Considering that AFLAC's duck acquired a new voice this past spring, adjusters and claim handlers who deal with disability claims, whether under disability insurance policies, workers' compensation, or liability for bodily injuries, may have to rethink some of the previous standards for what constitutes a "disability" and whether the duck will come to the rescue. In fact, the adjuster may be that duck.

Definitions of disability differ by jurisdiction, and what is true in one state or federal district for a particular type of insurance case may not necessarily be true in another. However, a recent 7th U.S. Circuit Court of Appeals decision may have a serious impact on what constitutes a claimable disability when there is no "objective proof" or evidence of an injury. The case, Holmstrom v. Metropolitan Life Ins. Co. (615 F.3d 758 [7th Cir., 2010]), falls under the Employee Retirement Income Security Act (ERISA) in the Seventh Circuit, but may become precedent for other jurisdictions and types of claims as well.

The Disability Debate

Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader

  • All PropertyCasualty360.com news coverage, best practices, and in-depth analysis.
  • Educational webcasts, resources from industry leaders, and informative newsletters.
  • Other award-winning websites including BenefitsPRO.com and ThinkAdvisor.com.
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.