Maine Disability Insurance Claims
We are a healthcare/professional disability insurance law firm with a national reputation for obtaining successful results for our clients. Our firm has represented physicians, dentists, lawyers, executives and other professionals throughout the country, with the goal of securing and protecting their entitlement to benefits on own-occupation disability insurance policies.
We consult with physicians, dentists, attorneys and business executives filing disability claims throughout Maine, including the Portland, Bangor, and Augusta areas. If you’d like to discuss your particular claim with our attorneys, we are happy to set up a free consultation.
Below are some resources for policyholders filing disability insurance claims in Maine. If you would like to learn more about the disability claim process or insurance bad faith in other states, please visit our homepage.
Does Maine Recognize Insurance Bad Faith?
The Supreme Judicial Court of Maine has “refuse[d] to recognize an independent tort of bad faith resulting from an insurer’s breach of its duty to act in good faith and deal fairly with an insured.” Greenvall v. Maine Mut. Fire Ins. Co., 1998 ME 204, ¶ 14, 715 A.2d 949, 955 (internal citations omitted).
Rather, the Supreme Judicial Court of Maine has determined that “an insurer’s duty of good faith and fair dealing arises from an implied covenant in the insurance contract.” Id. This “limits ‘an insured’s remedies for breach of the duty to the traditional remedies for breach of contract, and the additional statutory remedies provided in the insurance code.’” Id.
The case excerpts above are not meant to be a comprehensive discussion of each state’s first-party bad faith or disability insurance law. They are merely meant to act as a resource/starting point for those interested in learning more about how insurance bad faith works in their state.
You should always speak with an attorney before making any legal arguments relating to your disability claim.
Notable Maine Disability Insurance Cases
Doe v. Standard Ins. Co., 852 F.3d 118 (1st Cir. 2017) (Maine attorney filed a disability claim with Standard due to depression under an “own occupation” specialty-specific disability policy; the attorney argued her occupation was “environmental lawyer” but she had not practiced environmental law since 2011; Standard relied on a generic Dictionary of Occupational Titles (DOT) definition of lawyer and determined she could still practice law generally; the court found the denial arbitrary and capricious noting that “Standard charged an enhanced premium for the promise of enhanced specialty coverage, and it was unreasonable for Standard to undercut that coverage by failing to ascertain and consider the specific requirements of Doe’s specialty”).
Black v. Unum Life Ins. Co. of Am., 324 F. Supp. 2d 206 (D. Me. 2004) (Maine construction job site manager filed a disability claim with Unum due to a long history of coronary artery disease and recurrent problems after triple bypass surgery, particularly coronary artery disease and angina with exertion; Unum initially paid benefits, but then terminated the claim based on the opinions of its own physician expert; the court determined that Unum’s expert was “not reliable” and went against other information in the records that “overwhelmingly suggested” that the condition had “not improved to the extent that he could perform the material duties of his occupation”).
Common Disability Claim Questions
What should I expect when filing a disability claim?
What issues am I most likely to face handling my disability insurance claim alone?
My disability claim was just denied. What should I do now?
What can my insurance company do when it is investigating my claim?
Do insurance companies conduct surveillance and, if so, when are they watching?
Why does my insurer want to conduct a field interview?
How can I tell if I have a true own-occupation policy?
What are the different types of disability policies?
Maine Federal District Court Locations
Professional disability claims are often filed in, or removed to, Federal Court given the amounts in controversy. When we work with local counsel to be admitted pro hac vice, we identify the courthouse that is closest to you. Below is a list of the primary Federal Courthouses in Maine, but there may be satellite courthouses that are closer to where you live.
Portland. Edward T. Gignoux U.S. Courthouse, 156 Federal Street, Portland, ME 04101.
Bangor. Margaret Chase Smith Federal Building and Courthouse. 202 Harlow Street, Bangor, ME 04401.
Who Do Your Disability Insurance Attorneys Represent?
The lists below provide a representative overview of the types of professionals we represent, the disability companies we file claims with and litigate against, and a non-exhaustive list of some of the disabling conditions our prior clients have had.
Professionals
Anesthesiologists | Attorneys | Cardiologists | Chief Medical Directors | Chiropractors | Commercial Real Estate Brokers | Corporate Executives | Emergency Medicine | Endodontists | Gastroenterologists | General Dentists | Gynecologists | Internal Medicine | Neurologists | Neurosurgeons | Obstetricians | Ophthalmologists | Oral Surgeons | Orthodontists | Orthopedic Surgeons | Otolaryngologists | Physical Therapists | Podiatrists | Professional Athletes | Prosthodontists | Psychiatrists | Psychologists | Pulmonologists | Radiation Oncologists | Radiologists | Rheumatologists | Veterinarians
Physician Claims & Resources | Dentist Claims & Resources
Disability Insurance Companies
Aetna | AIG | Allstate | Anthem | American General | Ameritas | Berkshire Insurance Group | Boston Mutual | Cigna/LINA | Colonial Life | Connecticut General | Davies Life & Health/Disability Management Services, Inc. | Disability Reinsurance Management | First Unum | Fortis | Great West | Guardian Life | Hartford | Jefferson | John Hancock | Liberty Mutual | Lloyd’s of London | Mass Casualty | Mass Mutual | MetLife | Monarch | Mutual of Omaha | National Life of Vermont | New York Life | New England Life | Northwestern Mutual Life | Ohio National | Paul Revere | Penn Mutual | Phoenix Life Insurance | Principal Life | Provident | Prudential | Reassurance America | Reliance | Reliance Standard | Sedgwick | Standard | Sun Life | The Equitable Life | Transamerica | Trustmark | Trustmark Disability Advisors | Union Central | Unum | UnumProvident
Disabling Conditions
Aneurysms | Anxiety/Panic Attacks | Angina Pectoris/Ischemia | Arthritis (Osteo, Psoriatic, Rheumatoid) | Atrial Fibrillation (AF) | Autoimmune Disorders | Bipolar Disorder | Brachial Plexus Injuries | Bulging Discs (Cervical/Lumbar) | Bursitis | Cancer | Carpal Tunnel Syndrome (CTS) | Cervical/Neck Pain | Crohn’s Disease/IBD | Complex Regional Pain Syndrome | Congestive Heart Failure | Coronary Artery Disease | Deep Vein Thrombosis (DVT) | Degenerative Disc Disease (DDD) | Dislocated Elbow/Shoulder | Dislocated Hip/Hip Replacement | Epstein-Barr Virus (EBV) | Essential Tremors | Focal Dystonia | Ganglion Cysts | Glaucoma | Hand/Arm Pain – NOS | Head Trauma/Cognitive Difficulties | Hearing Loss | Herniated Discs (Cervical/Lumbar) | Ligament Tears | Long-Haul COVID | Lumbar/Back Pain | Lyme Disease | Major Depressive Disorder (MDD) | Macular Degeneration | Meniere’s Disease | Migraines | Multiple Sclerosis (MS) | Musculoskeletal Disorders | Myasthenia Gravis (MG) | Myelopathy (Cervical/Lumbar) | Myofascial Pain Syndrome | Nerve Impingement/Entrapment | Neuroma | Orthostatic Hypertension/Hypotension | Osteoarthritis | Paresthesia/Dysesthesia | Parkinson’s Disease | Posterior Tibial Tendon Dysfunction | Post-Traumatic Stress Disorder (PTSD) | Posterior Tibial Tendon Dysfunction | Posterior Vitreous Detachment (PVD) | Radiculopathy (Cervical/Lumbar) | Repetitive Stress Injuries | Retinal Detachment/Floaters | Rotator Cuff Injury/Tears | Sciatica | Scoliosis | Serotonin Syndrome | Shoulder/Back/Neck Pain – NOS | Sleep Apnea | Spondylolisthesis | Spondylosis | Stenosis (Spinal/Foraminal) | Stroke | Thoracic Outlet Syndrome (TOS) | Traumatic Injuries | Tumors | Ulnar Neuropathy | Vertigo/BPPV | Visual Impairment
The information provided above is offered purely for informational purposes. It is not intended to create or promote an attorney-client relationship, and does not constitute and should not be relied upon as legal advice.
Every claim is unique and the discussion above is only a limited summary of information that may be relevant to your claim. An experienced disability insurance attorney can help you assess your particular disability claim, or potential disability claim, and determine what options are available to you.