Long-term Disability
N/AOUTCOME: Settlement - $50,000.00
Settled a long-term disability claim after filing suit in U.S. District Court for the District of New Mexico for individual whose claim was denied by insurance company. Client had major depressive diso ... rder. Insurance company asserted that client was not eligible for benefits because he was not "in service" as that term was defined by the policy at the time of his alleged disability onset. I obtained documentation showing he was paid by his employer at the time and that he was "in service." I pointed out to the insurance carrier's attorney that the summary plan description did not give the insurance carrier discretion and, therefore, the arbitrary and capricious standard did not apply.
