We appeal wrongful long term disability insurance and Social Security Disability denials.
[Note: these claims were not handled by the Ortiz Law Firm. They are merely summarized here for a better understanding of how Federal Courts are handling long term disability insurance claims. If you are looking for the results of a case that was handled by the Ortiz Law Firm, please visit our Case Results page.]
Why Most Long Term Disability Appeals Suck! When most people file a long term disability appeal it is a really basic, one or two paragraph appeal letter that basically says, “Look, long term disability insurance company. I really think you got this one wrong. I think there is more than enough evidence to support my …
How to Write a Long Term Disability Appeal Letter & Why Most Appeals SuckRead More
Since COVID-19 hit the United States, the world as we know it has changed. People are scared, confused, and isolated as the healthcare system tries to manage this growing pandemic. Health care workers and first responders are working long hours and dealing with one of the scariest illnesses to hit our country in over 100 …
It’s hard to imagine where our country would be during this pandemic if it weren’t for the dedication of our doctors and nurses. They are on the frontlines everyday battling this deadly pandemic. Many doctors and nurses have underlying health issues of their own but are putting their own health at risk to save their …
Disability Insurance: Guidance for Doctors and Nurses Amid the COVID-19 PandemicRead More
The COVID-19 pandemic has brought unprecedented changes to every aspect of our lives. One area that is seeing dramatic changes in the healthcare industry. Hospitals have become trauma centers, and doctor’s offices have been overrun with patients experiencing COVID-19 symptoms. Many people are avoiding these areas for fear of contracting the virus. This has made …
I cannot emphasize enough that the most important part of a disability claim is medical records. The most common response I receive from my clients is, “How am I supposed to see a doctor or go to the hospital if I don’t have any money or insurance?” This is a valid point. In fact, lack …
Reasons Disability Is Denied: Failing To Obtain Medical Treatment With Any DoctorRead More
A Court must take into consideration the conflict of interest inherent in a benefits system in which the entity that pays the benefits maintains discretionary control over the ultimate benefits decision. See, Metropolitan Life Insurance Company v. Glenn, 554 U.S. 105, 112 (2008). This is done by weighing the structural conflict as one of the many factors …
A fast-growing lawsuit in the Eastern District of Pennsylvania has been filed against the NFL by nearly 4,000 former football players. They claim that the NFL “propagated its own industry-funded and falsified research to support its position” that athletes cannot receive long-term brain damage from playing football. The league’s highest medical experts have for years …
Traumatic Brain Injury From Playing Football In The NFLRead More
Here are some myths you may have heard concerning the disability claims process and insurance companies: The best way to convince the insurance company that you cannot work at your secretarial job is for you to write a 60 page letter describing your medical condition in exquisite detail. Any lawyer can help you with your …
Since 2008, the starting point to even begin understanding how Federal Courts evaluate Long Term Disability claims covered by ERISA is Metropolitan Life v. Glenn. In Glenn, Metropolitan Life Insurance Company (MetLife) was an administrator and the insurer of Sears, Roebuck & Company’s long term disability insurance plan, which is governed by the Employee Retirement Income …
Understanding How Courts Evaluate Long Term Disability ClaimsRead More
Television personality Robin Roberts has disclosed that she has MDS. Myelodysplastic syndromes, commonly referred to as MDS, are not easily categorized. In fact, MDS encompasses numerous different diseases. MDS is a group of blood and bone marrow disorders. In MDS, stem cells do not mature normally. As such, the number of blasts, or immature cells, …
Good Morning America Host Discloses Diagnosis Of Myelodysplastic Syndrome (MDS)Read More
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