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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.

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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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Preparing for Your Interview with the Insurance Representative

Strategy Strategy - Apply for Benefits Strategy - Maintain Benefits Interview with Insurance Company Strategy - Interview with Insurance Company

The insurance company representative assigned to your claim called you yesterday and left a message that they want to interview you.  You couldn't sleep last night worrying your long term disability claim is about to be terminated.   You are not sure if an interview is typical or not, but its sounds very threatening.

 

Don't worry, you should not necessarily be alarmed.  An insurance company interview is a fairly common part of the claims process.  Indeed, it happens with about 50% of the clients we represent.  While typical, you need to be prepared to explain you disability prior to the interview.

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A Disability Attorney Can Protect Your Long Term Disability Benefits

Strategy - Continuation of Benefits Strategy - Maintain Benefits Strategy - Interview with Insurance Company Strategy - Attorney Strategy - Defensive Medical Examination

Your long term disability benefits have been approved.  Now what?  Unfortunately, an approval of benefits by disability insurance companies does not guarantee continued benefit payments.  The insurer will periodically monitor your claim to ensure you continue to satisfy the definition of disability under the terms of the policy.  During this time period, the disability insurance company will request and review updated information regarding your claim. 

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Attorney Secures Continued Disability Benefits Despite Insurance Re-Evaluation

Success Stories Strategy - Continuation of Benefits Attorney Case Studies Strategy - Interview with Insurance Company Diagnosis - Mental Illness Diagnosis - Depression

 鈥淜ate鈥� was a successful attorney at an insurance company before she became incapacitated by major depression. She applied for and was granted disability benefits. After receiving benefits under her policy for over 10 years, she was informed by the insurance company that her disability was being re-evaluated. As part of the re-evaluation, the insurance company wanted to interview Kate in her home.

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Long Term Disability Claimant Tip: Avoid the "Typical Day" Trap

Strategy - Apply for Benefits Strategy - Interview with Insurance Company Strategy - Claim Forms

Disability insurance companies will often ask you to describe a "typical" day. This is a trap for claimants who suffer from a condition with variable symptoms. If you have such a condition, you generally have "bad" days and "better" days. You may have days when you are feeling so bad that you must stay in bed all day, but you may also have days in which you could perform limited activities. You should tell the insurance company both what you can do on your worst days and what you could do on your better or best days. Be careful about the terminology that you use. Do not substitute "good" day for "better" or "best" day. When you describe a day as a "good" day it implies that on those days you are symptom free, which may not be the case.

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