On the Ortiz Regulation Agency, we battle for individuals who have been unfairly denied long-term incapacity advantages. Our current success story highlights the significance of perseverance and powerful authorized advocacy when battling insurance coverage corporations like Lincoln Nationwide.
Case Overview
Our consumer, an airline operations agent, grew to become disabled in March 2023 as a consequence of a mix of debilitating circumstances, together with scoliosis, spondylosis, spinal stenosis, extreme knee ache, and sciatica. Recognizing her lack of ability to work, Lincoln Nationwide initially accepted her for long-term incapacity advantages, which she obtained from July 2023 till April 2024, when the insurer abruptly terminated her advantages.
Lincoln Nationwide’s Unfair Denial
Lincoln Nationwide primarily based its termination of advantages primarily based on a Medical Evaluation Memo from Dr. Sharon Kanelos, which was by no means shared with our consumer previous to the denial. We asserted that this failure to reveal vital proof violated her proper to a full and truthful evaluate below ERISA. Decided to battle this unfair determination, our consumer submitted further goal medical proof to problem Lincoln Nationwide’s evaluation.
The insurer responded by commissioning one other “peer evaluate” by a Dr. Mark Watson, who, regardless of acknowledging goal findings supporting her ache, nonetheless concluded—with out justification—that she had no work restrictions. Lincoln Nationwide used this flawed report as the idea for denying her advantages once more in August 2024.
The Ortiz Regulation Agency Fights Again – And Wins
Our agency ready and submitted a complete attraction, which included:
- A Residual Purposeful Capability (RFC) kind
- A medical supply assertion from her treating suppliers
- Up to date medical data demonstrating her ongoing impairments
- The official job description of an airline operations agent, proving the bodily demanding nature of her work
Confronted with overwhelming proof, Lincoln Nationwide overturned the denial lower than 30 days after we filed our attraction—absolutely reinstating our consumer’s long-term incapacity advantages.
Don’t Let a Lengthy-Time period Incapacity Denial Cease You—Battle Again
In case your long-term incapacity advantages have been wrongfully denied or terminated, you don’t need to battle this battle alone. The Ortiz Regulation Agency has a confirmed monitor file of efficiently difficult insurers like Lincoln Nationwide, guaranteeing that our purchasers obtain the advantages they rightfully deserve.
Name us at present at (888) 321-8131 or fill out our free case analysis kind to debate how we may also help you battle again in opposition to a incapacity denial.
