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Man alleges Life Insurance Co. of North America failed to investigate merits of claim

NORTHERN CALIFORNIA RECORD

Sunday, December 22, 2024

Man alleges Life Insurance Co. of North America failed to investigate merits of claim

Insurance 07

BAKERSFIELD – A former Primoris Services Corp. employee alleges his disability benefits were wrongfully terminated.

Roy Tinoco filed a complaint on March 16 in the U.S. District Court for the Eastern District of California against Life Insurance Co. of North America alleging violation of the Employee Retirement Income Security Act.

According to the complaint, the plaintiff has been disabled due to sickness since February 2016 and the defendant initially paid his claim for long-term disability benefits. The suit states the benefits were later terminated by the defendant. 

The plaintiff holds Life Insurance Co. of North America responsible because the defendant allegedly failed to provide a prompt and reasonable explanation of the basis for the denial of plaintiff’s claims and failed to investigate the merits of his claims.

The plaintiff seeks payment of benefits, declaratory relief, costs and attorneys’ fees, prejudgment and post-judgment interest, and further relief as the court deems just. He is represented by Cesar Gavidia Jr. of Attorneys Dell & Schaefer in Hollywood, Florida.

U.S. District Court for the Eastern District of California case number 1:18-cv-365

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