Nearly all 50 state insurance commissioners, including Andrew Boron, the Illinois Insurance Director, have now signed on to the Regulatory Settlement Agreement that requires CIGNA disability insurance companies such as the Life Insurance Company of North America to reconsider denied claims under revised guidelines for:

  • Consideration of Social Security disability awards
  • Evaluation of medical evidence
  • Use of medical and vocational evidence and when to obtain additional evidence
  • Standards for evaluation of evidence and consideration of co-morbid impairments

CIGNA was also ordered to reconsider claims denied between January 1, 2009 and December 31, 2010 (in California from January 1, 2008 and December 31, 2010)(the “remediation period”).

If you were denied disability benefits by the Life Insurance Company of North America, Connecticut General Life Insurance Company, or Cigna Health and Life Insurance Company during the remediation period, you may be eligible to have your claim reconsidered.

 

Related Articles

ERISA-Governed vs. Non-ERISA Group Benefits: Key Differences and Why They Matter

ERISA-Governed vs. Non-ERISA Group Benefits: Key Differences and Why They Matter

The Employee Retirement Income Security Act (ERISA) affects millions of Americans with employer-sponsored benefits, but most don’t know until a claim is denied. ERISA is an acronym for the Employee Retirement Income Security Act, a law passed by Congress in 1974. The primary intent behind ERISA was to protect employees’ retirement benefits. [..]

ERISA Venue Provisions: Where Can You File Your Benefits Lawsuit?

ERISA Venue Provisions: Where Can You File Your Benefits Lawsuit?

The Employee Retirement Income Security Act of 1974 (ERISA) governs private sector employee benefits plans, including retirement, disability, and health plans. One of the key aspects of ERISA litigation is the question of venue — where participants or beneficiaries file their lawsuits when they believe their plan rights are violated. […]

How to File a Winning ERISA Claim

How to File a Winning ERISA Claim

If you have an employment-related benefit claim, ERISA likely applies to your claim. ERISA claims involve complex rules and strict deadlines that can be challenging and challenging to navigate. […]

Disability Ruling Guides On Cases With Uncertain Causation

Disability Ruling Guides On Cases With Uncertain Causation

Deciding disability benefit claims correctly can often pose a challenge for both claimants and insurers. Since disability is dependent on functional restrictions and not just on a diagnosis, determining a claimant’s level of functionality with respect to basic activities such as sitting, standing and walking can be difficult, especially when disability results from symptoms such as pain. […]