A serious injury or medical condition can change the way we live our lives. It can affect our energy levels, cause us great pain, and derail our daily lives. One way our daily lives might be changed is having to take time off from work. While your regular schedule and ability to do your job might be halted, your bills and regular expenses will continue as usual. Long-term disability insurance serves as an income replacement to help protect you from financial trouble while you focus on your recovery.
You can often access long-term disability insurance through your employer’s group insurance plan, or you can purchase it privately through an insurance broker. If the former is applicable, your employer is likely covering the cost of the premium. There are some cases where that cost may be shared between the employer and the employee. Be sure to familiarize yourself with your insurance company’s policy to see the different ways it may affect you. The wording in these policies may be confusing. Consider reaching out to our Beaumont long-term disability lawyers to arrange a free initial consultation.
You may experience an injury or medical ailment that forces you to stop work but not indefinitely. Perhaps you’re fully recovered or at least healthy enough to return to work at the end of a 3-month period. In situations like this, short-term disability insurance is usually most applicable. You may find, however, that while short-term seemed best at first, your recovery is not going as expected. Your condition could unpredictably worsen and force you to miss work for a period beyond what was covered under the short-term disability plan. This is when long-term disability insurance is the better option. It’s not unusual to start off with short-term disability benefits and move over to long-term. If you have questions regarding these issues, you may want to call our Beaumont long-term disability lawyers to schedule a free initial consultation.
Any injury or medical condition that prevents you from working should be covered under most long-term disability insurance policies. You should consult your own specific policy to see if your issue is covered. The types of issues that are potentially covered don’t stop at physical issues though. Mental health issues are also often covered. The symptoms may not be as visible, but they can still be just as debilitating.
Some conditions that are typically covered by policies are:
Don’t worry if you’re not seeing your issue listed here. This is not an exhaustive list and there are other diagnoses that may still be covered by your policy. Familiarizing yourself with your company’s policy will help you gain a better understanding of where you stand. It’s especially important to do this before you begin the application process.
There are some basic steps in the application process that are common across most long-term disability policies. While some of these steps will be outlined here, you should still consult your own policy. You’ll need to obtain a copy of the initial application form for your benefits. Your human resources representative at work should be able to help with this or you can reach out directly to your insurance company. It may also be available on the company’s website.
You will likely need to provide demographic information, banking information, occupational information, and information on your ailment such as your symptoms and how they prevent you from working. Record any deadlines in the application process and make sure to stay ahead of them. It will likely be necessary to provide medical documentation regarding your condition. Medical evidence is usually an essential element of any long-term disability claim. This will involve visiting your doctor(s) who will need to fill out a section of the application on your behalf. Your insurance company may also request that you be examined by a doctor of their choosing.
There may be a phone interview or an in-person assessment. You may have heard about some steps in this process from a family member, friend, or coworker who also had to apply for long-term disability benefits. Insurance companies usually approach each case differently, paying mind to the unique circumstances at hand. Don’t be worried if your experience is different from what you expected. It’s important to be patient and fully participate with your insurance company. The sooner the assessment process is complete, the sooner the insurer can reach a decision. Navigating a long-term disability benefits application can be overwhelming and confusing. Consider contacting our Beaumont long-term disability lawyers to arrange a free initial consultation.
After waiting up to 8 weeks for your insurance provider to reach a decision regarding your claim, you may receive a denial. It’s important to understand the reason for your denial before you go any further. There are several reasons why a claim might be denied. Some common reasons are:
This is not an exhaustive list and there may be other reasons for a denial. Any one of the above-mentioned reasons could be the result of a wrongful denial. You will likely wish to dispute your claim, especially if you’ve been left with no other options for income replacement. Remember that your insurance company most likely has substantial experience in dealing with claims like yours while this may be your first experience with long-term disability.
It is to your advantage to have someone in your corner who is experienced with claims similar to yours and knowledgeable about the maneuvers used by insurance companies in these actions. Our legal team may be able to help you recover compensation that you’re entitled to such as damages resulting from your claim’s denial.
The decision to hire a lawyer is incredibly personal and should not be taken lightly. If you are eligible to dispute your claim, our legal team may be able to take on your case. You shouldn’t have to deal with fighting a denial of your benefits alone while also recovering from your condition. Dial our Beaumont long-term disability lawyers today for a free initial consultation.
Since 1959, Preszler Injury Lawyers has been helping Canadians pursue meaningful compensation from insurance providers.
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