T-Mobile sued for denying employee disability insurance coverage

A Philadelphia woman sued her employer, T-Mobile, USA, Inc., for denying her claim for disability insurance benefits under the Employees’ Retirement Income Security Act of 1974 (ERISA). The Complaint of November 30 asserts that the complainant was entitled to benefits despite T-Mobile’s repeated denials of her claims.

The complaint also names the employee benefits administrator, Broadspire, a Crawford company, but does not name this entity as the defendant. The file explains that “[o]on a certain date ”, the claimant applied for short-term disability benefits with T-Mobile, headquartered in Bellevue, Washington. In a response dated July 10, 2019, T-Mobile “administered by Broadspire” reportedly determined that “there was a lack of clinical evidence to support the complainant’s inability to perform essential duties of her profession” and dismissed Requirement.

The complainant filed an administrative appeal, which was dismissed in October 2019. Subsequently, the complainant filed another appeal, this time filled with more medical records and doctors’ opinions. According to ERISA’s five-page complaint, this information “was sufficient to establish evidence of the loss suffered by the plaintiff to support her claim for short-term disability benefits.” Yet, the case explains, the complainant’s efforts were unsuccessful and T-Mobile advised her to take legal action alongside her July 2020 denial.

The lawsuit in this case alleges that T-Mobile acted in an arbitrary and capricious manner in denying the plaintiff’s claim for short-term disability benefits in violation of ERISA. The Plaintiff submits that the Defendant also acted “in a manner which only serves its own business interests” by unfairly denying its claim.

Complainant seeks order from Eastern District of Pennsylvania requiring T-Mobile to grant her short-term disability benefits effective June 1, 2019, pre-judgment interest, award of attorney’s fees and litigation costs , and any other relief. the court considers it appropriate.

The applicant is represented by Pond, Lehocky, LLP.

About Antoine L. Cassell

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