Throughout the time claimants are eligible for disability benefits and benefits are being paid, claimants are intermittently advised that their claim is being reviewed and that updated information is required. This often indicates that the insurance company is...
disability surveillance
MetLife Approval of Fibromyalgia and Chronic Fatigue Syndrome Claim
Fibromyalgia and Chronic Fatigue Syndrome, also referred to as Myalgic Encephalomyelitis, are debilitating conditions characterized by feelings of extreme exhaustion, muscle and joint pain, memory problems, brain fog, and problems with concentration. Many of our...
A Federal Court Overturns AETNA’s Termination of Total Disability Benefits to a Claimant, finding that AETNA’S decision was Arbitrary and Capricious.
In a recent case, Patterson v. Aetna Life Insurance Company, No. CV 15-8156, 2017 WL 4786562 (D.N.J. Oct. 23, 2017), the United States District Court for the District of New Jersey, determined that Aetna's termination of Christopher Patterson's Long Term Disability...
Social Media Causes Long-Term Disability Claimant to Lose her Benefits
In a recent case out of the Fifth Circuit Court of Appeals, Davis v. Aetna Life Ins. Co., No. 16-10895, (5th Cir. 2017), the Court found that surveillance footage and social media were a contributing factor to the denial of the claimant's long-term disability...
Reliance Standard Life Insurance Company Denial Tactics Dismissed By Court in ERISA Disability Case
Most individuals who have filed any type of insurance related claim have experienced the delay and denial tactics used by their insurance company to avoid payment. Disability carriers often take extreme and arguably egregious measures to "prove" that a claimant is not...
Don’t be Caught Off Guard by Video Surveillance Footage During a Disability Insurance Claim
Insurance companies frequently use private investigators to place claimants under surveillance while "investigating" a claimant's right to disability insurance benefits. Surveillance is conducted at various stages in the disability insurance process including, when a...
Disability Insurance Law Group Overturns Cigna’s Denial of Disability Benefits in Time for Claimant with Fibromyalgia to Save her Home
Our client, Ms. W, enjoyed a long and successful career as an office manager for a mid-size company. Unfortunately, shortly after receiving a promotion, she began to experience unusual and troubling symptoms such as extreme fatigue, severe pain in her joints,...
Court Finds Surveillance Video Unconvincing
In many cases, without the claimant's knowledge, insurance companies hire private investigators to follow the claimant and conduct video surveillance over a period of several days. This video is often used to create the illusion that because the claimant is functional...
Prudential Long Term Disability Denial of Benefits for Fibromyalgia (CFIDS) and Chronic Fatigue Syndrome Overturned on Appeal
As those who suffer from medical conditions such as fibromyalgia and chronic fatigue syndrome know, these illnesses can incapacitate an individual physically and mentally. No current treatment has proven totally effective against these infirmities and in many cases...
Getting and Keeping Your Disability Insurance Benefits
Applying for disability insurance benefits and maintaining those benefits requires an understanding of the policy's terms as well as the tactics and review procedures utilized by many insurance companies throughout the duration of the...