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UNUM again

By M. J. Shalhoub

Posted September 2000

UNUM Insurance has denied my claim based on medical information that they have "never received" after three years and five doctors' opinions. Although my medical records were sent to UNUM on eight separate occasions, the agent "never received" any information from my doctor. I even copied the records myself and sent them registered mail but they were refused since I had "provided the information myself" and the copies were not certified. When they finally did get my medical records, the agent handling my case was replaced.

The new agent claimed that there was insufficient evidence to prove my case even though the information provided was sufficient for other insurance carriers to finally pay my claim without further harassment. She noted that all my complaints were "self-reported." Well who is the doctor supposed to ask what problems I am having or how I feel?

I was an engineering technician for 12 years at the same test facility, no problems. In a car accident in which I was tail-ended and my car was totaled, I had suffered a neck and shoulder injury, and a closed head injury. I am unable to balance, walk straight, concentrate, focus my eyes, remember anything, I sometimes black out and involuntarily fall asleep. I exhibit all but a few of the "Classic" symptoms of closed head injury. My right shoulder has deteriorated to the point that I must have corrective surgery to regain the use of my right arm. Nobody wants to employ a 52 year old with a pre-existing condition.

Not a penny from UNUM. According to them, there is no medical evidence and I am perfectly able to perform my job. Their experts have concluded that my claim was based on "sensitivity to loud noises" and that I would be fine if I would only wear ear plugs.

All insurance carriers have abused the laws to their advantage: I was harassed by AAA for a year or so, I am currently suing State Farm. The worst ever is yet to come - UNUM. No lawyer even wants to touch this one because they already know what to expect.
".....foot-dragging and stonewalling until you either give up, die or run out of money. They are fully aware of what they are doing and they probably never intended to pay anyhow".

Their typical insurance claim practices are common knowledge. Is there not sufficient evidence that UNUM is at least guilty of Consumer fraud and Mail fraud, collecting premiums under false pretenses? They even burn the "well connected" and slide by?

A well placed stone from a boy can drop a giant.

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