Only one review will be allowed, and your request must be submitted within 180 days of your receipt of this letter to be considered. Your request should state the reasons why you feel this determination is incorrect, and you should include any written comments, documents, records, or other information relating to your claim for benefits, including but not limited to any information submitted in conjunction with any claim for Social Security disability or other benefits which you would like us to consider. This written request for review must be submitted within 180 days of receipt of this letter. You may request a review of this determination by submitting your request in writing to: ¶ 11.) The letter from Matrix noticed Watkins of the right to appeal its denial of benefits: Thomas, LTD Claims Department, Matrix, to Monte Watkins (June 29, 2015) 1-2.) Watkins states in his Complaint that "hen applying and purchasing the wage replacement benefits insurance was not informed that eligibility for wage replacement insurance required that he work 30 hours per week at all times before application." (Compl. ( Id.) Matrix, by letter, advised that it denied Watkins's claim for LTD benefits because Watkins "had not reached the minimum 30 hours per week of work requirement of eligibility." ( Id. ¶ 10.) According to the Complaint, Matrix approved the STD benefits (and IES paid that benefit), but denied the LTD benefits. ¶ 9.) Watkins applied for both short-term disability ("STD") and long-term disability ("LTD") benefits. ¶ 8.) "By virtue of medical impairments, and according to medical personnel," Watkins asserts that he "is permanently and totally disabled." ( Id. ¶ 6.) Per the Complaint, Matrix is the "Plan Administrator" for the Plan, and IES was the party required to pay any sum afforded to Watkins under the Plan. § 1132(a)(1)(B).Īccording to the Complaint, Watkins "was a full-time employee of" IES "for a sufficient time period so as to be eligible for coverage under the terms of an insurance contract underwritten by Defendant Matrix." (Compl.
("IES"), asserting wrongful denial of long-term disability benefits under IES's short-and long-term disability plan, pursuant to 29 U.S.C. ("Matrix"), Reliance Standard Life Insurance Company ("Reliance"), and International Electrical Service, Inc. Plaintiff Monte Watkins ("Watkins") filed this action in Jefferson County Circuit Court on August 11, 2015, against Defendants Matrix Absence Management, Inc. Fully briefed, this matter is ripe for decision.
and Reliance Standard Life Insurance Company to dismiss the claims against them pursuant to Federal Rule of Civil Procedure 12(b)(6). This matter is before the Court on a motion by Defendants Matrix Absence Management, Inc.
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