“A 54-year-old woman who formerly worked as a Licensed Practical Nurse needed to stop working following complications from a stroke. Mutual of Omaha denied her claim for long-term disability benefits because it opined that she had a pre-existing condition—hypertension, which the insurer claimed had a direct correlation to the stroke she had.
According to the group policy governing her long-term disability benefits, a preexisting condition was any Injury or sickness for which she received medical treatment for, or had medicines prescribed to her in the 12 months prior to the day she was disabled.
The attorneys at Fields Disability appealed this denial of benefits claiming hypertension is not a pre-existing condition for a stroke. Mutual of Omaha agreed and reversed its prior decision to deny benefits. ”