Virginia Personal Injury and Medical Malpractice Blog

Weasel Clauses You Never Want to See in a Disability Policy

Do you have an employer sponsored long term disability policy? Most of them aren't worth the paper they are written on but if your employer's policy has any of these clauses in them, they are worse than most.

Check out this article I wrote on Long Term Disability Policies for The Safety Report.

Should You Use THIS Social Security Lawyer (the insurace company recommends)

ERISA long term disability insurance companies will often recommend 'their' lawyer for you to use for social security. Is that EVER a good idea? This video answers the question.

Words You Don't Want To See In Your Long-Term Disability Insurance Policy

There are six dangerous words that you don’t want to see in your long-term disability policy. Read this blog to learn more and contact a Virginia disability lawyer if you are considering applying for benefits.

What You Need to Know About Long-Term Disability Insurance Companies

What I have to say about insurance companies and Virginia long-term disability claims may surprise you. Read this blog to learn more.

Your Beliefs About Virginia Disability Insurance Might Be Wrong

Read this blog to learn the common myths associated with Virginia disability benefits. Be sure to order your copy of Virginia disability insurance lawyer Ben Glass’s book, Robbery Without a Gun.

Disability Insurers’ Tactics Are Often A Double-Edged Sword

Are insurance companies really trying to be helpful when assisting claimants in applying for government benefits or is there something else going on? Read this blog to learn more.

Insurers Have the Upper Hand in Virginia Disability Insurance Lawsuits

The insurance company has the upper hand in a lawsuit involving a denied disability claim. Read this article to find out why and contact Virginia disability insurance lawyer Ben Glass.

Health Conditions That May Lead To Virginia Disability Claim Denials

Wondering which health conditions are commonly denied when it comes to disability claims? If so, you need to read this article to find out. Be sure to order your copy of Virginia disability lawyer Ben Glass’s book, Robbery Without a Gun: Why Your Employer's Long-Term Disability Plan May be a Scam.

Virginia Disability Coverage is a Little Less Comfortable

Employers have been cutting back on the amount of coverage offered to disabled workers. On top of that issue, insurers have been pickier about the claims they will pay. If you have been denied disability benefits in Virginia, you can fight back.

When Hartford comes a calling....

It seems that video surveillance may be on the uptake for Hartford long term disability claimants.

"ERISA Sucks" Judge Refuses to Vacate Order

Judge William Acker refused a Joint Motion to Vacate his ruling in Blankenship v. MetLife an ERISA case he recently presided over. Acker's final order was quite critical of ERISA and its interpretation by many judges.

A Federal Judge Explains Why ERISA Sucks (Believe Me, It Does)

A Federal Judge discusses the perversion of ERISA from it's original intent. From protecting the retirement incomes of Americans everywhere to providing a shield for insurance company's shady activities. Read on for the problems with, and shortcomings of, the Employee Retirement Income Security Act.

VA Worker's Comp Commission Rules Facebook To Be Protected

A recent article in the Richmond Times-Dispatch highlights the burgeoning world of technology and the ways in which the law is trying to catch up. The article focuses on a recent Virginia Worker's Compensation Commission case in which Facebook was subpoenaed to provide the personal information of a worker's comp claimant.

Facebook refused to comply with the subpoena (at a cost of $200/day) on the grounds that it would invalidate the privacy agreement on the site, that they were protected by federal statutes prohibiting information release, and on the principal that the site is "built on trust" and to give in to the subpoena would undermine the site's basis.

The Deputy Commissioner, Randolph Tabb, agreed with Facebook on the grounds that the Federal Electronic Communications Privacy Act protected the member's of the site and that their information was not able to be attained through subpoena.

With technology and social media becoming ever present in our lives it's interesting to see how the courts adjust to the changes and advances. In this case the claimant went ahead and allowed access to her info anyway, but anyone who doesn't want to is now protected. Here's a link to the article on Facebook defeating the subpoena .

Do I Have To Do Everything My Insurance Company Requests?

Your insurance company may ask you to do a variety of things from taking tests to giving interviews and possibly even seeing one of their doctors. Should you go along with all of this? See the answer to this disability question and then check out my FAQ section for more answers to possible questions you might have.

If your question isn't there you might be able to find the answer in my disability book titled Robbery Without A Gun.

First UNUM Finally Loses 15 Year Old Disability Case

First UNUM finally lost a disability insurance claim case that has been going on for the last 15 years. John McCauley filed for disability all the way back in 1994 and has finally been awarded the ruling he was looking for. After UNUM first denied his claim in the mid-90s McCauley was forced to return to work for financial reasons but was only able to fight through his debilitating pain for 8 months. UNUM claimed this period meant that McCauley could not recover benefits because he had worked more than 6 months. The court was able to determine that UNUM's denial forced the client into work and that UNUM was using that work to deny benefits was an "unconscionable" practice and that the 6 month clause was to be ignored because of it.

Courts can ignore portions of contracts that they see as "unconscionable" or "so grossly unreasonable or unconscionable in the light of the mores and business practices of the time and place as to be unenforceable according to its liberal terms."  The court did this and remanded the case to determine just how much UNUM owes in back benefits to McCauley.

For the entire opinion follow this link to my disability insurance book site.

What If My Doctor Refuses To Cooperate With Me In A Claim For Disability?

Well the short of it is that it's very bad for the claim, for the long of it go to my disability FAQ section to figure out how you might be able to remedy the situation.

You can also check out my disability insurance book titled Robbery Without A Gun: Why Your Employer's Long-Term Disability Plan May Be A Scam

What If My Termination Letter Says I Missed A Deadline, Is My Case Lost?

If the termination letter says you've missed a deadline your case is not necessarily lost. Read my in-depth answer to this disability question to find out how it can be saved and to find out what I might be able to do for you if your benefit is terminated.

Does ERISA Apply If I Work For A Government Agency?

The short answer is generally no. But check out the in-depth answer regarding ERISA and government agencies, and check out my other answers to disability FAQs on my FAQ page.

If I'm Involved In A Disability Lawsuit, How Long Will It Take To Resolve?

More great questions with what I hope you'll think are great answers!

If I am involved in a lawsuit, how long will it take to reach a conclusion?

What are offset provisions?

What should I do when I get a letter terminating my benefit?
   

More info in my disability insurance book titled Robbery Without a Gun: Why Your Employer's Long-Term Disability Plan May Be A Scam.

Is the Insurance Company Watching Me? And Other Questions?

Hot off the press!

Is the insurance company likely to put me under surveillance?

If I am involved in a lawsuit, how long will it take to reach a conclusion?

I have been awarded Social Security disability benefits. But the insurer of my disability policy has denied my claim. Can the insurer do that?

Visit my FAQ section for past questions and order my disability insurance book to answer ALL (okay MOST) of your LTD questions!

What Does It Mean To Be Actively Treated, Am I? And Other Questions

More questions and answers!

I've heard that to receive benefits you have to being actively treated. My doctor has told me that I'm not a candidate for surgery and the best thing I can do is lose weight. How do I justify seeing him on a regular basis if he's not doing anything? Will the insurance carrier inquire as to what’s going on as far treatment, or can I just see him every 6 months for a check-up?
   
Can I cancel a policy within in the first 2 years or so even though the policy is non-cancellable until age 65?
   
I would like to know exactly what the insurance company says my disability is because I want to make sure the insurance company and I have the same criteria for my disability. Will they send me this information? Can I request a copy of the policy that pertains to my disability?

And remember to check out my book Robbery Without A Gun for more on disbability insurance claims!

What Date You Claim Disability Is Important! - Find Out Why

More important info on your disability insurance claim:

What date should I put on the disability claim form as to when my condition started? I have a ninety day wait period and a requirement that a notice of claim be made within twenty days or 'as soon as reasonably possible.'

I’ve heard that insurance companies continue to check on your status. Do I have to go thru this whole thing again with having my doctors fill out forms confirming my sickness? I have not been working at all, so that is one issue that they won't hassle me about.
   
Under what conditions will the insurance company have to pay my attorney fees?

A Psychiatric Disability Case Gone Wrong For AT&T

Here's a great case out of Tennessee in which the insurance doctor made a decision to deny with hardly any information. That's dangerous because what if they then miss information that makes it an obviously valid claim? Well then they get sued and taken to court and that's exactly what happened.

It was a psychiatric disability case and those are tricky and require a bit more attention from the disability insurer. Dr. Grimes, the reviewing psychiatrist made the decision to deny based on the opinion that the claimant was able to perform her job. She made that decision without any knowledge of the claimant's job, without interviewing the claimant, and without consulting with all of the claimant's treating mental health professionals.

That might fly in physical disability cases because often the records can speak for themselves, but when they're dealing with psychiatric disability it's important to have a physician actually meet with the claimant to determine the extent of the disability. Unfortunately that's not how the insurance companies want to do it, so they don't. Trying to save a little time and money and they're asking for litigation. Well, again, they got it. Next time they should take the time to actually review the claim and save everyone the hassle of court by accepting the initial claim.

Click here to read the full opinion of Allen v. AT&T Disability Income Program, the case in question.

Disability FAQ - More Answers To Your Questions

The latest in my attempts to answer any and all questions you might have about disability insurance law.

A doctor who only met with me for 15 minutes checked-off "work related" on an examination form, even though my illness is in no way work related.  My disability carrier is now saying "given that the doctor checked-off 'work-related,' you may not be covered under your employer's STD policy." What should I do if I get turned-down for STD?
   
I was being treated by a doctor who specializes in my condition, but I recently switched to another specialist. Do I need to inform the LTD company that I have a new physician or can I wait until a new set of forms need to be filled out and then have my new doctor complete and return the forms?

I recently got a paper to fill out saying I was being reviewed. The paperwork with it says I will hear from my local office soon, but I have heard nothing so far.  Should I have heard something by now or should I be doing something to ensure that my payments continue?
   
Remember to send in your own question if you have one. I'll do my best to get to it in a timely manner! In the meantime you can order my disability insurance book, titled Robbery Without A Gun: Why Your Employer's Long Term Disability Plan May Be A Scam, for more information that might answer your questions!

More Disability Q&A - Ask And I Will Tell

Continuing in my attempts to provide up-to-date responses to all of your questions here are few new answers to your questions. You can also find them in the FAQ section of the site. Enjoy and remember to submit your questions!

Can the LTD company make me go to court even though I am working again?  If SSD determines that I was not disabled, is it possible that I can still get money from my LTD carrier for the time when I was sick and not working?
   
Unum has offered me a buyout of $38,000.  I have 10 more years to draw $600/month, so this seems to be a low offer to me. Can they offer more or is this what I would be only entitled to? Is the life insurance I have with them cancelled if I accept the buyout?
   
I was just approved for Social Security Disability. It took a year, so I will receive a lump sum payment for back benefits. Up until now, Unum paid benefits to me through my former employer's disability policy. Do I have to repay those benefits to Unum or my employer?
   
I have gotten several conflicting recommendations from my doctor: first that I am not a candidate for surgery and then that I should undergo extensive surgery.  I have filed for SSD and am getting LTD from insurance carrier. If I refuse surgery and go with the first diagnosis what will happen with SSD and LTD?
   
The insurance company requiring an IME and there are no doctors within a 75 mile radius that does that sort of testing. What should I do to appeal the matter?


Keep 'em coming and I'll keep answering! And remember you can always order my Disability Insurance book and get all the info you need!