Why “internal appeals” are WORSE than a waste of time.

If an insurance company denies a claim for long-term disability benefits, the insured should not get side-tracked with the internal appeals process. If the goal is to have the insurer reverse their decision, or to reach a  settlement with the insured, then the fastest way to do this is by litigation. Let me tell you why. Let’s begin with a bit of background about internal appeals and litigation. If one disagrees with the insurance company’s decision about a claim (that is, to deny the application for long-term disability benefits, or to stop payment of benefits), then the insured basically...

read more

Long Term Disability Insurance – common questions.

Q.What is long-term disability insurance? A. Long-term disability (LTD) insurance is designed to provide replacement income should you become disabled from work. Often, LTD coverage is bundled together with short-term disability coverage (which may cover, for example, only the first six months of disability) under a group insurance plan provided through your employer. If you have a private life or accident and sickness policy, you may have LTD coverage as well. Q. What types of disability are covered? A. Coverage varies from policy to policy, but generally speaking, LTD policies cover any...

read more

What to do if you have a disability claim.

If you are considering filing a disability claim against your insurance company: DO: DO make sure you file the claim in a timely manner to avoid missing deadlines. DO keep records of everything related to your disability case. DO take notes of your conversations with the insurance companies and your doctors and nurses. DO be honest with your doctor. DO read your insurance policy – familiarize yourself with the part of your policy that dictates the proper procedure for filing a claim. DO be honest when filing your claim – fraudulent or exaggerated claims can backfire on you, and...

read more

Should I retain a long-term disability lawyer?

If you’ve been injured or become ill and can’t work, and your long-term disability (LTD) insurance company denies you benefits, it’s in your best interests to get a lawyer. Unlike a disability claim with the Canadian government (CPP disability), long-term disability insurance companies are not impartial. Long-term disability insurers have a vested interest in the outcome of LTD claims, because the more disability claims they approve and pay out, the less financially healthy their bottom line is. And the fewer long-term disability cases they approve, the greater their profit...

read more

What is disability insurance?

Disability insurance is a form of health insurance. It is income paid to you by your insurance company when you can’t work due to sickness or accidental injury. Disability insurance income replaces either a portion of your regular income or is a set dollar amount. Benefit periods and amounts may depend on whether the disability was caused by an accident or illness and whether the disability is “short term” or “long term.” Disability insurance should provide peace of mind in the event that you are disabled and require replacement income. Unfortunately, this does not...

read more

What is critical illness insurance?

Critical illness insurance is an insurance policy, in which the insurer is obligated to make a lump sum cash payment if the insured is diagnosed with a critical illness listed in the insurance policy. Conditions that are typically listed in a critical illness insurance policy are heart attack, stroke, cancer, multiple sclerosis, kidney failure, blindness, and other debilitating illnesses. The most frequently relied upon reason for critical illness claims denial is misrepresentation on the application. In other words, the insurer alleges that insured person was not truthful about his or her...

read more