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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 | Additional Parts Of A Claim That Do Not Happen in Every Case

Additional Parts Of A Claim That Do Not Happen in Every Case

New York Life’s Independent Medical Reviews and How to Respond

April 11, 2025 // by Nick Ortiz

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 …

Read moreNew York Life’s Independent Medical Reviews and How to Respond
Category: Additional Parts Of A Claim That Do Not Happen in Every Case, Long-Term Disability
Tags: New York Life

What Happens If A Disability Insurance Company Ignores My Long-Term Disability Appeal?

February 26, 2025 // by Nick Ortiz

When a disability insurance company ignores your long-term disability (LTD) appeal, it can be both frustrating and legally problematic. The appeals process is designed to give claimants a fair chance to challenge a denial, and insurance companies are legally obligated to respond to these appeals in a timely manner under most LTD policies and …

Read moreWhat Happens If A Disability Insurance Company Ignores My Long-Term Disability Appeal?
Category: Additional Parts Of A Claim That Do Not Happen in Every Case, Long-Term Disability Denials and Appeals

Is My Church-Affiliated Disability Insurance Plan Covered By ERISA?

February 19, 2025 // by Nick Ortiz

If you have a disability insurance plan through your church or a religiously affiliated organization, you may be wondering if it’s covered by the Employee Retirement Income Security Act (ERISA). Understanding whether ERISA applies to your plan is important because it can affect how claims are handled, your rights under the plan, and your legal …

Read moreIs My Church-Affiliated Disability Insurance Plan Covered By ERISA?
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

How To Navigate Severance Packages And Long-Term Disability Claims

March 6, 2024 // by Nick Ortiz

When navigating the complexities of severance packages and long-term disability insurance benefit claims, individuals often face many challenging decisions and uncertainties. Particularly – what happens when you’re presented with a severance offer while simultaneously pursuing a long-term disability insurance claim? If you sign the …

Read moreHow To Navigate Severance Packages And Long-Term Disability Claims
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

Responding to Peer Review Reports In Long-Term Disability Appeals

November 8, 2023 // by Nick Ortiz

It is not uncommon for a disability insurance company to order a peer review during the long-term disability appeal process. If your insurer has requested a peer review report, you may have received a letter that states something like: “We are writing to update you of the status of your appeal request for the above …

Read moreResponding to Peer Review Reports In Long-Term Disability Appeals
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

Does A Mental And Nervous Limitation Apply To My Long-Term Disability Claim?

October 18, 2023 // by Nick Ortiz

According to the Mental Health Foundation, nearly one in three people with a long-term physical condition also has a mental condition. Claimants with both mental and physical conditions may be concerned that their insurance company will apply a mental and nervous limitation to their long-term disability insurance claim. A mental health limitation …

Read moreDoes A Mental And Nervous Limitation Apply To My Long-Term Disability Claim?
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

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

Independent Medical Exams In Long-Term Disability Claims

January 5, 2021 // by Nick Ortiz

What Is an Independent Medical Examination? An independent medical examination (IME) is an exam performed by a medical professional not currently associated with your case. However, we don’t like using the term “independent” when referring to a medical examination ordered by a disability insurance company.  The word independent is …

Read moreIndependent Medical Exams In Long-Term Disability Claims
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

Surveillance In Long-Term Disability Claims

July 14, 2020 // by Nick Ortiz

Long-term disability insurance companies are well-known for hiring third-party investigators to put claimants under surveillance. They spend millions of dollars on surveillance to save billions in long-term disability claims. They want to “catch” you doing something you “shouldn’t,” like taking out the trash or enjoying your grandchild’s …

Read moreSurveillance In Long-Term Disability Claims
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

Social Media Accounts Are Being Used To Deny Long-Term Disability Claims

July 14, 2020 // by Nick Ortiz

Social media has become how we share our lives with the world. Long gone are the days of printing and mailing pictures to family and friends. Now, with the click of a button, you can share photos or even live stream videos on social media, which creates a way for families to stay connected even …

Read moreSocial Media Accounts Are Being Used To Deny Long-Term Disability Claims
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

Long-Term Disability Buyout Offers v. Settlement Offers

July 14, 2020 // by Nick Ortiz

In the context of this article, it’s important to distinguish between long-term disability buyout and settlement offers. A buyout offer is extended by the insurance company while you are actively receiving long-term disability benefits. A settlement offer, on the other hand, arises when you have been fully denied these benefits and …

Read moreLong-Term Disability Buyout Offers v. Settlement Offers
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

What Is A Vocational Assessment In A Long-Term Disability Claim?

July 14, 2020 // by Nick Ortiz

Many claimants ask why the insurance company uses a vocational consultant when reviewing a claim. Isn’t the main issue whether you have a medical disability and you’re medically disabled under the policy? This is a very legitimate question. In this article, we discuss why a vocational assessment from a vocational consultant is a …

Read moreWhat Is A Vocational Assessment In A Long-Term Disability Claim?
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

What Is a Peer Review Report In a Long-Term Disability Claim?

June 14, 2020 // by Nick Ortiz

An insurance company may elect to have your long-term disability claim analyzed by a “peer review” physician, who could potentially challenge the opinions given by your primary healthcare providers. But what exactly is a peer review report in the context of a long-term disability claim? Unlike an Independent Medical Examination, this is a …

Read moreWhat Is a Peer Review Report In a Long-Term Disability Claim?
Category: Additional Parts Of A Claim That Do Not Happen in Every Case

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