Abilene Texas lawyers who handle accidental death and dismemberment policy claims that are governed by ERISA, need to read this 2017, 5th Circuit Court of Appeals opinion. It is styled, Robert Ramirez v. United Of Omaha Life Insurance Company. Ramirez traveled to West Texas and contracted a fungal infection that…
Articles Posted in Disability Policies
Disability Claims – Illness Versus Accident
Lawyers who handle disability insurance claims know that the policy has to be read. In a definition of “total disability” in an individual accident and sickness policy or hospital, medical, and dental service corporation subscriber contract, the inability to perform duties may not be based solely on an individual’s inability…
Disability Insurance Coverage Issues
In a definition of “total disability in an individual accident and sickness policy or hospital, medical, and dental service corporation subscriber contract, the inability to perform duties may not be based solely on an individual’s inability to perform “any occupational duty,” but the insurer may specify the requirement of the…
Disability Policy Language
As in all insurance policies, the language used in the policy will be used in enforcing and interpreting the policy. In the 2003, Texas Supreme Court opinion, Provident Life and Accident Insurance Co. v. Knott, the court read the policies in question defining the term “total disability” to mean that…
Private Disability Claims
It needs to be noted at the beginning here. Private disability claims are different from government disability claims and also from disability claims that are governed by ERISA. This posting deals those disability claims that are from private policies or policies other than government or ERISA. Disability policies will usually…
Disability Policies And Lawsuits
Attorneys who litigate disability claims need to read this case from the Southern District of Texas, Houston Division. It is styled, Larry Frederick v. American Heritage Life Insurance Company. This case will help an attorney understand some of the burdens put on the insurance company. In October 2012, Frederick was…
ERISA Disability Claims
This 5th Circuit Court of Appeals opinion is a must read for ERISA attorneys. The case is styled, Burell v. Prudential Insurance. The facts will be given here. The case needs to be read to understand how the Court affirmed the findings of the lower Court in denying benefits to…
Coverages In Disability Policies
Arlington insurance attorneys who handle disability policy claims would want to read this 1978, Beaumont Court of Appeals case. It is styled, Lone Star Life Insurance Company v. Griffin. Griffin testified that as he was returning to his home from his farm, he passed by his drugstore. As was his…
Policy Definition Of Total Disability
Arlington lawyers handling insurance disability claims need to know all the places to look to find law helpful to their client. This includes not only the Texas Insurance Code, but also the Texas Administrative Code. But first, a case helpful to disability case understanding is a 1970, El Paso Court…
Disability Policy Claim Denial
Dallas insurance lawyers who handle disability policy’s need to be aware of an opinion from the United States District Court, Houston Division. The style of the case is, Fernandez v. Mutual of Omaha Ins. Co. Here is the relevant information. The cross-motions for summary judgment in this disability insurance dispute…