Young v. Aetna Life Ins. Co., --- F.Supp.3d ----2015 WL 7194812 (D.Mass. Nov. 16, 2015)
Nov 16, 2015OUTCOME: Judge Ordered reinstatement of benefits
Ms. Young's long term disability benefits were terminated by Aetna. Judge Hillman ordered reinstatement of her benefits. He identified three primary reasons for determining that Aetna abused its disc ... retion in denying Plaintiff’s benefits: Inappropriate reliance on unreliable findings by its peer review doctors; failure to address Plaintiff’s qualifications and ability to engage in sedentary occupations in light of her medication requirements; and failure to address the findings of her own physician showing that Plaintiff could not perform full time sedentary work. He determined that Aetna abused its discretion in both the manner in which it conducted its review and in the substantive outcome of its decision.