Supreme Court Weighs Insurer's Conflict of Interest in Claim Denial
National News • April 28, 2008
The Supreme Court struggled last week with how much weight to give an insurance company's potential conflict of interest when it denies an employee's health or disability benefits claim.
The ...
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Subject: RE: RE: definition of disabilty
Posted On: April 28, 2008, 3:01 pm CDT
Posted By: Dawn
Comment:
SS 'threshold of disability' is extremely high. 99.9% of claimants are denied the first time. They must go to court and provide mountains of paperwork to prove that they are unable to work in any field. Not just the field they are trained in. There also has to be proof that there is no chance of recovery.
I know three people that actually went through the process. It takes two- three years (paid retroactively if you win), and then the attorneys get a chunk of what you do get.
So if this woman can prove that her illness is never going to improve (with that specific illness even walking 10 feet or climbing 5 stairs could be an issue) and she would risk heart failure (which is a symptom of the disease) by attempting to work sufficiently to the Fed Gov't, it is understandable that Metlife was out of line in deciding on their own that she was 'better'.
Subject: RE: RE: definition of disabilty
I know three people that actually went through the process. It takes two- three years (paid retroactively if you win), and then the attorneys get a chunk of what you do get.
So if this woman can prove that her illness is never going to improve (with that specific illness even walking 10 feet or climbing 5 stairs could be an issue) and she would risk heart failure (which is a symptom of the disease) by attempting to work sufficiently to the Fed Gov't, it is understandable that Metlife was out of line in deciding on their own that she was 'better'.