Pillsbury & Coleman Secures Long-Term Care Benefits For Injured Worker

Our client was a technology support analyst who purchased a life insurance policy with a long-term care rider through her prior employer, the local sheriff’s department. She suffered work-related injuries to her neck, shoulders, and hands, and had also undergone multiple foot surgeries. The insurance carrier, Combined, a Chubb company, initially approved her claim under the long-term care rider. After two years of paying benefits, Combined decided to withhold her benefits while it conducted a year-long review that resulted in the termination of her claim, even though three of her treating physicians certified her as “chronically ill.”

Terry Coleman and Azin Jalali filed a lawsuit against Combined for wrongfully denying long-term care benefits. Within months of that filing, Combined reversed its denial, reinstated her claim, and paid all past benefits.  The case was resolved in a confidential settlement less than a year later.

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