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Navy Federal Credit Union (“NFCU” or Navy Federal) is the largest credit union in the world and the largest private employer in Pensacola and Escambia County, Florida, with nearly 10,000 employees at the Pensacola campus. Navy Federal has excellent employee benefits, including short-term disability (STD) and long-term disability (LTD) insurance benefits.
These claims are typically administered by New York Life Group Benefit Solutions (NYL GBS). However, NYL GBS frequently denies legitimate disability claims. We have represented many NFCU employees who were wrongfully denied the disability benefits they deserved and have extensive experience appealing claim denials by New York Life. If your long-term disability claim has been wrongfully denied, call (888) 321-8131 for a free case review.Get a Free Case Review
Understanding Disability Insurance for Navy Federal Credit Union Employees
Disability insurance is a form of coverage that provides financial protection if you cannot work due to a disability. It ensures that you continue to receive a portion of your income, usually around 60% to 70%, enabling you to cover essential expenses such as mortgage payments, utilities, and daily living costs. There are two primary types of disability insurance: short-term and long-term. Short-term disability insurance typically covers a shorter period, such as three to six months, while long-term disability insurance provides coverage for an extended duration, often until retirement age.
Disability insurance offers peace of mind, ensuring that employees are protected financially if they cannot work due to an injury or illness. By securing disability insurance, Navy Federal Credit Union employees can effectively mitigate the financial impact of a disability, providing a sense of security and stability for themselves and their loved ones in the face of unforeseen circumstances.
The Disability Claim Process for Navy Federal Credit Union Employees
Filing a Disability Insurance Claim
When filing a disability insurance claim through Navy Federal Credit Union, completing all necessary paperwork accurately and thoroughly is essential. This includes details about the nature of your disability, the date it began, and its impact on your ability to work. Additionally, you must outline your employment history and provide any relevant medical documentation to support your claim.
Required Documentation for Disability Insurance Claims
To ensure the success of your disability insurance claim with Navy Federal Credit Union, you’ll need to gather essential documentation. This typically includes medical records from healthcare providers who have treated your disabling condition, diagnostic test results, and any relevant imaging reports. Additionally, there may be specific forms for you and your physician to complete.
Review and Approval Process
Once you’ve submitted your disability insurance claim and all required documentation, NYL GBS will initiate the review process. This involves thoroughly assessing your claim by a team of professionals who will evaluate the information provided. If additional information is needed, the insurer will request it at this stage. After review, a decision will be made regarding approving or denying your disability insurance claim. If approved, you will receive notification regarding the benefits you are entitled to under the terms of your policy.
Common Reasons for Disability Insurance Claim Denials
When filing a disability insurance claim, providing complete and accurate documentation to support your case is crucial. Incomplete paperwork or missing medical records can lead to claim denials. To avoid this, ensure that all necessary forms are filled out and all medical records are up to date. It is advisable to work closely with your healthcare provider to gather all required documentation and ensure its completeness and accuracy.
Pre-Existing Condition Exclusions
One common reason for denial of disability insurance claims is the presence of pre-existing conditions. Insurers may deny a claim if they determine that the disability is related to a medical condition that existed before the start of the policy. To navigate this issue, it is essential to understand the terms of your disability insurance policy fully.
Failure to Meet Definition of Disability
Another frequent cause for claim denials is the failure to meet the insurer’s definition of disability. Each disability insurance policy has its specific definition of what qualifies as a disability. Failing to meet this definition or not providing sufficient evidence to support the claim can result in denial. Carefully review the policy terms and ensure that all medical documentation aligns with the specified definition of disability to increase the likelihood of a successful claim.
When filing a disability insurance claim, being aware of these common reasons for denial can help applicants take necessary precautions to avoid claim rejections. By addressing these issues proactively and ensuring thorough documentation, individuals can better position themselves for a successful claim approval.
Appealing a Denied Disability Insurance Claim
Understanding the Appeals Process
If your disability insurance claim has been denied, it’s essential to understand the long-term disability appeal process. Start by reviewing the denial letter carefully to determine the specific reasons for the denial. Understanding the grounds for denying your claim will help you prepare a stronger appeal. Take note of the deadlines for filing an appeal and familiarize yourself with the procedures outlined by your insurance provider.
Gathering Additional Evidence
When appealing a denied disability insurance claim, gathering additional evidence is crucial to support your case. This may include obtaining medical records, test results, and statements from healthcare providers that strengthen your claim. Providing a detailed account of how your disability impacts your ability to work and carry out daily activities is essential. In addition, gathering testimonies from colleagues, supervisors, and other relevant parties can further substantiate your appeal.
Seeking Legal Assistance
Navigating the appeals process for a denied disability insurance claim can be complex, and seeking legal assistance may be beneficial. A qualified attorney experienced in disability insurance claims can provide valuable guidance and representation throughout the appeals process. They can help you understand your rights, negotiate with the insurance company, and present a compelling case. Legal counsel can significantly increase your chances of a successful appeal and protect your rights.
We have a “Zero Fee Guarantee,” which means our clients only pay an attorney fee when disability benefits are recovered.
Schedule a Free Case Review with a Long-Term Disability Attorney
Being proactive and well-informed about disability insurance can alleviate stress and financial strain during challenging times. We offer a free case review so claimants can get answers to their questions and learn more about how the experienced legal team at Ortiz Law Firm can help them recover the benefits they deserve. Call (888) 321-8131 to schedule your free case review.