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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.
Yes, volunteering can affect your long-term disability (LTD) insurance claim. Even unpaid work might suggest that you are capable of performing job-related tasks. This could jeopardize your benefits. Before volunteering, it’s important to understand the risks and speak with your doctor. How Insurance Companies View Volunteering When you’re approved for LTD benefits, it’s because you’ve …
The Social Security Administration (SSA) has updated its Compassionate Allowances (CAL) list by adding 13 more medical conditions that now qualify for expedited disability benefits processing. This brings the total number of CAL conditions to 300. The Compassionate Allowances program identifies people whose medical conditions are so severe that they clearly meet the SSA’s definition …
Minnesota attorney Ann Wessberg prevailed in her ERISA lawsuit against Unum after the insurer terminated her long-term disability benefits despite documented cognitive impairments linked to chemotherapy. The court found that Unum relied on flawed reasoning and non-expert reviewers, ignoring credible medical evidence. It ordered Unum to reinstate benefits and pay attorney fees and interest.
Long COVID has left millions of people struggling with debilitating symptoms that disrupt every facet of their lives. Despite its recognized impact, disability insurance companies often attempt to deny claims by misclassifying the condition to trigger a mental or nervous limitation or citing a lack of objective diagnostic evidence. Claimants are labeled with Somatic Symptom …
Krueger filed for long-term disability benefits after developing POTS. Reliance Standard denied her claim, arguing it was a pre-existing condition based on earlier treatments for migraines and tachycardia. The court disagreed, finding Krueger’s symptoms and diagnosis were distinct and not properly excluded under the policy. It ruled in her favor and ordered Reliance to pay LTD benefits.
Ziegler filed suit after Sun Life denied her long-term disability claim for lupus and related conditions. Despite support from her treating physician, Sun Life relied on three independent rheumatologists who found insufficient objective evidence to support disability. The court upheld the denial, ruling that Sun Life did not abuse its discretion under the ERISA plan.
Dr. April Halleron, a Kentucky physician, filed for STD and LTD benefits due to disabling symptoms from POTS. Reliance Standard denied both claims, citing a pre-existing condition exclusion for STD and lack of evidence for LTD. The court found both denials procedurally flawed and arbitrary, especially for failing to consider her treating physician’s opinion. The case was remanded for a full and fair review under ERISA.
Our client’s life changed drastically in June 2022, when he suffered cardiac arrest that led to an anoxic brain injury. As a result of his condition, he could no longer work. He filed a claim for long-term disability (LTD) benefits with Mutual of Omaha, and the insurance company initially approved the claim, paying benefits for …
When Reliance Standard terminated Christine Ward's benefits in 2022, citing insufficient evidence, Ward challenged the decision. The court found Reliance failed to properly evaluate her cognitive limitations and lacked substantial evidence to support its decision.
If you’re unable to work because of an illness or injury, you may be eligible for more than one type of benefit. Two of the most common are long-term disability (LTD) insurance and workers’ compensation (WC). While it’s possible to get both, it’s important to understand how these benefits work together and how one can …
Being approved for short-term disability (STD) does not automatically mean you’ll be approved for long-term disability (LTD). While the two benefits are often linked, especially if they’re offered by the same insurance company, there are important differences in how they’re evaluated. Here’s what you need to know: 1. Separate Applications and Reviewers Even if you’re …
Mercer filed for long-term disability due to chronic conditions including fibromyalgia and chronic fatigue syndrome. Unum denied her claim, arguing she was not continuously disabled during the plan’s 180-day elimination period. Although Mercer submitted strong support from her doctors and a vocational expert, the court upheld Unum’s denial, finding it reasonable under ERISA’s “arbitrary and capricious” standard.
Our client, a senior principal electrical engineer, had dedicated his career to solving complex problems in a demanding technical field. However, after he suffered a traumatic brain injury (TBI) and developed post-concussion syndrome, memory loss, and additional complications, including edema, a Factor V Leiden mutation, ADHD, and anxiety and depression, he was unable to continue …
When shopping for or reviewing disability insurance, one important clause to understand is the “pre-existing condition exclusion.” This clause can significantly impact your ability to collect benefits if your disability is related to a medical condition you had before your coverage began. But here’s the key distinction: while pre-existing condition exclusions are common in long-term …
Starting June 2, 2025, Pensacola International Airport (PNS) is rolling out a new initiative that could make travel significantly more accessible for individuals living with invisible disabilities. The airport has officially joined the global Hidden Disabilities Sunflower Program, a voluntary system that helps travelers who may need additional time, support, or understanding while navigating the …
If you’ve been seriously injured or developed a long-term medical condition that prevents you from working, you may qualify for both Social Security Disability Insurance (SSDI) and workers’ compensation (WC) benefits. While you may be able to get both at the same time, there are important rules about how these benefits work together and how …
Hari Sami, a Florida shipping supervisor, sued Guardian after it terminated his long-term disability benefits without giving him an opportunity to respond to critical medical reviews. The court ruled that Guardian violated ERISA by failing to provide those reports in advance of its final denial. As a result, the case was remanded for further review, giving Sami another chance to prove his ongoing disability.
For many professionals, a disabling chronic illness brings more than just physical symptoms. It upends your career, your routines, and your sense of identity. You’ve spent years building your professional life, only to be sidelined by a medical condition that makes full-time work impossible. When you file a claim for long-term disability (LTD) insurance benefits, …
When you’re filing a disability claim for Social Security Disability (SSD) or Long-Term Disability (LTD) a supportive statement from your treating physician can make all the difference. But what happens if your doctor is reluctant to get involved? It’s a common hurdle, and one that can often be overcome with the right approach and the …
A 61-year-old former general manager for Chuck E. Cheese’s life was turned upside down when he suffered a serious stroke. The stroke left him with right-sided weakness (hemiparesis), clumsiness, sensory loss, balance problems, memory issues, near-syncopal episodes, and fatigue. These impairments made it impossible for him to continue working. At first, New York Life acknowledged …
If you’re receiving long-term disability (LTD) benefits from Unum, you may eventually receive a buyout offer, which is a lump sum payment in exchange for giving up future monthly benefits. It may seem like a good deal on the surface, but there’s a lot to consider before you say yes. What Is a Long-Term Disability …
At the Ortiz Law Firm, we know that navigating the complexities of disability claims can be overwhelming, especially when insurance companies deny benefits due to a lack of so-called “objective evidence.” A recent case illustrates the challenges our client faced and how we stepped in to help her secure the benefits she rightfully deserved. The …
If your long-term disability (LTD) claim has been denied by Sun Life, one of the most critical parts of the appeals process may involve an “independent” physician review. While this may sound like an objective second opinion, the process is often anything but neutral. In reality, these reviews can be a significant hurdle in securing …
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 …
