Tag: Medical Evidence
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When Speaking Limits Matter in an ERISA Disability Claim
Sedentary work can still require more speaking than a claimant can sustain. A recent Florida decision highlights why precise functional evidence and the policy’s governing law matter in an ERISA disability dispute.
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Lincoln LTD Denial Sent Back for Review: Why Psychiatric Evidence Must Connect to Job Duties
An Ohio court returned a Lincoln disability claim for renewed review, emphasizing psychiatric limitations and safety-sensitive work without awarding benefits.
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When an ERISA Plan Defines a Lawyer’s Specialty, Generic Job Duties Fall Short
A federal court held that Unum could not evaluate a securities lawyer’s long-term disability claim using the generic duties of an attorney. The decision shows why a plan’s exact occupational definition can shape both the claim analysis and the remedy.
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When Everyday Activity Does Not Prove Capacity for Sustained Work
An Oregon federal court reinstated long-term disability benefits after finding that limited hobbies, travel, and about ten minutes of observed outdoor activity did not establish capacity for sustained work. Zayn shows how longitudinal medical evidence puts isolated activities in context.
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Seven Years of LTD Benefits Did Not End Aetna’s Review
A Minnesota federal court upheld Aetna’s termination of long-term disability benefits after seven years of payment. Young shows why current functional evidence can matter when an ERISA insurer reexamines an established claim.