Policy holder alleges insurance company breached contract

By Noddy A. Fernandez | Mar 14, 2018

SAN DIEGO — A policy holder is suing North American Life, alleging breach of an insurance policy contract.

Carol Seelig filed a complaint March 5 in U.S. District Court for the Southern District of California against Life Insurance Company of North America, alleging violation of the Employee Retirement Income Security Act (ERISA).

According to the complaint, on Jan. 1, 2012, Seelig was given life insurance benefits established by her employer, INN Ocean Worldwide Americas LLC, under which she is entitled to life premium benefits for disability. In 2015 Seelig says she ceased working due to the muscular dystrophy and was provided with long term disability benefits but was denied leave without pay (LWOP) benefits. 

Despite an appeal and an overwhelming evidence of a covered LWOP claim, Seelig alleges the defendant wrongfully terminated her life premium benefits under the life plan. 

The plaintiff alleges Life Insurance Company of North America failed to pay LWOP benefit payments despite knowing Seelig was entitled to those benefits under the terms of the LTD and life plans and failed to provide a prompt and reasonable explanation. 

Seelig seeks trial by jury, immediate reinstatement of LWOP benefits, court costs and attorney fees, pre- and post-judgment interest, and all other relief the court deems just and proper. She is represented by attorney Glenn R. Kantor of Kantor & Kantor, LLP in Northridge.

U.S. District Court for the Southern District of California case number 3:18-cv-00470-MMA-JMA

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Kantor & Kantor LLP U.S. District Court for the Southern District of California

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