Our client, a former attorney with a national law firm, underwent Lasik eye surgery, which was a failure. His loss of eyesight was significant enough to disable him from performing his prior functions as a lawyer. The insurance company refused to acknowledge the disability and would not pay the benefits.
Our firm took on the case and became well versed in all of the medical issues with regard to Lasik eye surgery and vision losses. We compiled an ERISA appeal that contained all of the right ingredients to convince the insurance company to change its mind. Upon review of the work submitted by our team, the insurance company admitted that the lawyer was disabled and rendered monthly payments. Even when the insurance company tried to terminate the benefits two years later, a second ERISA appeal was successfully filed wherein the insurance company was convinced that the client met even the more stringent “any occupation” definition in his policy. The client continues to receive his significant monthly benefits.
Evan S. Schwartz
Founder of Schwartz, Conroy & Hack