Case Wins for our clients in Delaware
Here are just a few examples of our disability appeal case wins for our clients in Delaware.
Internship/Externship Coordinator - Wilmington, DE
“A woman who worked as an Internship/Externship Coordinator for a technical college in Delaware suffered from severe persistent asthma. Cigna, her short-term disability insurer, initially accepted her claim. One month later, they denied the claim. Their denial claimed that the medical information available did not provide clinical findings that would preclude her from working.
Not sure what she should do, she reached out to Fields Disability. After completing his review of the client’s file from the insurance company, her attorney developed a plan to fight the denial. He updated medical records and obtained a report from the client’s treating pulmonologist which stated that her asthma was rated at an AMA Class 4D, which is significant.
Armed with this report, her attorney then drafted a winning appeal. The insurance company reversed their decision and reinstated the client’s benefits and paid all the past-due benefits. The client was extremely relieved and grateful to have her sole source of income back.”
Instrument Technician - Dover, DE
Tibial Dysfunction, Bilateral Foot Arthritis, Bilateral Knee Osteoarthritis, Degenerative Joint Disease of the Knees, Hypertension, Congestive Heart Failure, Sleep Apnea
“Our client was an Instrument Technician from Delaware. He suffered from tibia dysfunction, bilateral foot arthritis, bilateral knee osteoarthritis, Degenerative Joint disease of the knees, hypertension; congestive heart failure and sleep apnea. After being taken off work by his doctors he applied for long term disability benefits through his employer’s plan with Cigna.
Originally, Cigna approved our client’s benefits, but then Cigna discontinued our client’s benefits asserting his conditions had sufficiently improved such that benefits were no longer payable. This occurred shortly after our client was approved for Social Security Disability benefits and Cigna received its overpayment of benefits.
Our client reached out to Fields Disability for help appealing this decision. Our attorneys drafted an appeal that established Cigna had relied upon selective evidence that misstated our client’s work restrictions and limitations and the required abilities of his occupation. Additionally, we received narrowly tailored narrative reports from our client’s treating doctor’s outlining his actual limitations and restrictions, which clearly make it impossible for him to perform his Own Occupation. After reviewing our appeal Cigna reversed its denial, paid our client his back pay, and recommenced monthly benefit payments. ”
Special Education Support Specialist - Lewes, DE
Back Pain, Disc Displacement Degeneration
“An education support specialist from Delaware began experiencing back pain. Her job required bending, lifting, and interacting with students. Eventually the pain became too much and she was forced to stop work. Her insurance company initially approved her for short-term disability benefits, but after a few months the disability payments stopped. The insurance company said she no longer fit their definition of “disabled.” Her doctors wrote the insurance company letters in response to no avail.
Worried about her lost income she contacted Fields Disability for help. Fields attorneys gathered documents from the insurance company and our client’s doctors to build the best case for our client. Our attorneys sent a strong appeal to the insurance company, highlighting doctor’s reports that the insurer overlooked in their decision. The insurance company overturned their decision and our client received ongoing benefits and a lump sum payment for back-pay. Our client was happy with the decision, and was pleased with the service Fields Disability provided. She chose our firm to help with her long-term disability benefits as well!”