Unum Overturns Original Decision to Deny Benefits to Disabled Account Manager Following Appeal Submitted by Dell Disability Lawyers Appeals Team
In 2016, Sarah, an Account Manager, began suffering severe abdominal pain accompanied by bloody diarrhea. The frequency and condition was so severe that she was diagnosed with anemia from the blood loss and profound fatigue from the nutrient loss. By the end of 2016 Sarah was no longer capable of effectively performing the material and substantial duties of her own occupation as an account manager and was forced to stop working. In early 2017, Sarah attempted to return to work but failed, and was forced to file a long-term disability claim with her employer’s long-term disability insurer, Unum Life Insurance Company (“UNUM”).
Soon after she submitted her disability claim, Unum began its investigation, which included a doctor to doctor – or peer to peer as it’s often referred to by disability insurers – teleconference. Sarah’s primary care physician confirmed that her chronic conditions prevented her from returning to work, and were uncontrolled. Sarah’s primary physician also confirmed to Unum’s physician that she had referred her to a gastroenterologist specializing in digestive disorders to treat her.
Despite Unum’s peer to peer consultation with Sarah’s treating physician and the medical evidence strongly evidencing her clear and unquestionable claim, Unum denied her claim and informed her that if she wanted to challenge their adverse decision she could submit an administrative appeal within 180 days, as provided by ERISA.
Sarah retained Attorney Cesar Gavidia and his appeal team at Dell Disability Lawyers to challenge Unum’s decision and prepare her ERISA appeal.
The Appeal submitted by Attorney Gavidia and his appeal team addressed several flaws in Unum’s decision to deny benefits, including Unum’s failure to adequately consider Sarah’s occupational requirement for travel and Unum’s lack of consideration to the psychosocial impact of Sarah’s condition on her functionality. A detailed and exhaustive historical chronology of Sarah’s medical condition and her symptoms was also included.
Approximately three weeks after the submission of the Appeal Unum overturned its decision and approved Sarah’s claim for benefits. Attorney Gavidia and his team continue to represent Sarah and actively monitor Unum’s handling of her long-term disability claim.
Please call our disability attorneys for a free consultation on this or any matter relevant to your disability claim.
Resources to Help You Win Disability Benefits
Submit a Strong Unum Appeal Package
We work with you, your doctors, and other experts to submit a very strong Unum appeal.
Sue Unum
We have filed thousands of disability denial lawsuits in federal Courts nationwide against Unum.
Get Your Unum Disability Application Approved
Prevent a Unum Disability Benefit Denial
Negotiate a Unum Lump-Sum Settlement
Our goal is to negotiate the highest possible buyout of your long-term disability policy.
Policy Holder Rating
Low payments
They closed my claim and I have been without income since they closed it
I feel like Unum is giving me the runaround!
Reply
Unum terminated my benefits with no warning
Reply
I've been trying to care care of my Unum benefits for over a year. They’ve been so rude
Reply
I've paid for STD for 20+ years. Now, I'm actually sick and can't get paid
Reply
Unum thought I was fine to work. I wasn't
Reply
Unum has made me feel like a criminal
Reply
Q: Is the recipient responsible for overpayment when they had nothing to do with the reporting?
Q: Does UNUM periodically review Group Long Term Disability Insurance claims/payments? For example, do they verify medical eligibility every five or ten years?
Q: Unum is cross plan offsetting
Q: Unum reduced my benefits
Q: My group long term disability insurance allows me to work part time up to 20% of my pre-disability earnings without affecting my benefit. If I take advantage of this, will Unum use this to deny my benefit?
Q: Can I sue Unum for financial stress and emotional stress?
Q: Am I required to file for Social Security family/dependent benefits if I don't want to?
Q: How can I avoid multiple offsets of my private DI policies by my SSDI amount?
Is UNUM a Good Insurance Company?
How Long Does UNUM Long Term Disability Last?
Can You Sue UNUM?
How Does UNUM Define Disability?
Beware of Traveling While on Disability with Unum
If I Sue Unum for a Disability Insurance Denial, What Should I Anticipate?
Unum Disability Benefit Denial Trends, A Legal Perspective
A New Bait and Switch Tactic by Unum Disability Insurance Company
Louisiana State College Director Wins Unum LTD Appeal But Then Denied Again
Unum Approves LTD Benefits for Pharmacist with Eye Disorder
Billing Manager With Back Disorder Wins Unum Long Term Disability Denial Appeal
Unum Lifts Mental Health Limitation on Disability Claim
Unum Approves Long Term Disability Application to a Program Manager
After appeal filed by Attorney Jay Symonds, UNUM overturned previous denial of long term disability benefits for South Carolina Nurse
Unum Overturns Original Decision to Deny Benefits to Disabled Account Manager Following Appeal Submitted by Dell Disability Lawyers Appeals Team
After appeal filed by Attorney Jay Symonds, UNUM overturned its previous denial of long term disability benefits for Colorado Plumber
Reviews from Our Clients






