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Litigation

Nov. 3, 2011

Law bars discretionary clauses in disability claims

A new state law bars insurance companies from using their discretion to deny disability claims.

See Correction Below.

By Amy Yarbrough

Daily Journal Staff Writer

As it stands, an insurance company can deny a policyholder's claim for disability benefits even if the insured's own doctor believes he or she is disabled.

Undoing that denial can be an uphill battle in court for plaintiffs' lawyers, who must show that the insurance company used its discretion in an "arbitrary and capricious" way.

The ...

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