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

How the MMPI-3 Affects Your Long Term Disability Claim

Diagnosis - PTSD Diagnosis - Anxiety Diagnosis - Mental Illness Diagnosis - Bipolar Disorder Strategy - IME Diagnosis - Depression

If you’re filing or already receiving long term disability benefits for a mental health condition, you may be asked to attend a psychiatric “Independent Medical Examination” — which, in reality, is anything but independent.  These exams are more accurately called Defensive Medical Examinations (“DME”) because they’re arranged and paid for by your insurance company, often with the goal of cutting off or denying your benefits.  One tool insurers frequently rely on in psychiatric DMEs is the MMPI-3, a psychological test that can significantly influence the outcome of your claim.

Below we’ll answer common questions to help you understand what a psychiatric DME involves, how the MMPI-3 fits into the process, and how to protect your rights before and after the exam.  Whether you’re preparing for an upcoming DME or dealing with a claim denial based on one, it’s important to know what you’re up against—and how a long term disability attorney can help you push back.

Continue Reading

Long Term Disability for Mental Illness: What You Need to Know

Mental Illness Limitation Diagnosis - Mental Illness

As the dialogue around mental health grows, so does the recognition of the profound impact that psychiatric conditions can have on your ability to work and function.  If your mental illness prevents you from performing your job duties, you may be eligible for long term disability insurance benefits.

However, it’s important to understand that mental illness disability claims are often more complex and difficult to navigate compared to claims with disabling physical conditions.

Here’s what you need to know before filing your long term disability claim for mental illness.

Continue Reading

Can Physicians File A Long Term Disability Claim for Burnout?

Diagnosis - PTSD Diagnosis - Anxiety Diagnosis - Mental Illness Physician

Are you mentally exhausted from the never-ending flow of COVID patients?  Have you seen more death and suffering than you can even think about?  Are you frustrated, angry, unmotivated, and feeling helpless? You’re definitely burned out, but are you disabled?

Since the COVID-19 pandemic began, an unprecedented number of physicians are reporting mental health conditions ranging from anxiety and depression to post-traumatic stress disorder.  In a recent study published in The Lancet, researchers from the American Medical Association and Hennepin Healthcare surveyed 21,000 U.S. healthcare workers, nearly 3,000 of whom were physicians.  Almost a third (29.9%) of doctors reported experiencing high stress.  Nearly half (47.7%) reported symptoms of burnout; more than a third (37.3%) said they felt overloaded with work.

As a doctor, you’re used to seeing your patients apply for disability benefits, but the process can seem entirely foreign when it’s your own claim.  Is burnout a covered disability?  Where do you start when you need to file a long term disability claim?

It’s a complicated process.  Here’s what you need to know.

 

Continue Reading

Can You Get Long Term Disability for an Anxiety Disorder?

Diagnosis - Anxiety Diagnosis - Mental Illness

Everyone experiences anxiety from time to time – but those who suffer from anxiety disorders know firsthand how paralyzing it can be to function day-to-day. If you’ve been diagnosed with an anxiety disorder, your symptoms may significantly interfere with your ability to perform your job duties.

You may consider filing a long term disability insurance claim due to your anxiety.

Here’s what you need to know before filing your long term disability claim for an anxiety disorder.

Continue Reading

Depression and Long Term Disability: What Evidence Matters

Mental Illness Limitation Diagnosis - Anxiety Diagnosis - Mental Illness Diagnosis - Depression

Depression isn’t just a sad mood – it’s a severe clinical condition that can lead to serious problems in functioning for those who suffer from it. The symptoms of major clinical depression can make it difficult to carry out your day-to-day activities, including working.

Continue Reading
leave work protected nyc long term disability attorney