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Mealey's Disability Insurance

  • March 26, 2025

    Ex-NFL Player To 5th Circuit: Dismiss Fee Award Appeal In Disability Benefits Row

    NEW ORLEANS — Arguing in part that “[i]t would be patently unfair to reverse [his] benefits award while citing his failures to properly appeal and then excuse the Plan’s own failures to properly appeal the Fee Award,” a former National Football League player filed a motion asking the Fifth Circuit U.S. Court of Appeals to dismiss the plan’s appeal of an award of more than $1.25 million in attorney fees and costs.

  • March 25, 2025

    Deal Report Garners Stay In Former Surgeon’s Suit For LTD Benefits

    TYLER, Texas — Saying in a March 24 notice that they “are working on finalizing” an unspecified settlement, the parties in a former surgeon’s suit for long-term disability (LTD) benefits and relief for alleged mishandling of her claim successfully asked a Texas federal court to stay all deadlines in the case for 60 days.

  • March 24, 2025

    Judge Overrules Objections, Denies Dismissal In Former Surgeon’s Disability Case

    TYLER, Texas — Saying that a disability insurer’s objections “are without merit,” a Texas federal judge on March 21 overruled them and adopted a report and recommendation in a suit where a former surgeon seeks long-term disability (LTD) benefits and relief for alleged mishandling of her claim, thereby denying a dismissal motion.

  • March 21, 2025

    Union, Groups Granted TRO In Suit Seeking To Stop DOGE Access To SSA Systems

    BALTIMORE — A federal judge in Maryland on March 20 granted a temporary restraining order (TRO) halting access to Social Security Administration (SSA) data for anonymous individuals associated with the Department of Government Efficiency (DOGE) while calling the individuals’ actions “a fishing expedition” and stating that the federal government has not “identified or articulated even a single reason for which the DOGE Team needs unlimited access to SSA’s entire record systems, thereby exposing personal, confidential, sensitive, and private information that millions of Americans entrusted to their government.”

  • March 20, 2025

    Insurer To 4th Circuit: Overturn Ruling In Long Covid Disability Benefits Case

    RICHMOND, Va. — Arguing that the lower court improperly applied de novo review and wrongly concluded that the claimant showed that she is disabled from working as an engineer because of long COVID symptoms, an insurer urged the Fourth Circuit U.S. Court of Appeals to reverse a judgment that the claimant is owed past-due long-term disability (LTD) benefits.

  • March 19, 2025

    Citing Cooperation Provision, Judge Rules For Insurer In LTD Benefits Row

    NEW BERN, N.C. — Noting that briefing focused on a preexisting condition provision, a North Carolina federal judge granted summary judgment in favor of an insurer that denied long term disability (LTD) benefits to a claimant who had multiple sclerosis on the other ground the insurer cited in its denial, violation of a claimant cooperation provision.

  • March 13, 2025

    Judge Rules That Claimant With POTS Is Entitled To Disability Benefits

    CHICAGO — Saying that many of the arguments an insurer made were “so weak as to call into question the good faith of its litigation position,” an Illinois federal judge overturned its determinations that postural orthostatic tachycardia syndrome (POTS) was an excluded pre-existing condition and that the claimant is not totally disabled from her own occupation, ruling that the human resources manager is entitled to long-term disability (LTD) benefits.

  • March 12, 2025

    Judge Finds Factual Issue In LTD Benefits Calculation Dispute

    KNOXVILLE, Tenn. — Calling the outcome “relatively uncommon,” a Tennessee federal judge denied competing motions for summary judgment and judgment on the record in a truck driver’s Employee Retirement Income Security Act suit over calculation of his long-term disability (LTD) benefits.

  • March 07, 2025

    Disability Claimant Awarded $241K In Attorney Fees Based On Success On Appeal

    PITTSBURGH — A disability claimant is entitled to attorney fees of $241,746 and costs of $8,277, a Pennsylvania federal judge said after determining that the claimant achieved success on the merits of his claim based on the Third Circuit U.S. Court of Appeals’ decision to vacate a summary judgment ruling in favor of the disability plan.

  • March 07, 2025

    California Federal Judge Says Claimant Met Burden Of Proving She Is Disabled

    SANTA ANA, Calif. — A disability claimant is owed more than $81,000 in long-term disability (LTD) benefits and is entitled to future LTD benefits because the claimant met her burden of proving by a preponderance of the evidence that she is disabled from performing the duties of any occupation as a result of ongoing cognitive and physical effects caused by chemotherapy treatment, a California federal judge said in granting judgment in favor of the claimant.

  • March 06, 2025

    Magistrate Recommends Denying Dismissal Bid In Former Surgeon’s Disability Case

    TYLER, Texas — Concluding that several issues raised could not properly be resolved at this stage, a Texas federal magistrate judge recommended denial of a dismissal motion in a suit where a former surgeon seeks long-term disability (LTD) benefits and relief for alleged mishandling of her claim.

  • March 06, 2025

    Federal Judge Affirms Disability Insurer’s Decision In STD, LTD Benefits Row

    LOUISVILLE, Ky. — Granting summary judgment for a disability insurer, a Kentucky federal judge ruled that “substantial evidence” supported termination of short-term disability (STD) benefits and that the claimant didn’t clearly establish the futility of filing a long-term disability (LTD) benefits claim.

  • March 06, 2025

    Disability Insurer Says Judgment Was Proper; Claimant Is Capable Of Sedentary Work

    ATLANTA — A district court’s judgment in favor of a disability insurer was correct because the evidence supports the lower court’s finding that the disability claimant is not disabled from performing the duties of any occupation and is capable of performing sedentary work, the insurer contends in an appellee brief filed in the 11th Circuit U.S. Court of Appeals.

  • March 06, 2025

    Stay Of Mandate Pending Planned Petition Denied In Disability Benefits Suit

    NEW ORLEANS — A Fifth Circuit U.S. Court of Appeals judge denied a motion in which a disability claimant and her husband sought to stay a mandate after denial of their request for rehearing in the case where a panel entered an unpublished opinion in favor of a disability insurer; the movants said they plan to petition the U.S. Supreme Court to grant certiorari.

  • March 05, 2025

    11th Circuit Affirms Summary Judgment, Discovery Rulings Against STD Claimant

    ATLANTA — Upholding discovery and summary judgment rulings for a disability insurer in a March 4 unpublished per curiam opinion, an 11th Circuit U.S. Court of Appeals panel rejected the claimant’s arguments that the lower court “did not properly apply [the appellate court’s] framework for evaluating” claims asserted under the Employee Retirement Income Security Act and should not have denied her request for “discovery outside the administrative record.”

  • March 05, 2025

    Lower Court Properly Found Disability Claimant Failed To Meet Burden, Insurer Says

    CHICAGO — A district court properly found that a disability claimant failed to satisfy her burden of proving that she remained disabled from working in a sedentary occupation as a result of symptoms related to fibromyalgia, a disability insurer says in an appellee brief filed in the Seventh Circuit U.S. Court of Appeals.

  • March 03, 2025

    Choice-Of-Law Ruling Issued In Disability Insurance Suit In Federal Court

    NEW HAVEN, Conn. — Granting an insurer’s motion for partial judgment on the pleadings in a suit challenging the discontinuation of long-term disability (LTD) benefits, a Connecticut federal judge ruled that the “tort, equity, and contract claims under the common law are not governed by California law” and that three California and North Carolina statutory claims fail as a matter of law.

  • February 27, 2025

    9th Circuit Affirms ERISA Preemption Ruling In Disability Benefits Row

    PHOENIX — Affirming judgment for a long-term disability (LTD) insurance provider in an unpublished memorandum disposition, a Ninth Circuit U.S. Court of Appeals panel agreed that the appellant’s agency had established an employee benefits plan governed by the Employee Retirement Income Security Act, so state law claims were preempted.

  • February 27, 2025

    Judge: Disability Pension Fund Didn’t Show Consideration Of All Relevant Evidence

    WASHINGTON, D.C. — Addressing competing summary judgment motions, a District of Columbia federal judge remanded a dispute to a multiemployer disability pension fund, holding that denying a maintenance mechanic’s claim for permanent disability benefits “was not reasonable insofar as the Fund has not shown that it considered all relevant evidence before it.”

  • February 27, 2025

    Fact Issue Precludes Summary Judgment In Disability Claimant’s Favor, Judge Says

    PHOENIX — Summary judgment in favor of a disability claimant on a breach of contract claim is not warranted because the claimant killed his own motion with “factual friendly fire” by introducing evidence that questions whether the disability insurer terminated the claimant’s benefits based on the available medical evidence or purposefully withheld evidence to prevent its reviewing physicians from finding that the claimant remained disabled, an Arizona federal judge said.

  • February 26, 2025

    Substantial Evidence Supports Termination Of Disability Benefits, Panel Says

    NEW YORK — The Second Circuit U.S. Court of Appeals affirmed a district court’s ruling in favor of a disability insurer, agreeing with the lower court that substantial medical evidence supports the disability insurer’s finding that the claimant is capable of working in a sedentary position.

  • February 26, 2025

    Stay Of Mandate Pending Planned Petition Sought In Disability Benefits Suit

    NEW ORLEANS — Saying they plan to petition the U.S. Supreme Court to grant certiorari in the case where a panel entered an unpublished opinion in favor of a disability insurer, a disability claimant and her husband moved in the Fifth Circuit U.S. Court of Appeals to stay a mandate that would otherwise soon follow denial of their request for rehearing.

  • February 24, 2025

    7th Circuit Upholds ‘Thorough’ Ruling Denying Systems Engineer LTD Benefits

    CHICAGO — Affirming a determination that a systems engineer isn’t entitled to long-term disability (LTD) benefits because he didn’t “establish that he is prevented from performing one or more essential duties of his occupation,” a Seventh Circuit U.S. Court of Appeals panel said in a nonprecedential per curiam disposition that its “independent look at the record” showed “no error, legal or factual.”

  • February 07, 2025

    Corporate Attorney Alleges Disability Insurer Failed To Conduct Full, Fair Review

    LOS ANGELES — A disability insurer failed to conduct a full and fair review of a corporate attorney’s long-term disability (LTD) benefits claim because the insurer failed to address how the attorney’s physical disabilities contributed to her inability to perform her duties as a corporate attorney, the plan participant says in a Feb. 6 complaint filed in California federal court.

  • February 07, 2025

    LTD Benefits Termination Was Not Arbitrary, Capricious, Magistrate Judge Says

    JACKSONVILLE, Fla. — A disability insurer’s termination of a claimant’s long-term disability (LTD) benefits was de novo wrong; however, the termination was not arbitrary and capricious because the disability insurer had reasonable grounds to support its termination of benefits decision, a Florida federal magistrate judge said in recommending that the disability insurer’s motion for summary judgment be granted.