Short & Long Term Disability Cases We’ve Won for Our Clients Against Various Insurers
Fields Law Firm successfully recovers millions of dollars each year for our disabled clients throughout the United States. Our Long Term Disability experience is matched by very few other law firms in the country and has earned us a national reputation.
Learn about our Cigna long-term disability case results and how we challenge denials.
View our long-term disability results against various insurers.
Here are just a few examples of our Long Term Disability appeal case wins against various insurers.
Maritza – Bank Teller – Tavares, Florida
Advanced Degenerative Disc Disease, Cervical Radiculopathy, Fibromyalgia, Chronic Pain
A teller at a bank came to us after her insurance company denied her disability benefits. She was distressed because she suffered from advanced degenerative disc disease, cervical radiculopathy, fibromyalgia, and chronic pain and simply could not do her job. She was dealing with ongoing pain in her back, arms and legs that diminished her quality of life and made it impossible for her stand for long hours at work. Aetna claimed that there was not enough evidence to support her disability and denied her.
She contacted Fields Law to represent her in appealing the insurance company’s denial. We worked with her doctors to obtain objective evidence of the impairments that made her unable to perform her own occupation. The doctor provided us with information concerning our client’s functional restrictions and limitations, which allowed us to question the insurance company’s assertion that she was able to do her job.
After thorough analysis of the law and our client’s case, we drafted an appeal that exposed the insurance company’s improper and deficient review of our client’s limitations. Our appeal was successful and our client now receives the benefits to which she is entitled. She was relieved that our team was able to fight Aetna to pay her benefits without having to file a lawsuit.
Richard – Instrument Technician – Dover, Delaware
Tibial Dysfunction, Bilateral Foot Arthritis, Bilateral Knee Osteoarthritis, Degenerative Joint Disease of the Knees, Hypertension, Congestive Heart Failure, Sleep Apnea
An Instrument Technician from Delaware suffered from tibia dysfunction, bilateral foot arthritis, bilateral knee osteoarthritis, degenerative joint disease of the knees, hypertension, congestive heart failure and sleep apnea. After being taken off work by his doctors he applied for Long Term Disability benefits through his employer’s plan. Originally, CIGNA approved his benefits, but then discontinued them asserting his conditions had sufficiently improved such that benefits were no longer payable. This occurred shortly after he was approved for Social Security Disability benefits.
He reached out to Fields Law Firm for help appealing this decision. Our attorneys drafted an appeal that established CIGNA had relied upon selective evidence that misstated our client’s work restrictions and limitations and the required abilities of his occupation. Additionally, we received narrowly tailored narrative reports from our client’s treating doctor’s outlining his actual limitations and restrictions, which clearly make it impossible for him to perform his own occupation. After reviewing our appeal, CIGNA reversed its denial, paid our client his back pay, and recommenced monthly benefit payments.
Tamitha – Internship/Externship Coordinator – Wilmington, Delaware
Severe Asthma
An Internship/Externship Coordinator for a technical college in Delaware suffered from severe persistent asthma. Her Short Term Disability insurer, CIGNA, initially accepted her claim. One month later, they denied the claim. Their denial claimed that the medical information available did not provide clinical findings that would preclude her from working.
Not sure what she should do, she reached out to Fields Law. After completing his review of our client’s file from CIGNA, our attorneys developed a plan to fight the denial. We updated medical records and obtained a report from the client’s treating pulmonologist which stated that her asthma was rated at an AMA Class 4D, which is significant.
Our attorneys appealed the denial and CIGNA reversed their decision and reinstated the client’s benefits and paid all the past-due benefits. Our client was extremely relieved and grateful to have her sole source of income back.
