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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.

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Home | Archives for Nick Ortiz | Page 7

Nick Ortiz

What Is An On-The-Record Decision In A Social Security Disability Claim?

September 20, 2023 // by Nick Ortiz

When applying for Social Security Disability Insurance (SSDI) benefits, one term that often comes up is the On-The-Record (OTR) decision. This article will discuss an OTR decision and how it can affect your claim. What Is an On-The-Record (OTR) with SSA? An OTR decision is a fully favorable decision given without having to attend a …

Read moreWhat Is An On-The-Record Decision In A Social Security Disability Claim?
Category: Social Security Disability

Understanding The Differences Between Diagnosis And Functional Impairment In Long-Term Disability Claims

September 18, 2023 // by Nick Ortiz

When it comes to filing for long-term disability (LTD) benefits, many people assume that a medical diagnosis is the golden ticket to approval. While a diagnosis is an essential part of the process, it is not the only criterion that insurers or adjudicators consider. Understanding the nuanced differences between diagnosis and functional impairment …

Read moreUnderstanding The Differences Between Diagnosis And Functional Impairment In Long-Term Disability Claims
Category: Long-Term Disability

Will A Personal Injury Settlement Affect My Social Security Disability Benefits?

September 13, 2023 // by Nick Ortiz

Will a personal injury settlement affect my Social Security Disability Insurance (SSDI) benefits? Should I apply for disability benefits with a personal injury lawsuit pending? Does a lump sum payment for my injury impact my disability claim? The short answer is personal injury claims do not affect SSDI benefits, but they generally do affect SSI …

Read moreWill A Personal Injury Settlement Affect My Social Security Disability Benefits?
Category: Social Security Disability

The Standard Of Review In ERISA Long-Term Disability Lawsuits

September 8, 2023 // by Nick Ortiz

How will a federal judge make a decision about an ERISA lawsuit? There are two standards of review in ERISA cases: (1) the de novo review standard and (2) the arbitrary and capricious standard (also called the “abuse of discretion” standard). The judge will determine which standard applies to your claim based on the language …

Read moreThe Standard Of Review In ERISA Long-Term Disability Lawsuits
Category: Long-Term Disability Denials and Appeals

Can You Work While Receiving Long-Term Disability Payments?

September 6, 2023 // by Nick Ortiz

Long-term disability (LTD) insurance provides financial support to individuals who cannot work due to a disability. This type of insurance pays out a percentage of your pre-disability earnings to help maintain your quality of life. However, many people wonder whether they can continue to collect long-term disability benefits while returning to work …

Read moreCan You Work While Receiving Long-Term Disability Payments?
Category: Long-Term Disability

Social Security Disability Claim Timeline: What To Expect After Filing A Disability Claim

August 30, 2023 // by Nick Ortiz

My name is Nick Ortiz, and I am a Social Security disability attorney. I recently interacted with one of our clients, who received a favorable decision two years after starting his initial application. He was happy and relieved to finally get this good news. This made me think of a question we get from many …

Read moreSocial Security Disability Claim Timeline: What To Expect After Filing A Disability Claim
Category: Social Security Disability

What Is The Listing Of Impairments In A Social Security Disability Claim?

August 28, 2023 // by Nick Ortiz

The Listing of Impairments describes impairments for each of the major body systems that Social Security considers severe enough to prevent a claimant from doing any gainful activity, regardless of his or her age, education, or work experience (you can find these impairments on our website in our articles on the disabilities that may …

Read moreWhat Is The Listing Of Impairments In A Social Security Disability Claim?
Category: Social Security Disability

What Are Compassionate Allowances In Social Security Disability Claims?

August 21, 2023 // by Nick Ortiz

Social Security recognizes that it has an obligation to provide benefits quickly to applicants whose medical conditions are so serious that their conditions obviously meet disability standards. The Compassionate Allowances (CAL) initiative is a way of quickly identifying diseases and other medical conditions that invariably qualify under the …

Read moreWhat Are Compassionate Allowances In Social Security Disability Claims?
Category: Social Security Disability

Benefits Of Applying For Social Security Disability Insurance

August 18, 2023 // by Nick Ortiz

Social Security Disability Insurance (SSDI) is a lifeline that many rely on when the unexpected strikes. SSDI is a federal program that provides financial support and other benefits to people who cannot work due to a disability. To qualify for SSDI, you must have a disability that has lasted (or is expected to last) 12 …

Read moreBenefits Of Applying For Social Security Disability Insurance
Category: Social Security Disability

Continuing Disability Reviews For Social Security Disability Claims

August 16, 2023 // by Nick Ortiz

If you’re currently receiving Social Security Disability Insurance benefits, it’s important to understand that your benefits may not be permanent. The Social Security Administration (SSA) regularly conducts Continuing Disability Reviews to determine whether people are still entitled to receive benefits. The review performed by the SSA …

Read moreContinuing Disability Reviews For Social Security Disability Claims
Category: Social Security Disability

The SSA Adds New Conditions To Compassionate Allowances List

August 14, 2023 // by Nick Ortiz

The Social Security Administration (SSA) has added 12 new conditions to its list of Compassionate Allowances conditions. What Conditions Have Been Added to the List? Kilolo Kijakazi, Acting Commissioner of Social Security, has announced the addition of  12 new Compassionate Allowances conditions: 1p36 Deletion Syndrome, Anaplastic Ependymoma, …

Read moreThe SSA Adds New Conditions To Compassionate Allowances List
Category: News, Social Security Disability

Benefit Limitations In Long-Term Disability Claims For Chemical And Environmental Sensitivities

August 3, 2023 // by Nick Ortiz

Chemical and environmental sensitivities (CES) can lead to a wide array of disabling symptoms. In severe cases, these sensitivities can profoundly impact a person’s ability to work and complete regular life activities. When symptoms impact a person’s ability to perform their occupation, pursuing disability benefits is essential, …

Read moreBenefit Limitations In Long-Term Disability Claims For Chemical And Environmental Sensitivities
Category: Medical Eligibility for Long-Term Disability Claims

Benefit Limitations In Long-Term Disability Claims For Musculoskeletal Disorders

July 31, 2023 // by Nick Ortiz

Disability insurance can be a crucial lifeline for individuals who cannot work due to severe health conditions. One of the common health issues that lead to long-term disability claims is musculoskeletal disorders (MSDs). The impairments caused by these conditions are real and can significantly impact the ability to work. However, individuals …

Read moreBenefit Limitations In Long-Term Disability Claims For Musculoskeletal Disorders
Category: Medical Eligibility for Long-Term Disability Claims

What To Do After A Final Long-Term Disability Denial

July 28, 2023 // by Nick Ortiz

Today, I want to talk to you about what to do after you receive your final long-term disability denial letter from the insurance company. When I say final, what that means is when you file for long-term disability benefits, if you’re denied, you usually have a right to at least one, if not two, appeals. …

Read moreWhat To Do After A Final Long-Term Disability Denial
Category: Long-Term Disability Denials and Appeals

Cannon v. Aetna – Aetna Not Bound By SSA Disability Determination

July 24, 2023 // by Nick Ortiz

Case Name:  Gregory Cannon v. Aetna Life Insurance Company Court: United States District Court for the District of Massachusetts Type of Claim: Long-Term Disability Insurance Company: Aetna Life Insurance Company (hereinafter “Aetna”) Claimant’s Employer: PharMerica Corp Claimant’s Occupation / Job Position: Pharmacist Disabilities: …

Read moreCannon v. Aetna – Aetna Not Bound By SSA Disability Determination
Category: Case Summary Blog
Tags: Aetna

Dardick v. Unum – Court Upholds Cardiac LTD Claim Denial

July 24, 2023 // by Nick Ortiz

In Dardick v. Unum Life Insurance Company of America and First Unum Life Insurance Company, Unum succeeded in denying the claimant long-term disability insurance benefits. Dardick filed a lawsuit after Unum Life Insurance Company of America denied his claim for benefits under a group disability benefits plan provided by his previous …

Read moreDardick v. Unum – Court Upholds Cardiac LTD Claim Denial
Category: Case Summary Blog
Tags: Unum

Gaines v. Aetna – Court Rules Aetna Refused To Credit Reliable Evidence

July 24, 2023 // by Nick Ortiz

Plaintiff appealed the initial denial of benefits under the Plan, stating that her request for disability was not based solely on her thyroid surgery but rather on symptoms associated with lupus and chronic pain. On September 12, 2011, ALIC again upheld the denial of benefits to the Plaintiff. As allowed under ERISA, the Plaintiff sued to challenge …

Read moreGaines v. Aetna – Court Rules Aetna Refused To Credit Reliable Evidence
Category: Case Summary Blog
Tags: Aetna

Brown v. LINA – Can A Peer Review Physician Outweigh My Physician’s Opinion?

July 24, 2023 // by Nick Ortiz

In this case, the Court found that the Plaintiff's complaints of pain were credible there was no reason to question the Plaintiff's credibility. As such, the Defendants' motion for decision was denied and Plaintiff's motions was granted.

Read moreBrown v. LINA – Can A Peer Review Physician Outweigh My Physician’s Opinion?
Category: Case Summary Blog
Tags: Life Insurance Company of North America (LINA)

Abrams v. Unum – Disabling Symptoms Matter, Not The Diagnosis

July 12, 2023 // by Nick Ortiz

Today we review Abrams v. Unum Life Insurance Company of America that was decided by the United States District Court for the Western District of Washington. William Abrams was a trial and appellate lawyer for the Schwabe Law Firm. His disabilities were described as debilitating symptoms from an illness. Although the exact medical condition was …

Read moreAbrams v. Unum – Disabling Symptoms Matter, Not The Diagnosis
Category: Case Summary Blog
Tags: Unum

Do You Have To Pay Back Long-Term Disability?

July 7, 2023 // by Nick Ortiz

Long-term disability (LTD) insurance provides financial support to individuals who become disabled and cannot work for an extended period. When claimants file disability claims with a long-term disability insurer, they may also apply for Social Security Disability Insurance (SSDI) benefits. In fact, most disability insurance policies require …

Read moreDo You Have To Pay Back Long-Term Disability?
Category: Long-Term Disability

Can I Get Disability Insurance While Living Abroad?

July 5, 2023 // by Nick Ortiz

Living abroad can be an exciting adventure, but it can also be a bit nerve-wracking if you’re relying on long-term disability insurance benefits to provide you with income. Fortunately, if you have an individual or group long-term disability insurance policy, you may still be able to collect benefits while living outside of the United States. …

Read moreCan I Get Disability Insurance While Living Abroad?
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

Social Security Disability Hearing Offices

July 3, 2023 // by Nick Ortiz

Social Security disability hearing offices are officially known as Offices of Hearings Operations (OHO). Previously, they were known as Offices of Disability Adjudication and Review (ODAR). Statistically, this is where most Social Security disability claims will be approved. A Request for Hearing is the third step in the process and the second …

Read moreSocial Security Disability Hearing Offices
Category: Social Security Disability

Which Long-Term Disability Claims Win?

June 30, 2023 // by Nick Ortiz

Long-term disability insurance is designed to provide financial assistance to those who have become disabled and are unable to work for a long period of time. However, not all claims are approved, and many people are denied coverage. In this article, we will discuss the types of long-term disability claims that are most likely to …

Read moreWhich Long-Term Disability Claims Win?
Category: Your Chances of Getting Approved for Disability Benefits

What Is An Attending Physician Statement?

June 26, 2023 // by Nick Ortiz

One of the most commonly requested documents by disability insurance carriers is an Attending Physician Statement (APS). Attending Physician Statement forms are provided by your insurance company to be completed by your doctor(s). The medical information your doctor provides on the Attending Physician Statement could make or break your claim. If …

Read moreWhat Is An Attending Physician Statement?
Category: Medical Eligibility for Long-Term Disability Claims
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