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We’re thrilled to announce that after once more, we’ve got secured a settlement over and above the complete worth of the contract for our Monterey County-based consumer whose declare for long-term disability insurance benefits was improperly and unfairly denied. Furthermore, Donahue & Horrow LLP was in a position to persuade the insurance coverage firm to pay the favorable settlement shortly after submitting the case with out having to take a single deposition nor file a single movement.
Our consumer, a 58-year-old Police Data/Detention Supervisor for the Metropolis of Monterey, grew to become disabled in June 2013 because of quite a lot of situations together with degenerative disc illness. This situation induced low again ache, fibromyalgia in addition to extreme melancholy and anxiousness. Below the phrases of the insurance coverage coverage, our consumer initially needed to reveal that she was unable to carry out the duties of her “personal occupation,” and after two years, she needed to reveal an incapacity to carry out “any occupation.”
Whereas the insurance coverage firm initially authorized our consumer’s declare and continued to search out our consumer disabled even after the definition of incapacity modified, the insurance coverage firm appeared decided to search out an excuse to disclaim her declare.
In 2015 and 2016, the insurer carried out two thorough opinions however did not develop proof that she may carry out the duties of any occupation given her restrictions and limitations. But that didn’t cease the insurance coverage firm from its efforts to proceed to attempt to deny the declare.
In March 2020 – in the beginning of the pandemic, when no corporations had been hiring – the insurance coverage firm denied her declare, stating that she may all of the sudden return to work. The insurer’s resolution relied on the opinion of a one-time medical expert, who ignored the proof supporting incapacity and a closely flawed vocational evaluate. The vocational evaluate concluded that our consumer may return to her similar bodily demanding pre-disability occupation that six years earlier, the insurance coverage firm discovered she couldn’t do.
After our workplace filed the lawsuit, the insurance coverage firm eliminated it to Federal Courtroom, particularly the Northern District of California, San Jose Division.
Donahue & Horrow LLP’s Founding Accomplice, Michael Horrow, satisfied the insurance coverage firm to achieve a fast settlement with our consumer.
In consequence, we had been in a position to safe a big lump sum fee for our consumer to safe and put money into her future well-being. Moreover, the phrases of the settlement included a provision whereby she would not need to certify her incapacity to the insurance coverage firm each month till she turned 65.
We Are Right here to Assist.</sturdy?
In case your non-public incapacity insurance coverage declare was unfairly denied, contact Donahue & Horrow LLP at (877) 664-5407 at the moment, and we’ll conduct a free analysis of your case. We’re right here that will help you get the non-public incapacity insurance coverage advantages you deserve and paid for.
Social Security Administration
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