Short & Long Term Disability Cases We’ve Won for Our Clients Against Aetna
Fields Law Firm successfully recovers millions of dollars each year for our disabled clients throughout the United States. Our Long Term Disability experience is matched by very few other law firms in the country and has earned us a national reputation.
Here are just a few examples of our disability appeal case wins against Aetna.
Brandy – Fulfillment Associate – Lyman, South Carolina
Back Pain
A Fulfillment Associate from Lyman, South Carolina began experiencing severe back pain. She received a spinal cord stimulator from her doctor to treat the pain. Eventually, she could no longer lift or push the merchandise that her job required, and she was forced to stop working. She was paid monthly benefits for a few months, but then the insurer abruptly stopped the payments because they said she could return to work.
Upset and worried about her lost income, she contacted Fields Law for assistance. The Fields Law attorneys scoured the insurer’s denial documents and discovered they ignored recommendations from one of our client’s doctors. Our team obtained updated medical records and opinions from our client’s doctors. With the updated evidence our attorneys submitted a strong appeal to the insurance company. They overturned their original decision and reinstated benefits for our client who received a lump-sum payment for back-pay and ongoing monthly benefits. Our client was pleased with the help Fields Law provided, and happy to be done fighting her insurance company.
Howard – Repair Technician – Huntington Station, New York
Osteoarthritis
A Repair Technician from New York suffered from osteoarthritis. When his doctors removed him from work, he applied for Long Term Disability benefits through his employer’s plan. At first, Aetna approved his claim and paid his benefits. However, when the definition of disabled changed under the policy, requiring him to be disabled from Any Occupation, Aetna denied the claim arguing there were other occupations he could perform.
Concerned, our client turned to Fields Law Firm for help. Our team drafted built an appeal to fight this decision. We reached out to our client’s doctors for specific narratives answering questions aimed at fighting this decision. Additionally, we received an independent vocational assessment pointing out that our client could not, in fact, perform any other occupations in the national economy. After receiving our appeal Aetna reversed its denial, paid our client his back pay and restarted his monthly disability payments.
Dennis – Machine Operator – Phelps, New York
Lumbar Pain, Cervical Radiculopathy, Bilateral Carpal Tunnel with Neuropathy
A machine operator quit his job due to extensive nerve pain along his spine. His symptoms resulted in a complete inability to keep up with the heavy physical demands of his job. Aetna paid benefits intermittently for the first six months, stating they needed extra medical records and doctors’ notes. Finally, Aetna denied benefits stating the medical evidence in the file was insufficient to show ongoing disability.
He hired Fields Law Firm to appeal the wrongful denial decision. The Fields Law attorneys gathered medical evidence from our client’s doctors and requested detailed reports refuting the findings of the insurer’s doctors. Those reports were submitted along with legal and factual arguments regarding selective review of the evidence in the denial letter. Aetna quickly reversed its decision and reinstated benefits. With his financial security reestablished, our client was able to focus on treating for his conditions and pursue his Social Security Disability case.
