UNUM Grants Disability Benefits for Institutionalized Urologist
After a traumatic brain injury in the Dominican Republic, a successful urologist had his clinical privileges revoked on account of cognitive impairments. Unable to work, his alcoholism intensified until he was unwillingly committed to a hospital. Nevertheless, Dabdoub Law Firm had to get involved to ensure that UNUM granted our client benefits.
Details of the Doctor’s Hospitalization
Our client suffered a serious fall while in the Dominican Republic in July 2018. He lost consciousness for about 24 hours and was admitted to the intensive care unit (ICU). When he returned home to Miami, Florida, our client attempted to resume his practice of urology. Unfortunately, he was no longer able to practice safely, due to complications and cognitive decline. Our client was diagnosed with a traumatic brain injury and had his privileges suspended because he posed “an immediate risk of substantial harm to the health or safety of patients.”
A neuropsychological exam revealed that our client’s intellectual functioning had decreased dramatically to the “low average to average range,” which is unacceptable for a physician. According to his suspension, our client was frequently tardy, failed to complete cases, and made mistakes when dictating information and even marking surgical sites.
Because our client was unable to function at the level required of his profession, he was deemed unable to work. Sadly, he also struggled with alcoholism, despite several months in rehabilitation. Our client was admitted to a hospital on March 6, 2020. As of this date, UNUM had more than enough evidence to approve disability benefits.
Dabdoub Law Firm Wins Benefits on Doctor’s Behalf
While UNUM was focused on the formality of completing paperwork, Dabdoub sent an official claim via U.S. Mail. Our firm emphasized that completing insurance paperwork was unnecessary and, in fact, impossible given our client’s institutionalized status.
We showed how our client met the criteria for disability benefits and requested a prompt approval of benefits.
Luckily, UNUM complied.
Help from a Lawyer with Expertise in Disability Insurance
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