• David Martin

Can You Fix Past Long-Term Disability Calculations?


One court addressed this in Haase v. Metropolitan Life Ins. Co., (E.D. PA 2016), Mr. Haase was receiving long-term disability benefits (LTD) for about ten years. During that time, he challenged MetLife’s calculation of an offset of worker’s compensation benefits which reduced his long-term disability benefits. The challenge went back about ten years, but he did not file suit until 2015. MetLife argued that Haase could not go back and demand a recalculation of these old benefit decisions because that initial LTD decision was now time-barred. The court agreed and found the claim barred under the disability plan’s contractual three-year limitation of action provision. Also, it was barred under the four-year statute of limitation for Pennsylvania breach of contract claims.

Haase argued the court should toll the limitation of action and statute of limitations while he went through MetLife’s claim process. The administrative appeal process took too much time, but that was too bad for Mr. Haase according to the court.

Benefits paid monthly, so a new decision is made with each benefit payment. So is the court contending the first benefit decision became “the law of the claim” and applied to all subsequent monthly decisions? If so, this case is interesting from the standpoint of whether the old saying “what is good for the goose is good for the gander” will be applied in other cases. If your insurer or plan administrator suddenly announces that it has overpaid your claim for many years and now wants a large sum of money, call us to see if we can help. It may be too late for them to do this. What is good for the goose is also good for the gander, right?


Contact us today for a free initial consultation.

The Martin Law Group is dedicated to being your go-to ERISA attorneys and long term disability lawyers. Whether you are pursuing a long-term disability claim, life insurance benefits, or your pension or retirement benefits, we will meet with you face-to-face to discuss your claim at a location convenient for you. 

 

In an effort to make disability claims as easy as possible, we offer a free initial consultation. We often work with clients in Huntsville, Mobile, Birmingham, Montgomery, Dothan, Tuscaloosa, and Florence, in Alabama, as well as with clients in Columbus, Meridian, Jackson, Hattiesburg, Tupelo, and Gulfport, Mississippi, and surrounding areas.

Contact us today for a free consultation.

800-284-9309

info@erisacase.com

Tuscaloosa Office

2117 Jack Warner Pkwy
Suite #1
Tuscaloosa, Alabama 35401
Toll-Free: 800-284-9309
Local: 205-343-1771

Birmingham Office

The WSK Building
2323 2nd Avenue North
Birmingham, Alabama 35203
Toll-Free: 800-284-9309
Local: 205-343-1771
  • Long term disability lawyer
  • ERISA disability lawyer
  • Retirement benefits lawyer

© 2020 by The Martin Law Group, LLC

Sitemap | Legal Disclaimers | Privacy Policy

Website proudly created by Cartography Consulting.

DISCLAIMER: These recoveries and testimonials are not an indication of future results. Every case is different, and regardless of what friends, family, or other individuals may say about what a case is worth, each case must be evaluated on its own facts and circumstances as they apply to the law. The valuation of a case depends on the facts, the injuries, the jurisdiction, the venue, the witnesses, the parties, and the testimony, among other factors. Furthermore, no representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.