Can administrator of the insurance plan
abuse its discretion in denying long term disabilities benefits?
Its all depend upon the disability
attorneys who interpret the language of the insurance policy. Can plan
administrator adhere to his denial decision without any supportive evidence? Can
he allow to neglect evidence in support of participant claim? Answer to all
this questions you will find in this article.
Mr. Dale W. Gordon brought the lawsuit
against Life Insurance Company of North America (LINA) in U.S.District Court
Let’s see how the Gordon’s disability
attorneys found the clues from provision of the policy and how they interpreted
the Gordon’s medical reports.
Gordon joined Northwest Airlines on
1998 at the age of 49 years. His main
problem started when he felt pain in his left knee in end of 2002. His orthopedist,
Dr. Joseph T. Teynor advised to take MRI. In MRI report, it showed a tear in
the meniscus and degenerative changes. In next visit Teynor drew fuid off of
Gordon’s knee and injected with a corticosteroid. He described Gordon as
majorly symptomatic.
