Blue v. Hartford Life & Accident Ins. Co., No. 11-3554 (7th Cir. 2012)
Annotate this CaseBlue, a bus driver insured under Hartford group disability plans, stopped working because of chronic headaches in 1998; Hartford approved short-term disability (STD) benefits. Blue was diagnosed with sphenopalatine ganglion neuralgia. Hartford approved long-term (LTD) benefits in 2001. To qualify for STD benefits, Blue needed to show inability to perform his own occupation; for LTD benefits, he needed to show that he could not do “any occupation or work for which he was or could become qualified by training, education or experience.” In 2002, Hartford amended its LTD policy, retroactive to 1993, adopting the more lenient “own occupation” standard. Hartford received annual physician’s reports, and by 2008, his provider indicated that Blue was capable of full-time light or sedentary work. Hartford notified Blue that he was no longer eligible for LTD benefits, quoting the “any occupation” language; it apparently did not send the 2002 retroactive amendment. In 2011, Hartford acknowledged its mistake to the district court, reinstated benefits, and issued a check for retroactive benefits. After granting one, but denying a second, extension of time, the district court ruled without Blue’s response, finding the contract claim was moot and granting Hartford summary judgment on the bad faith claim. The Seventh Circuit affirmed.
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