Engineer Wins Appeal Against Reliance Standard Life Insurance after Suffering Head Injury

Long-Term Disability

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Mitre Corporation Engineer Denied Benefits Before Coming to BenGlassLaw

When Michael Carter (not the claimant’s real name, of course!), an engineer at The MITRE Corporation, suffered a severe head injury, his long-term disability claim was denied by Reliance Standard Life Insurance. He turned to the BenGlassLaw long-term disability appeal team for help.

The Challenge:

Carter experienced a fall that resulted in significant head trauma, leading to a range of cognitive, sensory, and physical impairments. Despite comprehensive medical documentation, Reliance Standard denied his claim, arguing that he could perform sedentary work.

Carter’s Disabling Medical Conditions Included

  • Aphasia: Difficulty in word retrieval and comprehension, impacting communication.
  • Slowed Brain Processing Speed: Noticeable delays in understanding and responding to information.
  • Nystagmus: Involuntary eye movements causing vision problems.
  • Diplopia: Double vision, making it difficult to focus on tasks.
  • Visual Processing Disorder: Objects appear duplicated and unreal, complicating navigation and interaction with the environment.
  • Unsteady Gait: Challenges in walking steadily, increasing the risk of falls.
  • Severe Headaches: Intense headaches, particularly when in motion, restricting daily activities.
  • Vertigo: Sensation of spinning and dizziness, affecting balance and safety in movement.
  • Proprioception Issues: Disconnection between brain and limbs, affecting coordination and movement.
  • Hypersensitivity to Light and Sound: Sensitivity causing disorientation and physical destabilization.

Our Approach:

The BenGlassLaw team meticulously reviewed the case, identifying discrepancies in Reliance Standard’s arguments. We gathered additional evidence, including updated medical evaluations and vocational expert reports. We prepared an extensive appeal, highlighting that Reliance Standard had overlooked critical aspects of Johnโ€™s condition and misinterpreted the medical evidence. Our arguments included detailed assessments from Johnโ€™s treating physicians, such as Dr. Norman E. Godwin, a specialist in concussion management, and Dr. Jennifer L. Carter, a neuropsychologist, who both confirmed Johnโ€™s inability to work.

A Win on Appeal:

Thanks to our thorough preparation and strategic approach, Carter’s benefits were restored. He received full back pay and future benefits, ensuring his financial stability and peace of mind. Assuming he stays on claim for the duration of his policy, Carter’s total disability benefits claim will exceed $330,000.

Conclusion:

This victory underscores the importance of skilled legal representation when navigating complex insurance claims. The successful appeal not only secures vital benefits for this client but also sets a precedent for others facing similar challenges. If you or someone you know is dealing with a denied long-term disability claim, contact the BenGlassLaw long-term disability appeal team to see how we can help.

More Long-Term Disability Information from BenGlassLaw

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Ben Glass

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