“A registered nurse from Oregon was 10 years away from retirement. She had worked at the same hospital for 40 years, but had a very complicated medical history due to her clostridium difficile intestinal infections. One day she awoke to extreme pain and discovered blood in her stool. She went to the nearest emergency room and learned she had developed an autoimmune disease called Sjogren’s in addition to Lupus, adrenal insufficiency, thyroid issues, and celiac disease.
The nurse applied for and was granted short-term disability benefits, but just a month later the insurance company cut off their payments. In their denial letter, the insurer claimed the woman did not fit the definition of “”disability,”” claiming to have based their decision on an “”independent”” physician’s peer review of her medical records. She was stunned, and tried applying for long-term disability benefits without the assistance of an attorney, but was again denied on the same grounds.
The woman knew she needed help and retained Fields Disability to help fight the insurance company. The Fields team wrote a multipronged appeal ofthe insurer’s decisions concerning both her short and long-term disability benefits. Our attorneys argued that the insurance company made multiple errors in their evaluation of our client’s ongoing conditions, and incorrectly limited their consideration to only one physician’s peer review.
However, the insurer decided to reject the appeals, claiming that the woman was still capable of full time employment as a nurse. The Fields Disability team filed a lawsuit in federal court. Faced with litigation, the insurance company quickly moved to settle the case and our attorneys were able to secure a large settlement for our client.”