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Ortiz Law Firm | National Disability Law Firm
Ortiz Law Firm is dedicated to helping people recover the disability benefits they deserve. We handle group Long Term Disability (LTD) claims, individual disability insurance policy claims, ERISA disability claims, and Social Security Disability claims.
Nick Ortiz is a disability attorney specializing in long-term disability appeals, disability insurance lawsuits, and Social Security Disability claims. Since 2005, he has dedicated his career to advocating for disabled individuals. Nick is admitted to practice in multiple courts, including the U.S. District Court – all California, Florida, and Texas Districts – and the U.S. Courts of Appeals for the Ninth and Eleventh Circuits. He and his team of experienced paralegals are committed to providing exceptional legal service and achieving outstanding results for his clients nationwide.
In 2016, the Association of Americans Resident Overseas estimated that there were 8.7 million U.S. citizens were living abroad, and the Social Security Administration reported that more than half a million people living outside the United States receive some type of Social Security benefit, including Social Security Disability Insurance benefits. Although disability insurance companies do not typically publish …
Court: United States District Court for the Southern District of Florida, Miami DivisionInsurance Carrier: Unum Life Insurance Company of AmericaClaimant’s Employer: Johns Hopkins Bayview Medical CenterClaimant’s Occupation: Clinical and Research Nurse Disclaimer: Please note that this claim was not handled by the Ortiz Law Firm. It is summarized here for educational purposes. From Providing Compassionate …
Many long term disability recipients remain “employed” with their employer, perhaps listed as an “inactive employee”. But let’s say there has not been a formal separation – either by resignation or termination. Can one “quit” the job while receiving long term disability (LTD) benefits? Yes, you can quit your job while on LTD benefits, but …
At the Ortiz Law Firm, we recently had the privilege of helping a client who had been unfairly denied his long-term disability (LTD) benefits. Our client became disabled due to a combination of debilitating medical conditions, including long COVID syndrome with shortness of breath and dizziness, chronic fatigue syndrome, chronic migraines, dyspnea on exertion, cervical …
Many people assume that if their long-term disability (LTD) appeal is denied, they can simply take the insurance company to court and present all the evidence they didn’t get to include earlier. Unfortunately, that’s not how it works under the law that governs most group LTD policies: ERISA, which is short for the Employee Retirement …
When an insurance company approves a long-term disability (LTD) claim, many claimants assume that their benefits will continue indefinitely into the future. However, insurers are not required to approve benefits forever. Instead, they conduct periodic reviews to determine whether a claimant still meets the policy’s definition of disability. Understanding how and why these reviews occur …
If your long-term disability (LTD) claim has been denied, there’s a good chance that a “peer review report” played a role in that decision. Understanding what these reports are and how they’re used can help you make sense of the denial letter you received—and decide what to do next. What Is a Peer Review Report? …
At the Ortiz Law Firm, we fight for people who have been unfairly denied long-term disability benefits. Our recent success story highlights the importance of perseverance and strong legal advocacy when battling insurance companies like Lincoln National. Case Overview Our client, an airline operations agent, became disabled in March 2023 due to a combination of …
You’ve filed your long-term disability (LTD) appeal. You followed the instructions, submitted medical records, maybe even worked with your doctor or an attorney. Now comes the hardest part: waiting. You may be checking the mail or your inbox daily, wondering when the insurance company will respond. If it’s been several weeks—or even months—you’re not alone …
Our client was forced to stop working due to a combination of disabling conditions, including essential tremor, chronic pain and neuropathy, and complications from right shoulder surgery. New York Life initially approved her long-term disability (LTD) claim and paid benefits during the 24-month “own occupation” period. However, after that period ended, the definition of disability …
When people think of disability, they often picture someone who can’t work at all. But when it comes to long-term disability insurance, the word “disability” can mean very different things—depending entirely on how it’s defined in your policy. Understanding the exact definition of “disability” in your plan is critical. It’s the basis for whether you …
I’m honored to share another story of how we helped a client recover the long-term disability (LTD) insurance benefits she desperately needed after her claim was unfairly denied. This is a testament to the power of perseverance and expertise when it comes to fighting for our clients’ rights against large insurance companies like New York …
At the Ortiz Law Firm, we fight to make sure insurance companies live up to their obligations. Recently, we helped a Charles Schwab financial manager regain the claimant’s long-term disability (LTD) benefits after Lincoln National wrongfully terminated the claimant’s disability claim. Denial of a Valid Disability Claim Our client is disabled and unable to work …
Court: United States District Court for the District of MinnesotaInsurance Carrier: Unum Life Insurance Company of AmericaClaimant’s Employer: Geraghty, O’Loughlin & Kenney, P.A.Claimant’s Occupation: Medical Malpractice Trial Attorney Long-Term Disability Benefits Denied Despite Cancer Diagnosis Mark W. Hardy, a Minnesota medical malpractice trial attorney, filed a lawsuit against Unum Life Insurance Company of America after …
Navigating the appeals process for mental health-related long-term disability (LTD) claims can be particularly challenging. Unlike physical conditions that can be documented with imaging and lab results, mental health disorders rely on more subjective assessments that insurers often undervalue or dismiss. Insurers may also use various tactics to discredit claims, such as surveillance, relying on …
Court: United States District Court for the Middle District of Louisiana Insurance Carrier: Metropolitan Life Insurance Company (MetLife) Claimant’s Employer: HP, Inc. Claimant’s Occupation: IT Administrator [Note: This claim was not handled by the Ortiz Law Firm. The claim is being summarized here as being educational and informational on how Federal Courts review long term …
At the Ortiz Law Firm, we understand how devastating it can be when a disability insurance company unfairly denies your claim for benefits. Recently, we had the privilege of helping a brilliant lead research scientist who was struggling with Lance-Adams Syndrome. This condition caused debilitating tremors, ataxia, and startle-induced myoclonus, resulting in frequent falls and …
Some hearings require more effort than others, and today’s hearing before an Administrative Law Judge was one of them. It was a case where I really had to work as the claimant’s attorney to help him win the claim, but the effort paid off. The Challenge: A Medical Expert Who “Missed” Key Evidence The hearing …
Court: U.S. District Court for the Northern District of CaliforniaInsurance Carrier: Sun Life and Health Insurance Company, Inc.Claimant’s Employer: Physiatry Medical Group, Inc.Claimant’s Occupation: Physician Background: A Physician’s Battle with Chronic Fatigue Syndrome Dr. Jerry Sobel, a physician employed by Physiatry Medical Group, Inc., began experiencing severe symptoms in September 2006, including extreme fatigue, a …
When filing a long-term disability (LTD) appeal, many people ask: “How long will it take?” Unfortunately, the answer is “it depends.” There are two main phases to the appeal timeline: We’ll break down what happens in each phase—and why the entire process can take several months or more. Phase 1: Preparing the Appeal Under ERISA, …
When appealing a long-term disability (LTD) claim denial with New York Life, the employee reviewing your LTD claim may not be a medical professional, but they will likely consult with one. New York Life (NYL) will often ask an independent physician to re-evaluate a claimant’s medical condition and determine if it is consistent with the …
Long COVID, also known as post-acute sequelae of SARS-CoV-2 infection (PASC), refers to a range of symptoms that persist or develop long after the acute COVID-19 illness. Estimates suggest that between 5% and 30% of COVID-19 survivors develop long COVID, representing tens of millions of people worldwide. Now, clear patterns are emerging suggesting that COVID-19 …
When appealing a long-term disability (LTD) claim denial with Lincoln Financial Group, claimants often encounter an independent physician review. Lincoln, like many other insurance companies, uses these independent reviews to re-evaluate a claimant’s medical condition and determine if it is consistent with the reported functional limitations. Here, we’ll explore Lincoln’s physician reviews, including what to …
On April 1, 2024, The Standard announced the completion of its acquisition of the Life & Disability business of Elevance Health. This move marks a significant expansion of The Standard’s presence in the employee benefits marketplace, particularly in the areas of life and disability insurance. While the press release highlights a strategic partnership and mutual …