We Are Collecting Data On The Following Instances Of Medical Insurance Disability Denial By Standard Insurance Co. Of Portland, Oregon.
If Your Case Is Similar Please Advise Us.
Other Case Summary Denials Will Be Added To This Page As We Progress.
- Standard relies on opinions of no disability from its medical consultants or in house doctors. This has been criticized in Palmer v. University Medical Group (DC Or 1998). The consutant or medical director is usually a guy named Bradly Fancher. Collect names and info on people who have been denied benefits based on Bradley's opinion alone when all other treating doctors say the person is disabled.
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Also we are taking ANY disability denial on similar instances as in number one, above
- Standard's disability policies have a limitation on benefits for "mental disorder" but the term is not defined in the policies. The issue is that the 9th Circuit has recognized the term to be vague and ambiguous (Patterson v. Hughes, Mongeluzo v. Baxter Travenol and Lang v. Long Term Disability Plan) in that one does not know whether or not Standard determines if a disability is "mental" by looking to the cause or the symptoms. Standard goes
both ways. It looks to "cause" when it works to deny benefits and it looks to "symptoms" when that works.
- People with Chronic Fatigue Syndrome and/or fybromialgia claims are
often denied disability benefits under Standard's "mental disorder" limitation. The same applies to many other insurance companies also. Sometimes Standard writes letters that indicate that either it or its examining or consulting doctors do not believe in Chronic Fatigue
Syndrome and/or fybromialgia. One of the ways that you prove that an insurance company is acting
arbitrarily and capriciously is to show that it takes different opposing positions on the same issues in different cases but whatever position it, it is always a position that results in a denial of benefits.
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