The complex world of long-term disability (LTD) benefits can be a lifeline for those unable to work due to illness or injury. However, navigating the maze of approvals, denials, and reinstatements is no small feat. This comprehensive guide is designed for those who have faced the denial or discontinuation of their LTD benefits. By understanding the importance of these benefits and the steps to secure them, claimants can move forward with confidence and regain financial stability.
Long-term disability benefits provide financial support to individuals who cannot work due to a chronic illness, injury, or mental health condition. These benefits often cover a significant portion of the claimant’s salary, ensuring they can maintain a basic quality of life while unable to work. Generally, LTD benefits are part of an employer’s group insurance plan or are purchased individually.
Understanding why benefits are denied or discontinued is the first step in addressing the issue:
In November, 2023, our lawyers recovered $130,000 for a teacher near retirement age who left work due to disability. The claim was initially denied but settled shortly after litigation.
In September, 2023, our lawyers successfully had a professional’s long-term disability claim reinstated in addition to recovering $97,000 in arrears and legal costs shortly after litigation.
The foundation of a successful lawsuit is solid evidence. Collect all relevant medical records, doctors’ notes, test results, and any additional assessments that support the claim. Ensure that the documentation clearly outlines the nature of the disability and its impact on daily functioning.
Hiring a lawyer specializing in long-term disability claims can significantly enhance the chances of a successful appeal. These professionals understand the intricate details of insurance policies and can effectively challenge denials.
If an IME is required, prepare thoroughly. Understand that these exams can be biased towards the insurer’s interests. Bring all relevant medical documents to the appointment and consider having a supportive healthcare provider present if allowed.
Maintain open and clear communication with your insurance provider. Keep records of all interactions, including emails and phone calls, and follow up promptly on any requests for additional information.
Keep meticulous records of your medical treatments, appointments, and any correspondence related to your claim. This documentation can be crucial in proving the legitimacy and extent of your disability.
Ensure that your medical records are up-to-date and accurately reflect your condition. Regularly visit healthcare providers and comply with prescribed treatments to demonstrate ongoing efforts to manage your disability.
Long-term disability benefits are essential for those unable to work due to illness or injury. Despite the challenges of denials and discontinuations, understanding the process and knowing how to gather evidence, work with lawyers, and prepare for IMEs can significantly improve your chances of reinstating benefits. If you’re facing difficulties with your LTD claims, seeking professional legal advice is a crucial step. Remember, your health and financial stability are worth fighting for.
For more detailed guidance and support, consider reaching out to our expert team of LTD lawyers at Davidson Cahill Morrison LLP.
Ready to take action? Contact us today and start the process of getting your benefits reinstated. Your road to financial security begins here.
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