No specific laws identified for this ruling.
The court granted Unum's motion for judgment on the administrative record and denied the plaintiff's appeal of her long-term disability benefits denial, upholding Unum's determination that the plaintiff no longer met the definition of 'disabled' under the policy.
Roumeliote v. Long Term Disability Plan
What Happened
Roumeliote filed a lawsuit after her long-term disability benefits were denied by Unum, the insurance company managing the disability plan through her employer, Worthington Industries. She claimed the company failed to accommodate her disability and appealed the decision to stop her benefits.
What the Court Decided
The court sided with Unum and rejected Roumeliote's appeal. The judge found that Unum's determination was correct—that Roumeliote no longer qualified as "disabled" under the terms of her insurance policy. The court upheld the decision to deny her benefits.
Why This Matters for Workers
This case shows that disabled workers face an uphill battle when challenging benefit denials in court. Insurance companies have significant power to define who is "disabled," and courts often defer to those decisions. Workers receiving long-term disability should understand their policy's specific definition of disability and keep detailed records of their medical condition, as disputes over whether someone still qualifies can be difficult to win in court.
This summary was generated to explain the ruling in plain English and is not legal advice.
Court rulings like this one are useful, but every situation is different. Take 3 minutes to see which laws may protect you — it's free, private, and no account is required to start.
This ruling information is sourced from public court records via CourtListener.com. Case outcomes, claim types, and summaries are extracted using AI analysis and may be incomplete or inaccurate. It is provided for informational and educational purposes only and does not constitute legal advice.
See something wrong, or named in this ruling and want it corrected or redacted? Request a correction.