realize this pain is real and sometime I hurt so bad just walking form one room to another because I am out of breath. The work that I did consist of prolong standing, lifting(25lb), and bending. I wear a back brace because the lower part of my back hurt and the pain run down my back in to my cheek bones with some burning, down both legs and muscle spams. On top of this I have a valve leaking in my heart and sleeping disorder. The stress of this disease and dealing with Sedgwick, has cause me so much pain and sleepless night because of the pain and the fact that I don’t have any income come in my house hold at this time. What am I supposed to do when I can only give you what I have? Will someone please tell me what to do before I lose everything?

    In Need Of Help! Oct 25, 2014  #33

  • Stacy,

    I am sorry to hear of your troubles. Why did you resign from AT&T and did you ever appeal the denial of benefits from Sedgwick?

    Stephen Jessup Oct 21, 2014  #32

  • I was also denied by Sedgwick. My brother died 8/6/2014, he was killed on impact by a Dodge Ram pick up truck, which caused my anxiety attacks and depression resurface. My doctor faxed and his nurse faxed several times about my condition detailed notes of my prescription and other medical information, needless to say they place me in denied status. I had not been paid sinice his death. I was also scheduled for a hysterectomy 10-22-2014. I had to cancel and resigned from AT&T for financial reason. I’m a single mother with two boys, my debts got behind, rent, car insurance, car note, utilities, no food no gas etc… I exhausted my account, no thanks to Sedgwick. I’m currently under doctor’s care, now my boys or me will have medical insurance.

    Stacy Oct 20, 2014  #31

  • Charles,

    If you are unable to return to work from a medical standpoint, then your only option is to file an appeal of the denial of benefits, as required by the Policy. If you have not already done so, please feel free to contact our office to discuss your claim.

    Stephen Jessup Oct 2, 2014  #30

  • Charles,

    If you are unable to return to work from a medical standpoint, then your only option is to file an appeal of the denial of benefits, as required by the Policy. If you have not already done so, please feel free to contact our office to discuss your claim.

    Stephen Jessup Oct 1, 2014  #29

  • I just went on Google and typed up attorney short term disability denied and I find my self with all this.

    It’s crazy, I’ve been working for AT&T for 5 years already. I left on STD on May 2014 and my STD was approved for the first 3-4 months without any problems then after that Sedgwick started to come up with excuses of why it was denied and none of their allegations made any sense. I left for being over-stressed, anxiety/panic attacks constantly at work, high BP, chest pains, dizziness, depression etc. and still I have not gotten better.

    My DR spoke to my claim manager after so many denials and he was livid because she had no reason to denied my claim and he started asking her to read out the notes to him and to tell him where in the notes does it say or even describe that his patient (me) it’s ready to return to work and she immediately started changing the subject and never answered any questions (very sketchy). They are a very sketchy company, they will look for anything to try and get you denied. Your Dr. can say the world it’s round and they will tell you it’s rectangular. I’m still not ready to return to work and I’m basically obligated to return or loose my job. My manager basically wants me out and he/she has been looking for any excuse or opportunity to fire anyone. I have thought about getting a lawyer and my DR. advised me the same because all his medical notes are legit and it’s not the first time this happens. First time I left, they had to go get me in an ambulance and take me to the hospital because my blood pressure was sky high and I couldn’t even talk or breath or even walk (close to a heart attack, basically) and same story, they approved it the first 3-4 months then they started looking for the same excuses and denied my STD. At this pointI do not know what to do.

    I havent been getting payed at all and I cannot afford anymore Dr. visits or medications. This is very frustrating. What can I do?

    Mr. Charles Sep 30, 2014  #28

  • Monica,

    Please feel free to contact our office to discuss the denial of your claim and what steps are available to you.

    Stephen Jessup Aug 20, 2014  #27

  • Hello everyone, I need advice or guidance. I too am going through the same thing with this people I am tired and exhausted.

    I was in the hospital on the 1st due to severe pain; it was discovered I have another umbilical hernia and for severe lower back pain due to herniated disks. I also suffer from bad muscle spasms and severe fibromyalgia. The ER doctor strictly put me on bed rest until I see a surgeon. I then went and saw a surgeon which scheduled me for surgery. Sedwick has denied me. I asked them why, when they have three different doctors telling them why I can’t work and they said it was not enough. My doctors are also so fed up with these people. I am so ready to hire a lawyer.

    Monica Aug 19, 2014  #26

  • Serenity,

    Unfortunately, I do not have an answer with respect to how long it would take Sedgwick to process the leave of absence. I would suggest that your friend contact an employment attorney to discuss what rights he may have as it relates to his being fired.

    Stephen Jessup Aug 13, 2014  #25

  • I have a friend who was out of work for 4 days from 4 fractured ribs. It was a medical LOA. It was denied by Sedgwick because the doc did not send in the paperwork soon enough. My friend went to the doc’s office, had them fill it out and fax in the info. It’s been 7 days and it still has not been approved. He lost his job as they counted it as 4 unexcused absences. Can you tell me how long Sedgwick takes to process a medical LOA? They told him as soon as they recieved the papers from the doc’s, it would be aproved.

    Serenity Aug 12, 2014  #24

  • Adrienne,

    Have you appealed Sedgwick’s denial of your claim yet? If not, please feel free to contact our office to discuss how we may be able to assist you.

    Stephen Jessup Aug 8, 2014  #23

  • I’m lost for words right now. I’m reading all these comment and empathize with each person. I’ve been denied with Sedgwick because they are telling me that I don’t have enough proof to be out of work. I went to see a psychiatric and two therapist and they all noticed the same symptoms. I’m a single parent not even getting child support so my children and I are about to lose our house. I’m behind on so many bills. I’m sad, hurt and now I have to return to work and not have any income to survive… What should I do? This is not fair that my boys have to go through this too!

    Adrienne Hughie Aug 7, 2014  #22

  • Carol,

    Hopefully you will prevail and not need our assistance, but if you do please do not hesitate to contact our office.

    Stephen Jessup Jul 30, 2014  #21

  • Justin,

    First and foremost, I would suggest you obtain copies of your short and long term disability policies if you do not already have them. Please feel free to contact our office to discuss your claim.

    Stephen Jessup Jul 30, 2014  #20

  • In April I had surgery on my right knee, they did a lateral release and Sedgwick worked with me no problems as long I kept after them calling multiple times a day. Then in July, I had to the exact same surgery done on my left knee, this time around with Sedgwick has been to say the least a nightmare. They gave me 10 days to have surgery, recover and get back to work, the doctors sent in records, notes, post-ops notes you name and stated numerous times I cannot return to work until after they re-evaluate me on my next appointment august 15th. I called Sedgwick 9 that nine times to make sure they had all the paperwork they needed and was assured that they had everything to make a determination. Today I called and the automated system said I had been denied due to them not receiving paperwork. They didn’t even have the decency to make a call to me, I had to find out through their automated system and by that time they were closed, so tomorrow I have to put my recovery on hold to deal with whatever moron is handing my case and try to figure out what they need. I hate Sedgwick, they are the scourge of the earth! I may be contacting you soon for help because they are messing with the wrong lady! I won’t back down!

    Carol Cole Jul 29, 2014  #19

  • I am an employee of General Motors. Due to unexpected health issues I was placed on disability. I am unable to walk more than 25 yards without the assistance of a cane. I did not apply for disability and received a call from GM HR stating that I was not to return to work and that I needed to contact Sedgwick to file a disability claim. Now Sedgwick is refusing to pay any benefits until after I see another specialist. The earliest available appointment to see a specialist is over a month away. I have already been a month without benefits and am in jeopardy of loosing my home as well as my job. I am not sure what I can do or how to get this resolved. Any advice would be greatly appreciated.

    Justin Jul 29, 2014  #18

  • DJ,

    I am sorry to hear of all the difficulties you have had to endure. There is always a possibility that a claim can be denied for any number of reasons. If in fact Sedgwick determines you are not entitled to disability benefits please feel free to contact our office to discuss appealing the decision.

    Stephen Jessup May 20, 2014  #17

  • I was diagnosed with breast cancer last January 2013. Underwent a major surgery twice and had chemotherapy. I am a nurse. I was on medical leave for 8 months. Went back to work and my husband went out of the country to look for job opportunities leaving our 2 kids with me. I was so stressed out having to work 12 hours night shifts 4 times a week and had to take care of the kids. 3 months later my husband came back, stayed for 2 months and left again but this time we agreed he will take the kids with him since there will be relatives who can help him take care of the kids where he was going. We had to let go of the house and all our things. It was very hard emotionally. After my family left, I had a hard time adjusting to my new life. I can’t focus and concentrate at work. I tried to ask for a vacation but was denied. I realised I never had a break since the breast cancer journey until the time my family left. I just knew I needed to refresh. I went to a doctor and was advised to take a stress leave. I did not qualify for FMLA but I qualified under my hospital’s Medical Leave of Absence. It’s been 6 weeks now since my medical certificate was submitted to Sedgwick. When I call them they say it’s under peer to peer review… I don’t know exactly what that means. Is there a possibility that my claim will be denied? I might be able to go back to work in 2 weeks but my claim is still not approved.

    DJ May 19, 2014  #16

  • Opal,

    It would appear your only step is to file suit under the STD policy and/or make application for LTD benefits (which will most likely be denied). Please feel free to contact our office to discuss how we may be able to assist you.

    Stephen Jessup Oct 27, 2013  #15

  • I have Gastroparesis, which is stomach paralasis. I was out from November 2012-March of this year on STD, which after appeal was approved. Starting in July the Gastroparesis flared again & I was out from July 30th to October 7th. We redid all of the tests that are gold standard for this disease & they show that I do in fact have Gastroparesis. I have been denied for STD, and the appeal was also denied. Sedgwick says it has been denied because the medical doesn’t support my inability to work. The paperwork basically says that because I did not end up in the ER or lose 30+ pounds(which I did last time); I wasn’t sick enough! The caseworker told me I have to file suit, what would be the best next step?

    Opal Taylor Oct 26, 2013  #14

  • Robert,

    Sedgwick will need medical records in order to evaluate your claim. If they do not have them, and do not have an ability to request same it can adversely impact your claim.

    Stephen Jessup Oct 14, 2013  #13

  • I am filling out the paper work for Sedgwick at this time. Do I fill out and sign the “Authorization for release and use of medical information” form? When I called and asked a Sedgwick representative, she said “We strongly recommend it.”

    Robert Oct 13, 2013  #12

  • Brianna,

    Your only option is to go through the administrative appeal process they have in place.

    Stephen Jessup Oct 10, 2013  #11

  • I work for Optumrx and have been put all STD until after the birth of my baby in November due to gallstone attacks and migraines. Sedgwick denied my STD stating that pain was not something they deemed as disabled. I work on a computer and headset all day and can’t take anything for my migraines for risk of injury to my child and the only way to correct my gallstones is surgery something else that can’t be done until after my child is born. What can I do?

    Brianna Oct 9, 2013  #10

  • Joseph,

    I wish there was an answer to your dilemma. Please feel free to contact our office to determine how we may be able to assist you.

    Stephen Jessup Sep 10, 2013  #9

  • I have worked for AT&T for nearly 5 years. On July 15 of this year I called into work with a horrible migraine. I went to the doctor the next day and saw a PA who prescribed me new meds and set me up for a blood work test since my Blood pressure was through the roof. After the test I went to the Doctor’s office again and ended up seeing the Dr. on hand. He started off treating me immediately for my blood pressure and I told him that wasn’t why I came in. He listened and made an appointment for me with a neurologist, but that was over a month away. Meanwhile I’m having continual migraines and have began to stutter. The meds they but me on make me feel like a zombie and I told the doctor so they gave me a note for work saying DO NOT DRIVE. I live 40 minutes from work and have no one to take me. I filed for short term disability with Sedgwick CMS and it was denied. I asked the doctor to help me with the paperwork to get it approved and he had his office staff tell me that that would be the neurologist job. Meanwhile I’m not getting paid and feel horrible. I finally get to the neurologist and he sees me and sends the correct paperwork to Sedgwick and they still deny me. They say that there are conflicting reports from my first doctors visit and they can’t help me. I just talked to my boss today and he tells me if I don’t come back to work tomorrow I will be terminated for job abandonment. I said I will come back, but the stuttering doesn’t make me at 100%. He says if you’re not 100% don’t come in unless you have Sedgwick give you an approved accommodation. Sedgwick says they can’t do that, that I just need to appeal. So here I am. I lose my job tomorrow, my medical insurance, and I was told I won’t qualify for unemployment. How on earth am I going to get better?

    Joseph Sep 9, 2013  #8

  • I worked for AT&T for over 7 years. My first call center job. I am dealing with Sedgwick as well. My appeal with the Appeal Tribunal is tomorrow. My manager actually lied in the paperwork and I have no way to prove it except my word. So I will see. The people talking about AT&T… I know what you mean!

    Linda Aug 21, 2013  #7

  • Christine,

    Thank you for sharing your unfortunately all too common experience with Sedgwick. I hope you’ve found resolution to your matter.

    Stephen Jessup Aug 4, 2013  #6

  • Sedgwick is just plain horrible. They denied my claim over and over because according to them I was not disabled with end stage renal disease. The people who called me didn’t even know what dialysis was. They at one point wanted to speak to my doctor. He called them and spoke to them while I was in the office with him. Two days later I got a call stating that my Dr. never called them so I needed to return to work. I told her that I was there when the Dr. spoke to her, all of a sudden she remembered speaking to my Dr. Sedgwick is just a joke, they try to scare people into returning to work.

    Christine Armes Aug 3, 2013  #5

  • Ms. P.,

    You should demand to speak with upper management and only deal with Sedgwick in writing. Sedgwick is very difficult to deal with and we receive at least 5 complaints a day about them.

    Gregory Dell Jun 4, 2013  #4

  • I am a 56 year old employee of major cable company. I was taken out of work by ambulance in March due to near fainting due to high bp. I have never requested any type of FMLA. I was advised to contact Sedgwick to protect my job in the event of future flare ups. I followed every request but was denied intermittent FMLA. I reached out to the very rude representative who is never available or able to return calls. Can I request upper management to dispute? I will also request the call to be pulled where I asked very specific information on what missing information needed to be clarified. Any suggestions? Thank you.

    Ms. P. Jun 1, 2013  #3

  • I am dealing with Sedgwick now on a short term disability claim. It’s been over a month since they got my Doctor’s notes and it’s still pending. First they couldn’t read my dr.’s notes and called him. Now it’s under review and they need to have their dr.’s talk with him. After all I’ve read about Sedgwick I am now better prepared to do battle with them. I’ve had FMLA for 10 years due to a lower back and sciatica problem but used it up because of some other health issues and surgeries last year. Now here I am dealing with them again. Last time they tried denying me even after my surgery because they couldn’t get my dr. on a conference review. It’s very upsetting and stressful dealing with them but at least now I know my rights.

    Barbara Nov 27, 2012  #2

  • Michelle,

    My blood boils as I read your comments about Sedgwick and the way they treat AT&T employees.

    Several times a week I receive the identical complaints about Sedgwick. I find that most of the Sedgwick employees have no idea what they are doing. You need to keep fighting the Sedgwick and be persistent in the information that they request.

    Sedgwick’s goal is to make it so hard for you that you return to work in desperation. You have the right to APPEAL as the AT&T plan requires two appeals. You then can sue them if they deny both appeals. I know your plan has a one year STD time period, which is longer than most.

    Give us a call if you would like for us to review your denial letter and see if we can assist you with your claim.

    Gregory Dell Feb 10, 2012  #1

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Questions About Hiring Us

Do you help Sedgwick claimants nationwide?

We represent Sedgwick 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 Sedgwick disability insurance policy?

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

How do you help Sedgwick claimants?

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

  • 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.

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