Info Library

 Clear Information About Long Term Disability Claims

The Info Library is a comprehensive educational resource for people navigating long term disability claims.

Here, you can learn how disability insurers evaluate medical conditions, occupational duties, policy language, medical evidence, appeals, benefit terminations, and litigation. Each guide focuses on a specific issue that may affect your eligibility for benefits or the strength of your claim.

Use the search feature above or browse the topic areas below.

Diagnoses

A medical diagnosis can have a profound impact on your ability to work, but not every diagnosis is evaluated the same way by disability insurance companies.

Our diagnosis guides explain how specific medical conditions may affect your eligibility for long term disability benefits, the evidence insurers typically look for, and the unique challenges claimants often face throughout the claims process.

Learn More

Occupations

Your occupation is one of the most important factors in a long term disability claim. Disability insurance companies evaluate more than just your diagnosis; they assess whether your condition prevents you from performing the material duties of your specific occupation.

Our occupation guides explore the unique demands of different professions and the evidence that can help support a successful disability claim. Whether you are filing an initial claim, appealing a denial, or protecting ongoing benefits, understanding how your occupation is evaluated is essential.

Learn More

Insurers

The insurance company handling your long term disability claim can significantly impact your experience throughout the claims process. While every insurer evaluates disability claims differently, each has its own procedures, priorities, and common reasons for delaying, denying, or terminating benefits.

Our insurer guides examine the practices of major disability insurance companies, explain the challenges claimants commonly encounter, and provide insight into the strategies that can help strengthen your claim at every stage.

Learn More

Policy Terms

Your disability insurance policy is the foundation of your claim. The language in your policy determines who is eligible for benefits, how disability is defined, what limitations or exclusions may apply, and what evidence you need to provide throughout the claims process.

Our policy guides explain the key provisions found in many long term disability policies and help you understand how your policy can affect your eligibility, benefits, and claim strategy.

Learn More

Claim Strategies

Every long term disability claim presents unique challenges, and the steps you take throughout the process can have a significant impact on your ability to obtain and maintain benefits. Understanding how disability insurers evaluate claims can help you make informed decisions from the outset.

Our claim strategy guides cover important topics such as documenting your disability, working with your treating physicians, responding to insurer requests, preparing appeals, and protecting your benefits throughout the life of your claim.

Learn More

Litigation Issues

If your long term disability claim cannot be resolved during the administrative claims process, the next step may involve litigation or mediation. Understanding how these proceedings work can help you make informed decisions about your legal options and what to expect as your case moves forward.

Our litigation and mediation guides explain important legal concepts, court procedures, settlement discussions, standards of review, and other issues that may arise after a claim has been denied or terminated.

Learn More
Topic

Denial Letters

What Our LTD Appeal Lawyers Look For in Disability Denial Letters

Strategy - Medical Evidence Strategy - Appeal a Denial Strategy - Vocational Evidence Appeal Denial Letters

What an LTD Appeal Lawyer Sees in a Disability Denial Letter

When we review an LTD denial letter, we are not just looking at theinsurer's conclusion. We are trying to understand how the insurer got there.

That sounds obvious, but it is where many appealsgo wrong. Claimants often focus on proving again that they are sick or that their doctors support disability. Meanwhile, the denial may be telling us that the insurer misunderstood the occupation, thought the clinical findings were too thin, believed daily activities were inconsistent with disability, or rejected a treating physician's restrictions because it thought the records did not support them.

Those are very different problems, and they call for very different appeals.

One of the first things we do is break the denial apart. What did the insurer accept? What did it reject? What evidence did it overlook? What does it say is missing? And just as important, if we fix the problem the insurer identified, what is the next argument it is likely to make?

That last question matters more than many claimants realize. A strong LTD appeal should not only answer the denial already issued. It should anticipate the next denial too.

 

Continue Reading
leave work protected nyc long term disability attorney