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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Success Stories

A Technical Support Analyst Suffering From Severe Sleep Apnea Wins His  Appeal

Success Stories Analyst Case Studies Diagnosis - Cognitive Impairment

 

 

 

 

“Mark “was a technical support analyst for a leading financial institution when he was diagnosed with severe obstructive sleep apnea.  Mark began to experience cognitive difficulties associated with his sleep apnea as well as deficits in concentration and memory, and extreme fatigue.  Mark had previously received coverage under the family medical leave act (FMLA) and upon its termination attempted to return to work.  However, Mark’s return to work was unsuccessful as he remained unable to tolerate the high executive level functions required to meet the demands of his occupation.  Mark met with Mr. Riemer and a strategic plan was implemented geared toward transitioning Mark from short term disability benefits to long term disability benefits.

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Case Study: Relationship Manager Wins Disability Benefits for Depression After Insurer Termination

Success Stories Executive Case Studies Diagnosis - Depression

 

Dwight was a successful relationship manager at a national insurance company. He lived and worked in NYC.  Dwight suffered from depression, which included symptoms of decreased energy, difficulty thinking, emotional isolation, sadness, hopelessness, irritability, and poor sleep, which resulted in him being unable to continue working.

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Winning an Appeal for Cervical and Lumbar Degeneration Disability Benefits

Success Stories Sales Case Studies Change in Defination Diagnosis - Injury-Neck/Cervical Diagnosis - Spinal Condition

"Janice" came to Riemer Hess suffering from cervical and lumbar degeneration status post multiple fusions.  She was hardly functional and in desperate need of assistance.  Janice had been receiving benefits for nearly 2 years. 

 However, upon transition to the “any occupation” phase of her claim, she was found to no longer be eligible for disability benefits and her benefits were cut off.  Realizing she was in need of an appeal for both her LTD benefits and Life Insurance (as her waiver of premium benefits were also denied simultaneously), Janice confidently retained Riemer Hess.

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Case Study: Interstitial Cystitis and Crohn’s Disease Disable Manager

Success Stories Manager Diagnosis - Interstitial Cystitis Case Studies Diagnosis - Chron's Disease

“Lynn,” a lively 43 year old sales manager at an upscale clothing boutique, struggled with the combined disabling effects of both Crohn’s Disease and Interstitial Cystitis. Eventually, she had to stop working. On the recommendation of a satisfied former Riemer Hess client, Lynn contacted us to help her file for disability benefits under her employer’s disability insurance plan.

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Multiple System Atrophy Afflicts Corporate VP

Success Stories Diagnosis - Multiple System Atrophy Vice President Case Studies

“Mary,” a 57 year old vice president of computer applications at a major company, was stricken with Multiple System Atrophy (MSA) at the height of her career. MSA is a devastating neurodegenerative disease marked by a combination of symptoms affecting movement, blood pressure and other bodily functions.

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