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Tag Archives: Aetna

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New York Court Upholds Aetna Life Insurance Denial in DUI Death Based on Self-Inflicted Injury

Intoxication Exclusions in Life Insurance Policies Can Often Result in Claim Denials When a motorcyclist died in a crash while driving 124 miles per hour, Aetna Life Insurance Company denied the claim, asserting that the driver was intoxicated and that made the crash an “intentionally self-inflicted injury,” something excluded from payment under his employer’s Accidental […]

VIDEO: Is A Long Term Disability Buyout Settlement A Good Idea For You?

Watch this video as Long Term Disability Insurance Attorney John V. Tucker explains lump sum buyouts in Disability Insurance claims and gives you information to decide if a lump sum settlement is right for you. When you are approved for Long Term Disability (LTD) benefits, you receive a monthly payment.  Sometimes, the LTD Insurance company […]

VIDEO: Learn How Disability Insurance Companies Cut You Off Without Ever Sending to You to Their Doctor for An Exam

If you have been dealing with a Long Term Disability (LTD) Insurance company or ERISA Disability Plan Administrator, you need to beware that they may try to cut you off without a medical examination.  Some people think the Disability Insurer has to send you to a so-called “independent medical examination,” but that is not the […]

LTD Lawsuit Dismissed Where Plaintiff Failed to Appeal Denied Claim Before Filing Suit

Group Long Term Disability Lawsuits Require An Appeal Before Suit is Filed in Court If you have a disability claim under your employer’s group Long Term Disability (LTD) plan, you have to use the plan’s pre-suit appeal process before you can file a lawsuit.  What does this mean?  If the LTD insurance company handling the […]

Aetna Denied Attorney Fees From Plan Participant in ERISA Case

Will the Insurance Company Make You Pay Them if They Beat You In Court? Attorney Fees Available, but Rarely Awarded to Disability Insurers Our clients often ask us if they will have to pay the disability insurance company’s attorney fees and costs if they file a lawsuit under their employer’s group disability plan, but the  […]

Aetna Pays Back Injury Disability for 4 Years Then Terminates – Reversed in Court Because No Change in Condition

Spine & Back Injury Disabilities Are One of the Most Common Reasons People Become Disabled In August of 2007, Randi Dunda was working as a general manager at a Wawa convenience store when she had to take a leave of absence due to a herniated disc in her low back which was causing severe pain. […]

Judge Upholds Aetna Denial of Disability Claim Where Claimant Shows Symptoms But Fails to Prove Limitations and Restrictions

People call our law firm every day amazed that a disability insurance company denied their Long Term Disability claim.  We we ask what they gave the LTD company, the usual answer is “my doctor’s notes.”  Those notes usually just document a physical or mental exam and a diagnosis….almost always there is nothing more.  And, that […]

Aetna Denies Life Insurance Premium Waiver and Terminates Coverage – No Appeal by Employee – Survivors Claim Denied

Life Insurance Waiver of Premium Due to Disability When Laura Hawkins became disabled in 1982, she made a claim for a benefit under her employer’s life insurance plan called a “Waiver of Premium.”  Life Insurance Premium Waivers are available under many employer sponsored group life plans.  When an employee can no longer work due to […]

Senate Asks Disability Insurers to Turn Over Information About How They Handle LTD Claims

The New York Times is reporting today that Sen. Charles Grassley (R-IA), the senior Republican on the Senate Finance Committee, has sent information requests to 9 Disability Insurance companies requesting information about how they handle Long Term Disability (“LTD”) Insurance claims. The 9 companies are Aetna, Cigna, Hartford, Lincoln (who recently bought Jefferson Pilot), MetLife, […]

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