Unum settles allegations of wrongful claims handling
UnumProvident yesterday settled with California investigators for $8.6 million over allegations of improper claims handling.
California’s insurance department investigated the disability insurer for erroneous claims denials and benefit terminations for individuals with brain damage, spinal cord injuries, heart disease and AIDS.
The state contends the country’s largest provider of disability insurance wrongly applied the definition of “total disability.” It also claims the insurer improperly overruled claimants’ doctors’ opinions based on in-house reviews; improperly overruled the opinion of in-house medical personnel who supported a finding of disability; and wrongly used independent medical exams, portions of medical records, and other medical findings to the company’s advantage.
While it did not admit wrongdoing, UnumProvident agreed to alter policy language and has filed new group policies that will be marketed in California beginning Nov. 1 because, under the settlement, the company can’t continue selling existing policies after that date. Those who have an old policy with UnumProvident won’t have to write a new one, but the insurer will have to handle their claims under new guidelines in the settlement. UnumProvident insures 25 million people.
Resources to Help You Win Disability Benefits
Submit a Strong Unum Appeal Package
We work with you, your doctors, and other experts to submit a very strong Unum appeal.
Sue Unum
We have filed thousands of disability denial lawsuits in federal Courts nationwide against Unum.
Get Your Unum Disability Application Approved
Prevent a Unum Disability Benefit Denial
Negotiate a Unum Lump-Sum Settlement
Our goal is to negotiate the highest possible buyout of your long-term disability policy.
Policy Holder Rating
Unum is evil
Unum Closed My Case Today
Low payments
They closed my claim and I have been without income since they closed it
I feel like Unum is giving me the runaround!
Reply
Unum terminated my benefits with no warning
Reply
I've been trying to care care of my Unum benefits for over a year. They’ve been so rude
Reply
I've paid for STD for 20+ years. Now, I'm actually sick and can't get paid
Reply
Q: Unum payments offset
Q: Should I sign a release of information form sent by Genex on behalf of Unum ?
Q: 63 year old RN
Q: Is UNUM obligated to pay my children SSI amount with COLA increase to me after they turn 18 or the original award amount?
Q: ER physician Unum mental health claim for 40 years
Q: Requesting a Copy of my LTD ERISA Policy from UNUM
Q: I am now concerned if I am not able to return to work after 6 months Unum will stop paying me.
Q: Can receiving a Unum group LTD benefit settlement lower my SSDI benefit?
Is UNUM a Good Insurance Company?
How Long Does UNUM Long Term Disability Last?
Can You Sue UNUM?
How Does UNUM Define Disability?
Beware of Traveling While on Disability with Unum
If I Sue Unum for a Disability Insurance Denial, What Should I Anticipate?
Unum Disability Benefit Denial Trends, A Legal Perspective
A New Bait and Switch Tactic by Unum Disability Insurance Company
Transportation Manager with Brain Injury Wins Unum Disability Benefit Appeal
Louisiana State College Director Wins Unum LTD Appeal But Then Denied Again
Unum Approves LTD Benefits for Pharmacist with Eye Disorder
Billing Manager With Back Disorder Wins Unum Long Term Disability Denial Appeal
Unum Lifts Mental Health Limitation on Disability Claim
Unum Approves Long Term Disability Application to a Program Manager
After appeal filed by Attorney Jay Symonds, UNUM overturned previous denial of long term disability benefits for South Carolina Nurse
Unum Overturns Original Decision to Deny Benefits to Disabled Account Manager Following Appeal Submitted by Dell Disability Lawyers Appeals Team
Reviews from Our Clients






