LOS ANGELES – A beneficiary for an accidental and dismemberment policy alleges the plan administrator wrongfully denied her benefits.
Estate of David Maurice Jr. and Stacy Maurice filed a complaint on Dec. 22 in the U.S. District Court for the Central District of California against Life Insurance Co. of North America; Southern California Edison Co. Employee Benefit Plan and Does 1 through 10 citing the Employee Retirement Income Security Act.
According to the complaint, Stacy Maurice alleges that her husband, David Maurice Jr., died in December 2015 and that she notified Life Insurance Co. of North America of his passing. The suit states the defendant denied her benefits under the accidental dismemberment policies. The plaintiffs hold Life Insurance Co. of North America; Southern California Edison Company Employee Benefit Plan and Does 1 through 10 responsible because Life Insurance Co. of North America allegedly upheld its decision to deny plaintiffs' claim for benefits despite several appeals.
The plaintiffs seek unpaid benefits plus interest at the legal rate, all legal fees and any other relief as the court deems just. She is represented by Michael B. Horrow and Nichole D. Podgurski of Donahue & Horrow LLP in El Segundo.
U.S. District Court for the Central District of California Case number 5:16-cv-02610-CAS-SP