Disability Benefits

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Is there a duty to investigate?

The question of whether an insurer has a duty to investigate the legitimacy of evidence submitted by a spurned intimate acquaintance was presented in the recently decided case of Truitt v. Unum Life Ins. Co. of Amer., 2013 U.S.App.LEXIS 18639 (5th Cir. Sept. 6, 2013). The plaintiff, Terri Truitt, had worked as an attorney in […]

Federal court rejects remand request

Disability claims involving chronic fatigue syndrome and fibromyalgia are difficult to assess because the symptoms are self-reported and cannot be objectively verified. However, in Schnoor v. Walgreen Income Protection Plan, 2013 U.S.Dist.LEXIS 114435 (W.D.Mich. Aug. 14, 2013), the court had no difficulty seeing through a deficient claim evaluation, despite the broad deference given to the […]

Court gives insurer another bite at the apple

Despite advances in medical science, many medical conditions such as tinnitus – a ringing or buzzing in the ears that afflicts millions of Americans – cannot be objectively diagnosed or verified. The case of Miles v. Principal Life Ins.Co., 2013 U.S.App.LEXIS 13065 (2nd Cir. June 26, 2013), which involved a partner in a major law […]

Florida case offers lesson on ERISA, good-faith duties and fair dealing

The main lesson taught by a recent federal court ruling issued in Florida, Wilson v. Walgreen Income Protection Plan, 2013 U.S.Dist.LEXIS 62021 (M.D.Fla. April 29, 2013), is that the Employee Retirement Income Security Act (ERISA) imposes duties of good faith and fair dealing that preclude deceptive and unreasonable claim handling tactics. The plaintiff, Deborah Wilson, […]