“Our team represented a worker who was unable to continue his job due to neurocardiogenic syncope, an autonomic nervous system reflex disorder that causes the individual’s heart rate and blood pressure to drop, leading to fainting episodes. In discontinuing the worker’s benefits, the insurance company relied on the opinions of two doctors who had never even seen the man, but felt that he could perform sedentary work based on their review of his medical records. Additionally, the insurance company stated that the man’s restrictions, as provided by his treating doctor, were “preventative” in nature and not indicative of his ability/inability to perform gainful work.
The Fields Disability team presented a strong appeal to the insurance company, in which they argued that it had not applied the correct standard of disability when it found that our client was not disabled. We argued that the fact that our client’s restrictions were in place to prevent him from fainting and sustaining further injury did not preclude payment of benefits under his policy. The Fields Disability team also gathered updated medical records for the client and illustrated that his condition had not improved since he was initially awarded benefits. Based on these efforts, the insurance company agreed to reinstate the man’s benefits.”