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District Court Finds Unum's Use of Nurse Review to Deny Long Term Disability Claim and Appeal Did Not Comport with ERISA Regs
Roberts Disability Law
Mar. 11, 2024 "The Court noted that ... Unum relied on the same physician opinions to initially deny Plaintiff's claim and to deny her appeal. The Court ... stated that while ERISA does not require the reviewing physician to have the exact same specialty as the claimant's treating physician, Unum's reviewer was not a physician, and Unum did not even contend that she had the appropriate training and experience." [Black v. Unum Life Ins. Co. of Am., No. 22-2116 (N.D. Tex. Feb. 29, 2024)] |
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