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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Top Tips to Win Long-Term Disability Benefits for Chronic Pain

Strategy - Medical Evidence Strategy - Apply for Benefits Strategy - Leave Work Protected Strategy - Evidence Diagnosis - Chronic Pain

Getting long-term disability benefits for a chronic pain condition can be extremely difficult.  Insurers tend to heavily scrutinize these claims – often alleging there is no proof and the pain is simply “self-reported.”  Winning long-term disability benefits for chronic pain will take careful planning, preparation, and documentation.  Review these insider tips to get started on a winning path.

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How Can Vestibular Testing Help Prove a Long Term Disability Claim?

Strategy - Medical Evidence Diagnosis - Traumatic Brain Injury (TBI) Strategy - Evidence Diagnosis - Vestibular Disorder Strategy - Vestibular Evaluation

Vestibular dysfunction can be extremely distressing and disabling.  A vestibular evaluation is one of the best ways to prove the severity of a long term disability due to vestibular dysfunction.  This is because the evaluation will provide an objective proof of your vestibular symptoms (including dizziness, vertigo and balance issues) in a way that medical records alone cannot.


Learn whether a vestibular evaluation may help prove your long term disability claim.

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How to Win A Long Term Disability Appeal - 5 Do's and Don'ts

Strategy - Appeal a Denial Strategy - Evidence

Here are five do's and don'ts that will help you win your long term disability appeal.

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How to Win a Long Term Disability Claim | The Basics

Strategy - Apply for Benefits Strategy - Evidence

You’ve suffered an injury or experienced the progression or exacerbation of a sickness or illness that makes it difficult, if not impossible, for you to complete your job duties. You have Long Term Disability coverage through an individual policy that you purchased yourself, a group policy issued by an insurer to your employer, or both.  Now you need to apply for benefits.

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How a Functional Capacity Evaluation (FCE) Can Help Prove a Physical Disability

Strategy - Medical Evidence Strategy - Functional Capacity Evaluation Strategy - Evidence

Functional Capacity Evaluations For Disability

A Functional Capacity Evaluation (FCE) is a tool used to measure your physical abilities. In some cases, it can provide strong, objective evidence that supports a disability claim. In others, it may be used by an insurance company to argue that a claimant can return to work.

Whether an FCE helps or hurts your claim depends on how it is performed, how the results are interpreted, and how well it reflects your ability to function over time.

Understanding how these evaluations work, and how they are used in disability claims, can help you approach the process more carefully.

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