MetLife Disability File / Complainant's Record | Cox Position Statement Claim | Contradiction / Legal Basis |
Your disability claim was received on May 28, 2024 and approved for the period June 3, 2024 through July 1, 2024. (MetLife Letter, June 3, 2024) | No leave or accommodation was requested for absences in June 2024. (Position Statement, April 11, 2025, p.2) | Contradicts assertion of no request. 29 C.F.R. § 1630.9 |
Employer contact: HR was notified of your claim on May 29, 2024. (MetLife File, May 29, 2024) | Unaware of any disability claim or need for accommodation prior to disciplinary action. (Position Statement, April 11, 2025, p.3) | Contradicts claim of lack of notice. 42 U.S.C. § 12112(b)(5)(A) |
Medical documentation received and accepted June 2, 2024. (MetLife File, June 2, 2024) | No medical documentation was ever provided to support absences. (Position Statement, April 11, 2025, p.4) | Contradicts assertion. 29 C.F.R. § 825.302(c) |
Approved for Short-Term Disability (STD) benefits for June 3 - July 1, 2024. (MetLife Letter, June 3, 2024) | Absent without leave and subject to corrective action for the same period. (Position Statement, April 11, 2025, p.5) | Contradicts payroll/discipline records. 29 C.F.R. § 825.220 |
Employer failed to respond to MetLife's request for additional information on June 5, 2024. (MetLife File, June 5, 2024) | Fully cooperated with all disability claims and requests. (Position Statement, April 11, 2025, р.6) | Demonstrates lack of cooperation. 29 C.F.R. § 1630.2(0)(3) |
Claim approved based on medical necessity and documentation provided. (MetLife Letter, June 3, 2024) | No documentation was ever provided. (Position Statement, April 11, 2025, p.4) | Contradicts claim. 42 U.S.C. § 12112(b)(5)(A) |
Disability claim covers all absences from June 3, 2024 through July 1, 2024. (MetLife File, July 1, 2024) | Absences in June were unexcused and subject to corrective action. (Position Statement, April 11, 2025, p.5) | Contradicts basis for discipline. 29 C.F.R. § 825.220(c) |
Return-to-work date set for July 2, 2024. (MetLife Letter, July 1, 2024) | No expected return-to-work date communicated. (Position Statement, April 11, 2025, p.6) | Contradicts claim. 29 C.F.R. § 1630.2(0)(3) |
Employee notified of right to appeal any denial or reduction in benefits. (MetLife Letter, July 1, 2024) | No rights or benefits denied. (Position Statement, April 11, 2025, p.7) | Contradicts assertion. 29 C.F.R. § 825.300 |
Employer failed to provide requested payroll information to MetLife. (MetLife File, June 10, 2024) | All necessary payroll and employment information provided. (Position Statement, April 11, 2025, p.8) | Contradicts claim. 29 C.F.R. § 825.500 |
STD benefit payments issued for June 3 - July 1, 2024. (MetLife File, July 1, 2024) | Not entitled to any paid leave or disability benefits. (Position Statement, April 11, 2025, p.9) | Contradicts payroll records. 29 C.F.R. § 825.215 |
Employer delayed response to MetLife's request for employment verification. (MetLife File, June 10, 2024) | Responded promptly to all requests. (Position Statement, April 11, 2025, р.10) | Contradicts MetLife's record. 29 C.F.R. § 825.300(b) |
Claim file includes all medical and employment documentation required. (MetLife File, July 1, 2024) | No documentation was ever received. (Position Statement, April 11, 2025, p.11) | Contradicts claim. 29 C.F.R. § 1630.14(c) |
MetLife notified employer of employee's protected status under ADA and FMLA. (MetLife File, June 3, 2024) | Unaware of any protected status or need for accommodation. (Position Statement, April 11, 2025, р.12) | Contradicts assertion. 42 U.S.C. § 12112(b)(5)(A) |
Employee engaged in protected activity by filing a disability claim. (MetLife File, May 28, 2024) | No protected activity occurred prior to corrective action. (Position Statement, April 11, 2025, р.13) | Contradicts timeline. 29 C.F.R. § 1630.12 |
MetLife confirmed receipt of updated medical restrictions on October 22, 2024. Approved included phased return and remote work. (Exhibit J) | Cox did not receive any updated restrictions after the initial documentation. (SOP, p.29). Mr. Coates rejected all accommodations. (SOP, p.12) | Contradicts interactive process obligations. 29 C.F.R. § 1630.2(0)(3) Misrepresents acceptance. 42 U.S.C. § 12112(b)(5)(A) |
Employee medically cleared to return with restrictions Nov. 21, 2024. | Mr. Coates never communicated readiness to return. (SOP, p.31) | False claim regarding communication. 29 C.F.R. § 1630.9(d) |
Employer failed to respond to multiple coordination requests from MetLife. | Cox collaborated fully with MetLife. | Evidence of non-cooperation. 29 C.F.R. § 825.300(c)(1) |
Pay inconsistencies noted and reported to MetLife. | All pay records were accurate and verified. | Contradiction over payroll truthfulness. 29 C.F.R. § 825.500(g) |
Leave approved through July 1, 2024, and again through Nov. 20, 2024. | Leave was never officially approved for those dates. | Contradicts documentation and payments. 29 C.F.R. § 825.216(a) |
Medical release submitted for Nov. 21, 2024 RTW. | Mr. Coates failed to submit timely RTW letter. (SOP, p.30) | Documented submission exists. 29 C.F.R. § 825.302(c) |
No indication of voluntary resignation. | Employee voluntarily resigned by failing to return. | Misrepresents ADA/family leave protections. 29 C.F.R. § 825.220(b) |
Employee status changed prior to appeal period expiration. | All employee rights and appeal periods were honored. | Due process breach. 29 C.F.R. § 825.300(d)(1) |
System notes reflect delay in pay processing after June 28. | No delay in pay noted in system. | Evidence conflict, possible wage violation. 29 C.F.R. § 541.602(a) |
Workday logs show adjustments made retroactively. | No retroactive changes occurred. | Log audit discrepancy. 29 C.F.R. § 516.6(a)(1) |
Employer instructed MetLife to pause STD case review. | Cox had no role in STD decision-making. | Undermines impartiality. 29 C.F.R. § 825.308(b)(2) |
Benefit enrollment prevented due to HR inaction. | Employee failed to enroll despite assistance. | Obstructive practices. 29 C.F.R. § 825.220(a)(2) |
MetLife notified Cox of ADA coverage status. | Cox unaware of ADA-qualified condition. | Constructive notice ignored. 42 U.S.C. § 12112(b)(4) |
System logs show benefit eligibility review delayed by Cox. | No delay occurred; employee failed to complete process. | Delay attributed incorrectly. 29 C.F.R. § 825.301(a) |
Internal logs show repeated employee inquiries. | Mr. Coates made no attempt to contact HR after 7/1/24. | Misrepresentation of engagement. 29 C.F.R. § 825.302(c) |
Short-term disability approval not reversed until August. | Mr. Coates was denied benefits in early July. | Contradictory benefit timing. 29 C.F.R. § 825.212(b) |
Cox provided MetLife incorrect payroll data. | All payroll data was accurate and verified. | Contradiction. FLSA: 29 U.S.C. § 211(c) |
Interactive process began July 2024. | Interactive process began in October. | Delayed engagement violates law. 29 C.F.R. § 1630.2(0)(3) |
Case documented as 'medical leave' on July 1 in Workday. | July 1 was unauthorized absence. | Misclassification. 29 C.F.R. § 825.302(d) |
No disciplinary action should occur while on STD. | Corrective action issued June 27 despite STD application. | Interference with leave rights. 29 C.F.R. § 825.220(c) |
Physician documentation received and logged. | No valid medical documentation ever submitted. | Direct contradiction. 29 C.F.R. § 1630.14(c) |
Accommodation request formally submitted Oct. 22. | Employee delayed request. | Fabricated delay. 29 C.F.R. § 1630.9 |
Pay halted June 28 with no written justification. | Employee resigned or did not return. | Payroll discontinuation as retaliation. FLSA § 206 |
MetLife confirmed disability due to cardiac condition. | No known disability confirmed. | Ignoring diagnosed condition. 42 U.S.C. § 12102(1)(A) |
System flagged conflicting evaluations after leave discussion. | Evaluations unrelated to medical status. | Temporal retaliation. 29 C.F.R. § 1630.12(a) |
Workday shows HR entries altered post-meeting on June 28. | No retroactive changes were made. | System alteration implicates retaliation. 29 C.F.R. § 825.500 |
Employee requested updated job functions. | Mr. Coates never inquired about duties. | Denial of interactive engagement. 29 C.F.R. § 1630.2(0)(3) |
Final paycheck inconsistencies reported but not addressed. | All pay was correct. | Pay inquiry neglect. FLSA § 207(e) |
Disability claim upheld despite Cox's lack of cooperation. | Cox fully cooperated. | Discrepancy noted by third party. 29 C.F.R. § 825.307(b) |