Scott Bijowski (52 year old, male, Salesperson)
Scott was a top performing salesperson for a large
national manufacturing company. His sales region required a lot of
driving and he spent most of his time in his car.
Over
the years, business had its ups and downs. When business was good Scott
was fine, but on occasions when business was down, Scott suffered from
some bouts of depression. These episodes did not usually last very long
and Scott was able to carry on with a fully productive life.
He was married with three kids, and after the kids moved out his wife also decided to leave.
Scott
plunged into a deep depression and started seeing a psychiatrist. The
psychiatrist suggested that a career change would help. He got a new
job as a sales manager with a competitor, and this required less travel.
Over the next few months Scott felt better. He thanked the psychiatrist for his advice and was discharged from all treatment.
Within
a year of starting the new job Scott started to feel something
different, which he could not explain, and he found that he could not
handle work anymore. He returned to his psychiatrist who diagnosed the
new symptoms as evidence of a Bi-Polar disorder and prescribed
medication, and told him to stay off work.
Scott had group
Short Term and Long Term Disability benefits with Manulife, and
submitted a claim. Manulife paid the Short Term benefits, for 3 months
and told him to apply for Long Term Disability. When he finally got a
response from the LTD claim, it was a denial.
Manulife said
under the LTD policy, they were not obligated to pay for a pre-existing
condition. Scott and his doctor appealed this decision as they claimed
that the Bi-Polar diagnosis was not a pre-existing condition.
Without
any income, and bills piling up, Scott tried to return to work, but
after 3 days he was hospitalized. A few weeks later, after getting out
of the hospital, Scott's brother found David Share Associates on the
internet and booked an appointment for them to see how Scott could get
his benefits.
Scott felt so relieved to find some hope, even
though he understood that it would take time, knowing that no money was
required up front convinced Scott to go ahead with legal action.
David
Share Associates sued Manulife for his benefits. We went to work on
gathering the necessary background information. Once Manulife's lawyers
responded to the lawsuit, they agreed to attend a mediation to see if
settlement could be reached, but only after they had a chance to
question Scott during an examination for discovery and sending him to a
doctor of their choice.
At mediation, Manulife continued to
strongly argue that they did not have to pay because of a pre-existing
condition; and that depression and bi-polar were the same thing. David
Share Associates argued that the Bi-Polar was very different from the
depression Scott suffered from in the past as documented by all of
Scott's doctors.
A settlement was reached to pay Scott a
lump sum amount of $213,500.00 which represented 3 years of benefits.
With his settlement, Scott was able to see some way out of his debt; to
concentrate on getting the treatment he needed; and to hink about a new
career in the future.
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