Trauma Nurse Denied Long-Term Disability Insurance Benefits; Wins Appeal After Legal Battles

A dedicated trauma nurse recently found herself facing an unjust hurdle when MetLife, one of the nation’s largest insurance companies, wrongfully denied her long-term disability benefits. Determined to fight for her rights, she turned to the experienced legal team at Donahue & Horrow LLP to help her navigate complex federal ERISA laws.

One of ERISA’s many requirements is that, once a claim is denied, a person cannot simply sue the insurance company. Instead, they must appeal the decision and face in a legal battle the very same, massive corporation that just denied their claim. Additionally, the appeal must be filed within a certain time frame, or the person loses all their rights under the policy. ERISA litigation often imposes limitations on the amount of discovery allowed, further complicating the path to a fair resolution.  Any appeal must include all the evidence that might be used to support the claim in litigation.

Understanding that she was going to have to fight a multi-billion dollar insurance company to collect her disability benefits, the trauma nurse sought the skilled representation of Donahue & Horrow LLP. Luckily for her, Michael Horrow and the ERISA team at Donahue & Horrow LLP have decades of experience litigating ERISA cases. The firm took immediate action, empowering the client to focus on her well-being while they fought on her behalf.

Donahue & Horrow LLP left no stone unturned in building a compelling appeal. They meticulously gathered the nurse’s extensive medical records and arranged for a Functional Capacity Evaluation, providing undeniable evidence of her inability to return to work. Armed with this comprehensive documentation, the firm crafted a powerful 37-page appeal letter, supplemented by hundreds of pages of medical records, clearly demonstrating how her leg and back pain hindered her from fulfilling her occupational duties.

MetLife, upon reviewing the compelling appeal and supporting evidence, reversed its initial denial decision. Acknowledging the flaws in their assessment, the insurance company approved the nurse’s long-term disability claim, ensuring she received the rightful benefits she had been wrongfully denied. Thanks to the relentless efforts of Donahue & Horrow LLP, the nurse now enjoys the financial support she deserves, without the burden of enduring prolonged litigation.

If you believe your long-term disability insurance, short-term disability insurance, life insurance, or accidental death and dismemberment (AD&D) claim has been improperly denied by your insurance company under ERISA, don’t hesitate to seek justice. Call Donahue & Horrow LLP at (877) 664-5407 for a complimentary consultation. Our dedicated team of advocates is ready to champion your cause and fight for the benefits you deserve.