Ontario man says life insurance application denied due to anxiety disorder
A man in Elmira, Ont., says his application for life insurance was denied by Sun Life Financial on the basis of his generalized anxiety disorder. (Source: CBC | Health)
Source: CBC | Health - August 12, 2019 Category: Consumer Health News Tags: News/Canada/Kitchener-Waterloo Source Type: news

Dentist's Crushed Thumb Leads to Lawsuit
A Fayetteville dentist is suing Berkshire Life Insurance for past benefits in the amount of about $200,000 after the company stopped paying her claims following a workout accident. (Source: Arkansas Business - Health Care)
Source: Arkansas Business - Health Care - August 12, 2019 Category: American Health Source Type: news

Prudential and MyDoc to launch online doctor consultations and telemedicine services in Asia
Hong-Kong headquartered life insurance company Prudential announced that it will partner with telemedicine provider MyDoc to offer consumers access to value-added health services on their mobile phones, including doctor consultations, electronic prescriptions and electronic medical certificates. (Source: mobihealthnews)
Source: mobihealthnews - August 5, 2019 Category: Information Technology Source Type: news

High Court Denies Disability Claimant's Petition To Review Termination Of Benefits Ruling
WASHINGTON, D.C. - The U.S. Supreme Court on June 10 denied a disability claimant's petition for writ of certiorari, refusing to review the 11th Circuit Court of Appeals' finding that a disability insurer had a reasonable basis for terminating the claimant's disability benefits (Timothy P. O'Leary v. Aetna Life Insurance Co., No. 18-1266, U.S. Sup.). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Oregon Federal Judge Says Claimant's LTD Benefits Must Be Reinstated
PORTLAND, Ore. - A disability claimant is entitled to reinstatement of long-term disability (LTD) benefits because the claimant provided sufficient evidence that his disability was ongoing and that the insurer's termination of benefits was an abuse of discretion, an Oregon federal judge said June 10 (David Black v. Hartford Life Insurance Co., No. 17-1785, D. Ore., 2019 U.S. Dist. LEXIS 96711). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Disability Insurer Abused Its Discretion In Terminating Benefits, Panel Says
RICHMOND, Va. - A disability insurer abused its discretion in terminating a claimant's long-term disability (LTD) benefits because a wealth of medical evidence supports a finding that the claimant was not capable of working in a sedentary position and was totally disabled under the terms of the disability plan, the Fourth Circuit U.S. Court of Appeals said June 20 (Fredrick E. Smith, et al. v. Reliance Standard Life Insurance Co., No. 18-2225, 4th Cir., 2019 U.S. App. LEXIS 18518). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Termination Of Disability Benefits Was Reasonable, W.Va. Federal Judge Says
CHARLESTON, W.Va.- The termination of a claimant's disability benefits was not unreasonable because an insurer properly concluded that the claimant was no longer disabled from his own occupation as an attorney based on his decision to accept a full-time position as an attorney after resigning from his former law firm, a West Virginia federal judge said June 26 (Vaughn T. Sizemore v. Northwestern Mutual Life Insurance Co., No. 17-789, S.D. W.Va., 2019 U.S. Dist. LEXIS 106972). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Disability Insurer Did Not Act Arbitrarily, Capriciously In Denying Benefits Claim
CLEVELAND - A disability insurer did not act arbitrarily and capriciously in denying a lawyer's long-term disability (LTD) benefits claim, an Ohio federal judge said June 18, noting that the insurer was entitled to conduct a file-only review of the plan participant's claim (Drew A. Carson v. Unum Life Insurance Company of America, No. 18-1225, N.D. Ohio, 2019 U.S. Dist. LEXIS 101676). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Disability Claimant's LTD Benefits Reinstated; Insurer's Termination Not Supported
ATLANTA - A disability insurer acted arbitrarily and capriciously in terminating a claimant's long-term disability (LTD) benefits because the evidence does not support the insurer's finding that the claimant was capable of performing the duties of his job as a software engineer, a Georgia federal judge said June 4 (Arthur F. Lesser IV v. Reliance Standard Life Insurance Co., No. 18-824, N.D. Ga., 2019 U.S. Dist. LEXIS 99418). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Federal Judge Says Fraud Claims Against Disability Insurer Cannot Proceed
MIAMI - A disability claimant's fraud claims against a disability insurer cannot stand because the claimant failed to allege any facts in support of the claims, a Florida federal judge said June 18 in partially granting the insurer's motion to dismiss (Douglas Shapiro, M.D. v. Unum Life Insurance Company of America et al., No. 18-23454, S.D. Fla., 2019 U.S. Dist. LEXIS 102631). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Disability Insurer Failed To Properly Address Claimant's Mental Limitations, Panel Says
CHICAGO - The Seventh Circuit U.S. Court of Appeals on June 12 reversed a district court's ruling in favor of a disability insurer after determining that the court and the insurer failed to properly address the disability claimant's mental limitations and failed to properly classify her occupation under the Dictionary of Occupational Titles (DOT) (Shirley Lacko v. United of Omaha Life Insurance Co., No. 18-2155, 7th Cir., 2019 U.S. App. LEXIS 17518). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Pre-Existing Condition Exclusion Does Not Apply To Bar LTD Benefits, Panel Says
NEW ORLEANS - A disability insurer's denial of long-term disability (LTD) benefits was arbitrary and capricious because the claimant's treatment for a symptom that later turned out to be caused by ovarian cancer cannot be considered the condition that caused her disability, the Fifth Circuit U.S. Court of Appeals said June 11 in rejecting the insurer's argument that the plan's pre-existing condition exclusion barred the claim for LTD benefits (Marcia L. Smith v. United of Omaha Life Insurance Co., et al., No. 18-60753, 5th Cir., 2019 U.S. App. LEXIS 17367). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Disability Insurer Is Entitled To Reimbursement For Overpayment, Judge Says
HARRISBURG, Pa. - A disability insurer is entitled to judgment on its claim for reimbursement following an overpayment of disability benefits; however, the amount of reimbursement owed to the insurer is unclear, a Pennsylvania federal judge said June 17 in partially granting the insurer's motion for judgment on its counterclaims for reimbursement (Jamie Eberhard v. United of Omaha Life Insurance Co., No. 18-536, M.D. Pa., 2019 U.S. Dist. LEXIS 100502). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Substantial Compliance Doctrine Does Not Apply To Deadlines Imposed By ERISA
CHICAGO - The Seventh Circuit U.S. Court of Appeals on June 25 vacated and remanded a district court's ruling in favor of a disability insurer after determining that the district court erred in applying the doctrine of substantial compliance to excuse the insurer's failure to issue an administrative appeal decision by the imposed deadline and to justify the use of the arbitrary and capricious standard of review because the substantial compliance doctrine does not apply to regulatory deadlines imposed by the Employee Retirement Income Security Act (Donald Fessenden v. Reliance Standard Life Insurance Co. et al., No. 18-1346...
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news

Disability Benefits Suits Remanded; ERISA Does Not Apply Extraterritorially
PHILADELPHIA - A Pennsylvania federal judge on June 24 remanded 12 separate lawsuits filed by foreign nationals alleging claims for breach of contract and bad faith against a disability insurer after determining that federal jurisdiction does not exist because Congress has not clearly expressed that the Employee Retirement Income Security Act applies extraterritorially (In re Reliance Standard Life Insurance Co. et. al., Nos. 19-331; 19-332; 19-333; 19-334; 19-335; 19-336; 19-338; 19-339; 19-340; 19-341; 19-342; 19-343, E.D. Pa., 2019 U.S. Dist. LEXIS 104922). (Source: LexisNexis® Mealey's™ Disability Insurance Legal News)
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - July 8, 2019 Category: Medical Law Source Type: news