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.

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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.

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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.

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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.

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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.

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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.

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Topic

Diagnosis Spinal Stenosis

Major Litigation Victory: Riemer Hess Prevails in Chung v. Provident

Success Stories Diagnosis - Spondylolisthesis Attorneys Fees UNUM Lawyer Diagnosis - Spinal Stenosis Success Story Diagnosis - Spinal Condition

Major Litigation Victory: Riemer Hess Prevails in Chung v. Provident

Riemer Hess is proud to announce a major litigation victory in the case of Chung v. Provident Life and Casualty Insurance Company.  The Honorable Alvin Hellerstein, an esteemed District Judge in the Southern District of New York, ruled in favor of Plaintiff, awarding him $818,865.98 in total disability benefits dating back to his date of disability, along with interest in the amount of $114,332.90, costs of $681.63, and approximately $375,000 in attorneys’ fees.  The outcome represents a total win for our client.

 

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How to Prove a Radiculopathy Long Term Disability Claim

Diagnosis - Spinal Injury Diagnosis - Spinal Stenosis Diagnosis - Spinal Condition Diagnosis - Radiculopathy

If you are dealing with radiculopathy and struggling to keep up with sitting, standing, or using your hands consistently throughout the workday, the issue is usually not the diagnosis itself—it is whether your symptoms prevent you from sustaining your job on a full-time basis.

Radiculopathy claims are often denied even when imaging confirms nerve compression. Insurers frequently argue that a claimant can perform sedentary work, without fully accounting for pain, positional limitations, or the inability to maintain activity over time.

This page explains when radiculopathy can qualify for long term disability benefits, what evidence matters most, and why these claims are often challenged.

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Spinal Stenosis Long Term Disability Claims: How to Prove Your Case

Diagnosis - Back Injury Diagnosis - Back Pain Diagnosis - Spinal Stenosis

Spinal stenosis is common, especially as people get older. Because of that, insurance companies often scrutinize these claims closely. An insurer may argue that spinal stenosis is a normal age-related finding, that many people have similar MRI results, or that the condition should not prevent someone from working.

For a long term disability claim, the issue is usually not simply whether imaging shows spinal stenosis. The more important issue is whether the condition causes symptoms and functional limitations that prevent the person from performing the material duties of the occupation on a reliable, full-time basis.

That distinction matters. A person may be able to sit through dinner, drive short distances, or walk around the house, but still be unable to commute, sit through a full workday, attend long meetings, travel, or maintain focus while dealing with pain, numbness, weakness, or medication side effects.

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Degenerative Disc Disease and Long Term Disability: How to Prove It

Diagnosis - Neck Pain Diagnosis - Back Pain Diagnosis - Spinal Stenosis Diagnosis - Degenerative Disc Disease Diagnosis - Spondylitis Diagnosis - Spinal Condition

Back problems are one of the most frequent reasons that people seek to file a disability claim. For those with degenerative disc disease, you already know how debilitating the pain can be – oftentimes to the point of being unable to work.

If you find that you are unable to continue working due to degenerative disc disease, you may be considering filing for long term disability. However, a simple claim of back pain alone won’t be sufficient basis for a claim with your insurance company.

Below we’ll outline what is needed when filing for long term disability for degenerative disc disease.

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Back and Neck Disability Claims: How to Prove You Can’t Work

Diagnosis - Back Injury Diagnosis - Neck Pain Diagnosis - Spondylolisthesis Diagnosis - Injury Back/Lumbar Diagnosis - Injury-Neck/Cervical Diagnosis - Spinal Stenosis Diagnosis - Spondylitis Diagnosis - Spinal Condition Diagnosis - Radiculopathy

Neck and back injuries can significantly diminish mobility and cause excruciating pain. A back or neck injury can be the result of work or recreational activities, disease, a fall or other accident, or a degenerative disorder. Back and neck pain is one of the most common reasons why claimants file for long term disability insurance benefits. Insurers routinely deny back and neck pain claims for lack of objective evidence.

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