Hartford's Denial for Short Term Disability Benefits Overturned for Nurse with Long Covid Symptoms

The Struggles of Ms. X 

Ms. X once thrived as a dedicated pediatric nurse practitioner at Columbus Neighborhood Health. Her days were filled with providing preventive and primary care services, diagnosing and treating healthcare issues, educating patients, and meticulously maintaining medical records. The role demanded much from her. She had to sit, walk, stand, bend, and lift up to 25 lbs. It also required sharp vision capabilities like close vision, depth perception, and the ability to adjust focus. 

However, life took an unexpected turn when severe vision issues forced her to step away from work. Ms. X's struggles didn't end there. She was soon diagnosed with long-COVID, migraines, and fibromyalgia. Each new diagnosis added another layer to her battle, making her return to work seem insurmountable. The once-energetic nurse found herself unable to perform the essential duties of her beloved profession. 

The impact of these conditions on Ms. X's life was profound. Every day became a struggle, as the symptoms of her illnesses made even the simplest tasks feel like monumental challenges. Her primary care provider, Dr. F, confirmed that Ms. X was "unable to do any work tasks" because of her medical conditions. 

Under the terms of both the Short-Term Disability (STD) and Long-Term Disability (LTD) Policies, Ms. X is considered disabled. However, her insurer made efforts to prevent her from getting the benefits she needed. 

Understanding Ms. X’s Condition 

Long-COVID 

Long-COVID, refers to symptoms that persist for weeks or months after the initial COVID-19 infection. Individuals with long-COVID may experience a wide range of symptoms, including fatigue, difficulty concentrating (often referred to as "brain fog"), shortness of breath, joint pain, and chest discomfort. These lingering issues can significantly impair daily functioning and quality of life, making activities that once were routine incredibly challenging. 

Migraines 

Migraines are severe, throbbing headaches that can last hours to days. They are often accompanied by nausea, vomiting, and sensitivity to light and sound. However, migraines are more than just bad headaches. They involve complex neurological changes that affect the brain. 

Fibromyalgia 

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. The exact cause of fibromyalgia is unknown, but it is believed to involve a combination of genetic, environmental, and psychological factors.  

Patients often experience symptoms such as sleep disturbances, memory issues, and mood swings. The condition can be debilitating, making it difficult to perform physical activities and maintain a consistent quality of life. Treatment typically focuses on symptom management through medications, lifestyle changes, and pain relief strategies. 

Together, these conditions present a complex web of challenges, causing serious issues for Ms. X and inhibiting her ability to perform even simple work tasks. 

The Hartford's Unfounded Position on Ms. X's Claims 

Despite the clear and documented challenges Ms. X faced, her insurer, The Hartford, took a stance that further complicated her path. The company held a position that it would not review Ms. X's long-term disability (LTD) claim until she submitted an appeal of her short-term disability (STD) denial. This stance put Ms. X in a difficult position. She was already battling severe health issues without the additional burden of navigating a complex insurance appeal process. 

Moreover, The Hartford did not provide a response substantiating their claim. It gave no detailed explanation or basis for their decision to deny her STD benefits, leaving Ms. X in a state of uncertainty and financial instability. This lack of transparency and support only added to the stress and hardship she already faced. Ms. X was caught in a bureaucratic limbo, with her insurer's stance further hindering her ability to secure the financial assistance necessary to manage her health and well-being. 

Dabdoub Law Firm's Intervention 

In the midst of Ms. X's arduous battle, Dabdoub Law Firm stepped in to provide much-needed legal support. Recognizing the complexity and urgency of her situation, the firm took decisive action by writing to The Hartford. In their letter, they submitted a comprehensive packet of crucial documents. This packet included Ms. X's Application for Long Term Disability Income Benefits, an Attending Physician’s Statement by Dr. F, updated medical records, a prescription list, and a symptom diary meticulously detailing Ms. X’s daily struggles. 

The law firm’s dedication and thorough approach proved instrumental in shifting the dynamics of Ms. X's case. Their intervention and submission of detailed, substantiated documentation left no room for ambiguity. The severity of Ms. X's condition and her inability to work was clear and impossible to deny.  

Because of the firm’s efforts, Ms. now receives the long-term disability benefits she needs. This support has provided her with financial stability and a measure of relief, allowing her to focus more on managing her health and less on the uncertainties of her insurance claim. 

Disability Insurance Companies Have Lawyers. Shouldn’t You?

Because this law firm was created to focus on disability insurance, we have developed an expertise in this complex area of the law.

Our expertise in long-term disability claims means our clients have the backing of a law firm that has attorneys who:

  1. are experts in disability claims;
  2. fought all major disability insurance companies and know their tactics;
  3. a track record of success;
  4. won major disability lawsuits that created good law; and
  5. recovered millions of dollars in disability benefits.

All our lawyers commit every day of their legal career to helping people get disability benefits from MetLife, UNUM, Prudential, Northwestern Mutual, Hartford, CIGNA, and others.

Because federal law applies to most disability insurance claims, we do not have to be located in your state to help. We help clients nationwide.

Call to get experienced disability lawyers on your side with:

  • Submitting a disability insurance claim;
  • Appealing a long-term disability denial;
  • Negotiating a lump-sum settlement; and/or
  • Filing a lawsuit against your disability insurance company.

Dabdoub Law Firm can help you the same way we helped Ms. X. For a free consultation with our team, contact us online or call our office at (800) 969-0488. We are here to help you get the disability benefits you need. 

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