Lengthy-term incapacity (LTD) insurance coverage could also be obtainable by way of your employer, privately bought insurance policies, or the Social Safety Administration. It reimburses as much as two-thirds of your misplaced earnings when well being issues stop you from working for a yr or longer. Nevertheless, LTD claims denials in Florida are frequent.
Our Orlando long-term disability lawyer protects the rights of purchasers in these circumstances. We evaluation your declare, the explanations on your denial, and take the authorized actions wanted to file an enchantment. Discover out extra about learn how to struggle for the advantages you deserve.
Why Was My Florida Lengthy-Time period Incapacity Declare Denied?
Sudden accidents, extreme sicknesses, and power well being circumstances may cause troubling signs and restricted mobility, impacting you on the job. Lengthy-term incapacity happens if you can not work for a yr or longer.
Employer-provided LTD insurance policies, non-public protection, and Social Safety incapacity advantages may also help offset your losses. Sadly, whilst you could also be legally entitled to those advantages, claims denials are frequent.
Based on the Social Safety Administration (SSA), insurers deny practically 40 p.c of all long-term incapacity claims. Are you nervous and questioning why you bought a denial letter? Widespread causes embody:
- Not having a qualifying medical situation: LTD insurers and the SSA each have strict tips for advantages, together with the sorts of circumstances lined.
- Not having a agency prognosis out of your physician: To get your LTD declare in Florida authorised, you want a agency prognosis. Embrace check outcomes, different medical data, and statements from medical suppliers relating to impacts in your well being and mobility.
- Errors and errors in submitting a long-term incapacity declare in Florida: Finishing claims types incorrectly and never offering requested info are among the many high causes for LTD denials in Florida.
How To Struggle For Lengthy-Time period Incapacity Advantages In Florida
In case you obtain a long-term incapacity declare denial in Florida, don’t be discouraged. Luckily, you’ve got the authorized proper to enchantment the choice. Nevertheless, it is very important act rapidly, as cut-off dates apply. To struggle on your advantages, take these steps:
- Evaluation the denial letter: Observe the precise causes given for denying your incapacity declare.
- Evaluation the phrases of your LTD coverage: The Worker Retirement Revenue Safety Act of 1974 (ERISA) requires employers to offer copies of coverage paperwork freed from cost and at your request.
- Pay attention to deadlines: You often solely have two to a few months from the date of the denial letter to file an enchantment.
- Contact an skilled Florida long-term incapacity lawyer: We will collect the extra proof wanted to help your declare, make compelling authorized arguments earlier than administrative judges, and take the insurer to court docket in the event that they proceed to wrongfully deny advantages.
Contact Our Workplace And Request A Session With Our Florida Lengthy-Time period Incapacity Lawyer Right now
Lengthy-term incapacity claims are incessantly denied, however you’ve got the best to file an enchantment. To guard your rights and get the utmost advantages you might be entitled to, contact Farrell Incapacity Legislation. Request a session with our skilled Florida long-term incapacity lawyer in our Jacksonville or Orlando workplace at present.
Sources:
ssa.gov/open/knowledge/targeted-denial-review.html
dol.gov/normal/matter/health-plans/erisa#:~:textual content=Thepercent20Employeepercent20Retirementpercent20Incomepercent20Security,forpercent20individualspercent20inpercent20thesepercent20plans.