Blog

/Blog

RW federal ERISA Lawsuit Leads to Confidential Settlement with Aetna – Business Consultant with Rare Middle Ear Condition (“endolymphatic hydrops,” a precursor to Meniere’s Disease)

ERISA Long Term Disability | U.S. District Court for the Northern District of Georgia This disability case involved a rare middle ear condition known as “endolymphatic hydrops,” a precursor to Meniere’s disease. This condition causes balance problems, nausea and sensitivity to pressure changes. The firm assisted in developing persuasive medical evidence, including additional testing for [...]

2021-10-26T14:44:33+00:00

RW Pre-suit Insurance Bad Faith Demand Leads to Recovery of $6.5M in Previously Denied Life Insurance Benefits (Indianapolis Life Insurance Company)

Life Insurance, Bad Faith This case involved the pre-suit settlement of several life insurance claims for $6,500,000.00, over 93% of the value of the policies. The Insurer wrote $7,000,000.00 in coverage on an 80 year old man with a history of bladder cancer, longstanding high blood pressure and a first degree atrioventricular block. The insured [...]

2021-10-26T14:40:40+00:00

RW ERISA Appeal Recovers $950,000 Accidental Death & Dismemberment from Prudential, Proving That Traumatic Brain Injury Led to Total and Permanent Disability

Accidental Death & Dismemberment, ERISA Man with 22 year work history as commercial airplane mechanic injured in explosion at work for Delta. His doctors felt he had a traumatic brain injury causing total, permanent disability. Prudential and Delta's workers compensation carrier relied on non-treating doctors who accused the client of exaggerating and malingering. We arranged [...]

2021-10-26T14:36:44+00:00

RW ERISA Appeal Recovers Disability Benefits for Delta Sales Analyst, Overcomes Sedgwick/Delta Denial of Benefits for Positional Orthostatic Tachycardia

RW overcomes Sedwick/Delta denial of benefits for Positional Orthostatic Tachycardia Background The claimant in this short-term disability case became disabled following a vacation to Dubai. While in Dubai, the claimant contracted a serious upper respiratory infection, thought to be viral in nature. As a consequence, he began suffering from severe fatigue and insomnia, as well [...]

2021-10-26T14:31:39+00:00

RW Pre-suit Demand Recovers Millions in Disability Benefits Orthopedic Surgeon, Overcoming Lloyd’s Attempt to Assert Pre-Existing Condition Exclusion

Our client, a renowned and highly successful orthopedic surgeon who specialized in hip and knee-replacement surgery, took out a high-premium, high-coverage disability policy with Certain Underwriters of Lloyd’s. High-end disability policies are often referred to colloquially as “Cadillac” policies. In this case, it was more like a “Rolls-Royce” policy. The orthopedic surgeon paid very high [...]

2021-10-26T15:11:31+00:00

RW Appeal and Lawsuit Convinces MetLife to Settle Complex Accidental Death Claim

In this interesting claim on an Accidental Death and Dismemberment insurance policy, RW had the privilege of representing a widower who unexpectedly lost his wife due to an accident in the home.  Shortly after midnight, our client’s wife walked into her kitchen to get a drink of water and a midnight snack. She walked into [...]

2021-10-26T13:23:53+00:00

RW Assists Attorney with Severe Rheumatoid Arthritis Overcome a Termination of Benefits When Treating Physicians Ignored Insurer Requests

Sometimes the biggest problem with a disability claim is the reluctance of treating physicians to become involved in the process. In a disability claim, the deck is already stacked against you. The insurance company has access to an endless parade of consulting doctors willing to say that there is insufficient evidence of your disability. To [...]

2023-09-19T22:05:48+00:00

MassMutual Vision Success Story

Robinson Warncke Recovers $1.7M in Benefits, Overcoming MassMutual Attempt to Dilute “Own Occupation” Disability Coverage for Owner of Commercial Roofing Company Disability insurance companies routinely find novel ways to make seemingly straightforward cases incredibly complicated and burdensome for the insured.  This is just such a case. Our client took out four premium “own occupation” disability [...]

2021-10-21T15:44:28+00:00

Disability and Health Insurance Claims Under ERISA

If you missed your deadline to file a claim or appeal your claim denial - you may still be able to take advantage of a temporary extension of those deadlines due to the pending Covid-19 epidemic. On March 13, 2020, the President declared a state of National Emergency due to the Covid-19 outbreak in the [...]

2021-09-10T13:54:35+00:00

Insurance Companies Misuse of “Mental Disorder” Limitations as to Cognitive Disabilities

In a recent article, Long Term Disability Claims for Cognitive Disorders, we discussed the challenges presented with disability claims based on cognitive disorders. These are medical conditions that interfere with intellectual or cognitive abilities, such as memory, concentration, planning, problem-solving, reasoning, verbal and written communication, and other logical processes. They are oftentimes “invisible” medical conditions, [...]

2021-11-16T15:23:35+00:00