By Amanda Antell  |  August 11, 2015

Category: Consumer News

Paper family of four under a paper Disability Insurance umbrellaA Florida man has filed claim denial lawsuit against Unum Life Insurance Company, for allegedly practicing bad faith insurance and wrongfully denying his benefits.

Gerald claims in his Unum lawsuit that he has met the insurance company’s requirements to qualify for long-term disability benefits, and that his claim was wrongfully denied.

Before he became disabled, Gerald was fully employed and had completed all occupational duties until he could no longer physically do so.

Like many companies in America, his employer had contracted Unum to provide their employees with long-term and short-term disability benefits, in the event an employee became injured or disabled to the point that they were prevented from working in their current occupation or other job.

Since he has become disabled, Gerald has been unable to make sufficient income and will be unable to work in a similar occupation. He was declared disabled on Nov. 21, 2014, and filed for long-term disability benefits soon after, according to the Unum lawsuit.

At all times relevant, Gerald had followed all administrative procedures and had submitted all necessary paperwork by the designated deadline.

Included in these documents, were medical testimony from his doctors, confirming that he was no longer able to work for his previous employer and that he would be unable to work in the future.

Despite submitting all paperwork and medical evidence, Unum still denied Gerald his long-term disability benefits. Gerald immediately appealed this, once again submitting all the required paperwork and statements from his physicians. However, his appeal was met with the same result.

According to the disability insurance lawsuit, Unum did not provide a sufficient reason for the claim denial, with the Gerald’s lawyers accusing the company of denying the claim under biased circumstances.

Ultimately, Unum lawsuit states that his claim denial was done in the best interest of the defendant, and not their client, and therefore, was a bad faith insurance decision.

Overview of Unum Claim Denial Allegations

Gerald is one of millions of Unum policyholders who has faced a claim denial from the insurance giant.

Unum Life Insurance Company is the largest and disability insurance provider in the United States, providing over 17 million Americans disability insurance.

Here are some of the claim denial tactics used by Unum:

  • Changing policies after claims are filed and without notifying policy holders
  • Improperly investigating claims and obtaining opinions from unqualified third parties
  • Misreading medical records, often by Unum’s own medical examiners
  • Repeatedly demanding requests for independent medical examinations to make the claim filing process more difficult
  • Refusing to acknowledge the policyholder’s disability
  • Arguing that the disability is a pre-existing condition
  • Using detectives, friends, co-workers and neighbors to try and discredit the policyholder’s claim

Currently, Gerald has not received any payments for his long-term disability claim and is seeking all payments owed to him from the company, plus any interest. Gerald has also been unable to earn adequate income to support his lifestyle, consisting of basic necessities and medical expenses.

This Unum lawsuit is Gerald B. v. Unum Life Insurance Company, Case No. 5:15-cv-00369-MMH-PRL, in the U.S. District Court of Middle Florida, Ocala Division.

Do YOU have a legal claim? Fill out the form on this page now for a free, immediate, and confidential case evaluation. The bad faith insurance attorneys who work with Top Class Actions will contact you if you qualify to let you know if an individual lawsuit or Unum class action lawsuit is best for you. [In general, Unum bad faith lawsuits are filed individually by each plaintiff and are not class actions.] Hurry — statutes of limitations may apply.

Learn More

We tell you about cash you can claim EVERY WEEK! Sign up for our free newsletter.

Get Help – It’s Free

Get Help With Your Long Term Disability Insurance Appeal

If you were denied a disability claim or had your disability benefits terminated without reason, you may be able to take legal action. See if you qualify by filling out the short form below. An attorney will contact you if you qualify to discuss the details of your potential case at no charge to you.

Leave a Reply

Your email address will not be published. By submitting your comment and contact information, you agree to receive marketing emails from Top Class Actions regarding this and/or similar lawsuits or settlements, and/or to be contacted by an attorney or law firm to discuss the details of your potential case at no charge to you if you qualify. Required fields are marked *

Please note: Top Class Actions is not a settlement administrator or law firm. Top Class Actions is a legal news source that reports on class action lawsuits, class action settlements, drug injury lawsuits and product liability lawsuits. Top Class Actions does not process claims and we cannot advise you on the status of any class action settlement claim. You must contact the settlement administrator or your attorney for any updates regarding your claim status, claim form or questions about when payments are expected to be mailed out.