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7th Circuit: Insurer’s Application Of Self-Reporting Clause Wasn’t Reasonable

CHICAGO – Upon panel rehearing, the Seventh Circuit U.S. Court of Appeals on Sept. 20 ruled that an insurer’s termination of benefits based on the disability plan’s self-reporting symptoms limitation clause was arbitrary and capricious because the claimant’s diagnosis of disabling fibromyalgia was based on medical evidence and not the claimant’s self-reported symptoms (Susie Weitzenkamp v. Unum Life Insurance Company of America, Nos. 10-3898 and 11-1006, 7th Cir.; 2011 U.S. App. LEXIS 19283).
Full story on lexis.com (Source: LexisNexis

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