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

News

Riemer Speaks at Lyme Disease Conference in Boston

News Diagnosis - Lyme Disease

On November 2-4, 2012, The International Lyme and Associated Diseases Society held its annual conference in Boston. Mr. Riemer co-hosted a medical legal seminar on the disability process with two other attorneys. Mr. Riemer addressed the who, what, where, why, when and how of disability claims involving Lyme Disease.

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Riemer Obtains Important Victory Against Prudential Holding Insurers More Accountable

News Success Stories SPD Prudential Success Story

On August 28, 2012, the federal court in Manhattan held that de novo is the appropriate standard of judicial review for New York disability lawyer insurance claims denied by Prudential Insurance Company. This ruling is the first of its kind within the Second Circuit. The decision effectively makes it more difficult for Prudential to deny valid disability claims brought by disabled individuals in New York.

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Riemer Speaks at Disability Insurance Conference

News

Scott M. Riemer presented at the 14th National Advanced Forum on Litigating Disability Insurance Claims in New York City on January 26, 2012. The conference was sponsored by the American Conference Institute. The conference included speakers who are leading plaintiff and defense lawyers as well as top medical experts. The topic of my discussion was "The Restrictions and Limitations Between the Own Occupation and the Any Occupation Standard." Please take a look at ACI's website for more information, http://www.americanconference.com/2012/878/litigating-disability-insurance-claims

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Riemer Speaks at ABA Symposium on Insurance and Employee Benefits

News

Scott M. Riemer was a presenter at the Annual ABA Symposium on Insurance and Employee Benefits in Miami on January 15, 2011. The Symposium was sponsored by the Tort Trial & Insurance Practice Section of the American Bar Association.

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Riemer Speaks at Pension Rights Center Conference

News

Scott M. Riemer was one of the principal presenters at the "ERISA Basics" conference held by the Pension Rights Center, on June 10, 2010. Mr. Riemer's topic was "Disability Claims under ERISA."

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