This week’s notable decision is a firm victory in Poisson v. Aetna Life Ins. Co., No. 8:20-cv-01030-JVS-DFM (C.D. Cal. Sept. 21, 2020). In 2011, claimant Jones suffered severe trauma to his head and face from a motorcycle accident. The trauma resulted in serious, permanent brain damage. Despite claimant returning to work—staying employed for almost three years—he was never able to resume the job responsibilities that he had prior to the accident. In March 2014, he was terminated and made a long-term disability claim.
Aetna denied the claim and Jones made several attempts to appeal, none of which were effective, perhaps because a psychological examination determined he “was not competent to manage funds on his own behalf and would require 24-hour care and supervision for the rest of his life.”
Continue Reading District Court Equitably Tolls Limitations Period in ERISA Lawsuit for Disability Benefits Based on Mental Incompetence