CIGNA

February 7, 2017Dear [redacted],We are writing in response to your correspondence dated January 30, 2017, regarding [redacted]’s claim for Long term Disability (LTD) benefits. [redacted] was covered under her employer provided, fully insured LTD policy VDT [redacted], which was underwritten by...

[redacted], and issued in Delaware.[redacted] raised concerns regarding the decision made on her LTD claim. According to our records, [redacted] initially went out of work on January 5, 2016. Our claim manager requested and obtained medical records from [redacted]’s treating medical providers. This information was reviewed with our Expert Resources Group, and the claim manager determined that the information provided was insufficient to support a functional loss that would have precluded [redacted] from being able to perform her occupational duties past November 17, 2016.[redacted] appealed this decision as of December 2, 2016. Her entire claim file, including the information sent in support of her appeal, was referred to our appeals team for them to perform an independent review of our previous decision. The information on file was again reviewed with our Expert Resources Group, and as of January 25, 2017 the determination was made by our appeal specialist that our previous decision should be overturned. A letter was sent to [redacted] on January 25, 2017, advising her of the decision and notifying her that our claims team would be in contact within 10 days to discuss the reopening of her LTD claim.We called and spoke with [redacted] on January 30, 2017, advising her of our decision and offering to assist further should she not be contacted by our claims team. Should she have any further questions, she may feel free to reach out to our LTD team directly at ###-###-####.In addition, should you or her have any questions or would like to discuss this matter further, please feel free to contact me directly at ###-###-####.Sincerely,Eric F. Compliance Specialist

I spoke with the customer this afternoon, this issue has been resolved. Case # [redacted].

Thank you for this information.A written response was mailed to the customer on August 3, 2015.Thank you,Nicole P[redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the...

response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

The customer was contacted on 05-14-15 in regard to Revdex.com complaint # [redacted]. This has been resolved.

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be...

closed Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because:Cigna has made no effort to address or remedy the issues they have caused directly and by their own admission.  They sent me a check only for the amount they stole but did nothing to address the hundreds of dollars in overdraft fees or lost hours.  I am out over $1300 because of a mistake they admit making and that they did nothing to prevent.
Regards,
[redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it...

before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Hello,
 
Cigna has received this letter at the Executive Office of Complaints, and will reach out to the member directly for resolution.
 
Thank You,

Cigna sent me another release of information form last week, which I previously completed so I called them...

and I spoke with Tikia (sp) and she told me she would send me the requested information AGAIN because she said it looked like it hadn't been sent yet.   I then received the requested information about 3 days later so I think this nightmare is over and I appreciate all of your help! Sincerely, [redacted]

Revdex.com Complaint # [redacted] has been resolved. A message was left for the customer today.

Cigna has reviewed this issue for the customer.  Customer has been contacted via phone on 7/20/2017.  Cigna has reprocessed the dental claims for the customer at the network level, based on an error on the provider portal. Customer is aware and understands that this closes her concerns with the dental claims. Georgia K[redacted] Operations Specialist

Additional time is needed to investigate this customer’s
concern. An extension request letter will be issued to the customer today,
April 25,...

2014.

Cigna has completed our review of this Revdex.com request and a final resolution was sent to the customer today, April 11,...

2014.

Thank you for bringing your concerns to the attention of the Executive Office at Cigna.
To Whom It May Concern,
I want to let you know that I received the inquiry about [redacted]. I am part of the Executive Office Advocacy Team. My job is to look into the concerns Cigna...

customers, and their representatives, bring to the attention of our president and senior leadership team.We take patient confidentiality seriously Protecting our customers' personal health information is critical. So much so, that the Health Insurance Portability and Accountability Act (HIPAA) requires that we protect an individual's private health information (PHI). Because your inquiry requires that I look into Ms. [redacted]'s information, I need her to give me permission to share my findings with the Revdex.com. Ms. [redacted] can grant this permission by signing an Authorization for Use and Disclosure form.
Next Steps I will reach out to Ms. [redacted] to let her know that I received your inquiry, that the Revdex.com would like a response and that I need permission to communicate with you. I will also send the Authorization for Use and Disclosure form so she can sign it. I have attached a copy to this letter too so you have an idea of what it looks like. Please know that I must receive this signed form from Ms. [redacted] in order to respond to you. If I do not receive a signed form, I will communicate only with her.
Thank you again for sharing your concerns with the Executive Office at Cigna.
Sincerely,
Nicole P[redacted]
Executive Office Advocacy Team

Thank you for this information.I will be in review of this issue and will contact the customer directly.Thank you,Nicole P[redacted]

Please be advised that a response was sent to the customer ([redacted]) on July 17th via mail. We have concluded our research. Thank you.

Hello,
Thank you for this information.
Written correspondence has been sent to the customer on 3/10/2016.
Thank you,
Nicole P[redacted]

As of this date, April 26, 2017, I have not received any kind of contact from Cigna, either by mail...

or by phone.  I am still waiting to receive the documentation for my records stating that Cigna will not contact the credit reporting  agencies or will the amount owed be sent to them.  I want proof in writing due to the fact of this two year fiasco.Thank you for your contact,[redacted]

--------- Forwarded message ----------From: Revdex.com of Metro Washington DC <[email protected]>Date: Mon, Jul 13, 2015 at 9:10 AMSubject: Fwd: FW: You have a new message from the Revdex.com of Metro Washington DC & Eastern...

Pennsylvania in regards to your complaint #[redacted].To: [redacted] <[redacted]@myRevdex.com.org>---------- Forwarded message ----------From: [redacted] <[redacted].com>Date: Sun, Jul 12, 2015 at 10:54 AMSubject: FW: You have a new message from the Revdex.com of Metro Washington DC & Eastern Pennsylvania in regards to your complaint #[redacted].To: "[email protected]" <[email protected]>Cc: [redacted] <[redacted].com>Cigna did correct their error and I did receive a refund. Please update the complaint file. I am satisfied.

Thank you for the information. Out reach to the customer will be completed today to go over our findings.
 
Thank you,
 
[redacted]