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The Collaborative Clearinghouse for Lawsuits and Other Claims Against ACE Group Insurance Companies

Worker Sues ACE American over Disability Claim

September 7th, 2012 - A South Florida man has sued ACE American Insurance Co. for allegedly failing to make good on occupational accident benefits he said are due him from the ACE Group unit.

Heberth Urrea said in a suit lodged in Broward County, Fla., Circuit Court that he was disabled in a workplace accident that occurred Dec. 9, 2009. At the time, Urrea had in force an ACE-written policy – apparently first issued in 2003 - that was meant to compensate him for medical expenses as well as temporary and permanent disability due to on-the-job injuries.

Urrea said he has supplied ACE with evidence of care by physicians and healthcare providers for his condition, which was described as a disabling hip injury.

The plaintiff said that he submitted a timely claim to ACE along with medical records and reports that supported his contention that his injuries were occupation related. Yet, ACE rejected the claim on March 7, 2012.

Urrea said he has complied with all conditions of the policy and said that ACE is indebted to him for medical expenses as well as both temporary and permanent disability payments. He has also claimed attorney fees.

According to ACE, Urrea’s policy with ACE provides for a maximum of $2,000 per month in temporary benefits for up to 104 weeks and then a maximum of $2,150 monthly in permanent benefits, less other income benefits. Recipients are eligible for payments as long as they receive Social Security Disability pay, up to a maximum policy limit of $1 million.

After examining Urrea’s 2009 tax return, ACE said that during 2009, its client earned on average $574.44 per week.

ACE has petitioned to remove Urrea’s suit to U.S. District Court in Fort Lauderdale.

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