ERISA Law Center Blog
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Stay informed about ERISA law and its impact on employee benefits with the ERISA Law Center Blog. Explore topics such as pension plans, disability benefits, and fiduciary responsibilities. Readers can expect informative articles, legal updates, and practical advice on navigating ERISA law.
ERISA Law Center Blog
2w ago
Life insurance is designed to provide financial security for your loved ones after you’re gone. It’s a promise of support during a difficult time. But what happens when your provider breaks their promise and denies your claim? This can be a devastating experience, leaving families in financial distress while grieving a loss. If you’re facing a denied life insurance claim,…
The post Life insurance denied? Challenging a claim rejection first appeared on ERISA Law Center ..read more
ERISA Law Center Blog
2M ago
You work hard to support your family. If you suffer a devastating injury that takes away your ability to work, you’ll likely depend upon long-term disability benefits (LTD) to get your family through until you can get back to work. But sometimes the applications for these benefits get denied, leading to significant stress and uncertainty for workers. If this happens…
The post Understanding Long-Term Disability Claim Denials in California first appeared on ERISA Law Center ..read more
ERISA Law Center Blog
4M ago
Finding out that your employer or the insurance company they work with denied your long-term disability claim can be devastating for many people suffering from an illness or recovering from an injury that affects their ability to work. Knowing what you need to appeal to have the best chances of your employer or the insurance company approving your claim is a critical part of the appeals process. The more you understand what they are looking for, the better you can respond with the needed information. Typically, an employer or insurance company denies a long-term disability claim for one of fiv ..read more
ERISA Law Center Blog
5M ago
The strength of your medical evidence can make or break your disability claim. Insurance companies and plan administrators heavily rely on medical documentation to assess the legitimacy and extent of your disability. When you receive a disability claim denial, you have the right to file an appeal. One of the key factors in a successful appeal is strong medical evidence. Why medical evidence matters Medical evidence serves as objective proof of your condition, its severity and how it affects your ability to work. Well-documented medical evidence helps build a clear story about your disability ..read more
ERISA Law Center Blog
5M ago
Short-term and long-term disability policies exist for a reason. They’re supposed to provide workers with the means to retain their financial security after an injury or illness leaves them unable to work. Unfortunately, insurers are better at selling those policies than they are at paying valid claims. They often go to great lengths to try to prove that an injured or sick worker is exaggerating their injuries or limitations. If you’re suspected of fabricating your injuries or just playing up your symptoms to maximize your benefits, you may be the subject of surveillance by the insurance compa ..read more
ERISA Law Center Blog
5M ago
Prohibited transactions under the Employee Retirement Income Security Act (ERISA) broadly refer to transactions with potential conflicts of interest. Understanding what the prohibited transactions are is essential. Types of prohibited transactions There are two general types of prohibited transactions: Transactions with “parties in interest” involve direct or indirect transactions between the plan and individuals or entities considered “parties in interest.” For example, if a plan fiduciary causes the plan to enter into a transaction with a party in interest, it may be conside ..read more
ERISA Law Center Blog
6M ago
Insurance companies that issue long-term disability policies governed by the Employee Retirement Income Security Act of 1974 (ERISA) have many responsibilities to policyholders. Insurance company employees generally need to act in the best interests of policyholders due to a fiduciary duty imposed by the law. Businesses also need to allow an appeal if they reject a long-term disability benefits claim and the policyholder disagrees with their decision. Despite those rules, people may still find themselves unable to get the coverage they require when dealing with a disabling medical condition. I ..read more
ERISA Law Center Blog
7M ago
If you’re looking to make an ERISA disability claim, one of the first steps in the process is simply getting the diagnosis that you are disabled. With many different disability cases, this medical evidence is the crux or the cornerstone for the entire claim. It helps to show exactly why the condition is a disability and how that will affect a person’s life moving forward. But some people will get what is known as a “diagnosis of exclusions.” This can make the process a bit more complex, even if you believe that your medical team has correctly identified the issue. Why is this controversial? Is ..read more
ERISA Law Center Blog
7M ago
If you are facing a long-term disability claim denial in California, you know how frustrating it is to go through that. However, there is additional knowledge you should have and resources you should consider. First, let’s go over what an appeal is. Simply put, if the insurance company denies your long-term disability claim, you may ask them to take another look at it. You can also have an attorney help you by advocating for you in this process. In California, the number of times you can appeal a denial depends on the insurance policy. Though, there are certain steps laid out for people who ap ..read more
ERISA Law Center Blog
7M ago
If you develop a physical or mental illness/ injury that prevents you from performing your job duties, you may be eligible for disability benefits. You can receive a percentage of your income for a particular period, allowing you to recover comfortably. However, your claim may be denied, which can be devastating. If this happens to you, consider doing this: Find out why your claim was denied If your claim is denied, stay calm and find out the reason behind it. Do not panic, as this may lead to costly mistakes. Carefully read the denial letter to determine how you can resolve it. According to t ..read more