Short & Long Term Disability Cases We’ve Won for Our Clients Against Aetna

An Advisory and Assurance Specialist from Georgia had struggled with depression and anxiety for many years, but was able to carry on a successful career despite her conditions. However, she was forced to give up her administrative position after developing an autoimmune disease, cognitive impairments, persistent migraines, chronic fatigue, and fibromyalgia. She was initially granted Long Term Disability benefits by Aetna. However, after just half a month, the insurer cut off her income. They claimed there wasn’t enough evidence to prove she couldn’t work, and that her medical records failed to demonstrate sufficient limitations.

She contacted Fields Law and was able to discuss her case with our attorneys right away. The Fields Law team began building her appeal, and gathered supporting documentation from her treating physicians. We argued that the weight of medical evidence supported restrictions for our client, and accused the insurer of failing to specify the information necessary for a valid claim denial. The appeal was a success, and Aetna agreed that the medical evidence we put together supported full occupational impairment in any category of physical demand. Our client’s Long Term Disability benefits were soon reinstated, and she was relieved to be financially secure.

A teller at a bank came to us after her insurance company denied her disability benefits. She was distressed because she suffered from advanced degenerative disc disease, cervical radiculopathy, fibromyalgia, and chronic pain and simply could not do her job. She was dealing with ongoing pain in her back, arms and legs that diminished her quality of life and made it impossible for her stand for long hours at work. Aetna claimed that there was not enough evidence to support her disability and denied her.

She contacted Fields Law to represent her in appealing the insurance company’s denial. We worked with her doctors to obtain objective evidence of the impairments that made her unable to perform her own occupation. The doctor provided us with information concerning our client’s functional restrictions and limitations, which allowed us to question the insurance company’s assertion that she was able to do her job.

After thorough analysis of the law and our client’s case, we drafted an appeal that exposed the insurance company’s improper and deficient review of our client’s limitations. Our appeal was successful and our client now receives the benefits to which she is entitled. She was relieved that our team was able to fight Aetna to pay her benefits without having to file a lawsuit.

A 50 year old male who, prior to his disability, worked as a Warehouse Worker with Amazon, had to repeatedly lift, reach, bend, and climb stairs, as well as stand with his arms stretched for eleven hour shifts.

Over a three-month period, he developed significant pain in his lower abdominal area. The pain became so excruciating over time that he had to apply for disability benefits, which were denied. While having to deal with Aetna, he underwent a surgery to rectify an umbilical hernia, forcing him to stay in bed convalescing for months on end.

Eventually, he sought out the assistance of Fields Law Firm. Our attorneys reviewed the file, assembled supportive medical records and reports and filed a memorandum of appeal demanding reversal of the disability carriers’ denial. After a 45 day review of the appeal, Aetna reversed its denial and began making disability payments. While our clients condition is, fortunately, something that will eventually heal, he is extraordinarily grateful for the efforts of Fields Law to ensure he is receiving disability payments while he is attempting to heal from his condition.