
Ileana of Miami, FL on Feb. 12, 2012
Satisfaction Rating1/5
I worked as an executive pharmaceutical representative for over 14 years, the last seven with GlaxoSmithKline. My company (GSK) carried long term disability insurance with The Hartford Insurance Company. I had an accident that destroyed all the cartilages in my left knee which makes me unable to stand, walk, or sit for any extended amount of time. My left knee swells very quickly and I am unable to even perform the basic functions of being a single mother taking care of two children, i.e., cooking, cleaning, washing, performing necessary errands etc.
I was originally approved for the LTD by The Hartford on 1/01/2010 for the first 24 month which by the policy language meant that I was unable to perform the basic duties of my job as a pharmaceutical representative. Considering my injury, this was a no brainer. As also stated on the policy, in order to continue to receive benefits for LTD, after 24 months I must also show that I continue to be disabled and unable to perform the duties of any job for which I have the education or experience to do and make 80% of my pre disability salary.
During this evaluation period, I provided The Hartford with several letters from my attending orthopedic surgeon, my last primary doctor, a second opinion orthopedic specialist and a GI doctor. They advised me in writing in the fall of 2011 that my claim had been approved and that my benefits would continue as long as I continue to meet the definition of disability.
There is one very important note, in August of 2010, without prior warning or letter, The Hartford suddenly terminated my benefits, stating that they had their doctor (no idea who) had a conversation with my surgeon who determined that I was no longer disabled and was approved to return to my work duties. I immediately spoke with my surgeon who told me he had never had such conversation, that in fact The Hartford was lying and that he was not surprised since most insurances commit these injustices to not have to pay out disability benefits.
I followed the rules of the appeal which was finally approved in February of 2011 and my pay was reinstated and the back pay was also sent. Unfortunately, during these six months I had no income whatsoever, and was forced to borrow to be able to exist until my company pension (which was the only income I had available) could be sent to me. In other words, I had to withdraw my retirement pension because The Hartford acted in bad faith, lied and forced me to have no choice but to take this money in order to pay bills, food, utilities, car, gas etc. I also fell significantly behind my mortgage which is now in the process of foreclosure, although I have also requested a loan modification and have paid a lawyer to assist me with this.
Although, I was approved as stated previously to continue to receive benefits under the terms of the policy until 2026 as long as I continue to be disabled, The Hartford is making me check in with them on a monthly basis to find out if I have made any income from a consulting job I decided to take to see if I could supplement my income from my disability which is 70% of what I used to make when I was able to work.
In addition to having the company I consult for notify them in writing that no commissions have been paid to then release by monthly check, I have also received a letter stating that they have requested medical information from my primary doctor which has not been sent to them, and therefore might affect receiving my disability benefits.
I feel that The Hartford is constantly holding a knife over my head, and that they purposely make you feel that there is no security involved in you receiving your disability payments. I have expressed to my analyst that I have been suffering from anxiety and depression due to this situation, and due to the fact that my whole life has been turned upside down by my accident. I tried to see a therapist to be able to discuss my feelings, but due to economic issues I was unable to continue to pay $100.00 per session.
Now she too, has been asked to send any medical information she has for me to The Hartford. I have done everything The Hartford has asked of me including filing a third time for SS benefits with a company The Hartford referred to me, and is being paid by them on my behalf. I was also told that any benefits paid to me, any back pay benefits are owed to The Hartford and must be sent to them upon receipt to my checking account.
Again, I had no problem with this, and gave my permission for this withdrawal when and if I do get the SS approval for disability. What I want to know is can a company like The Hartford continue to cause emotional anxiety and distress to me, which not only has added to the depression I have due to the accident and inability to work and perform other functions of my life, but also the constant fear of being left with no income when I have no other means of providing food, and shelter for myself and my children.
I see this as Goliath taking full advantage of their size and influence to keep the money we paid them in good faith to provide us with insurance in case of anything like this happening. I want to know if there is any legal course that can be taken against them for acting in bad faith, for lying, for their continuous harassment, and emotional stress on people like me that truly has a legitimate disability and claim.