Previously, I did a video blog about the statute of limitations in ERISA cases. Today, I wanted to provide a written blog post to further that discussion and provide some case law for Fourth Circuit practitioners. As previously discussed, for a benefits claim, determining the statute of limitations can be a tricky subject. However, the ...
Often, one of the many important pieces of ERISA litigation is the existence of what is called an overpayment. An overpayment often exists when clients have recently been approved for Social Security Disability benefits, or some other type of offset income (auto-accident settlement, workers’ compensation, etc.) after they have been paid LTD benefits for a ...
Independent medical exams (IME), neuropsychological testing, and functional capacity exams (FCE) have long been a part of disability reviews. However, in the last couple of years, I have noticed a great increase in the numbers requested by insurers and I expect, because of some court rulings, for that number to rise. These exams can be ...
A question that I frequently receive from clients is “why does this process take so long?” When an individual has been denied his or her disability benefits, the financial situation can often go from bad to worse. As with most types of civil litigation, ‘speedy’ is rarely a word that can be used to describe ...
I am writing this post because I think it is important for clients and potential clients to be able to distinguish between a claim for STD (short term disability) benefits and a claim for LTD (long term disability) benefits. An individual should file a STD claim when he/she anticipates being out of work for a ...
Every insurance company has an internal appeals process that typically must be exhausted before a claimant is able to file a law suit under ERISA. Several companies, however, often have two levels of internal appeals which give rise to the question: does that mean a claimant must exhaust the second level of appeal? The short ...
I am writing this blog to follow up on my previous blog on social media and short term/long term disability claims. Another insurance company tactic that all short term/long term disability claimants should be aware of is surveillance. Insurance companies can and do hire outside investigators to perform surveillance on claimants. Insurance companies also very ...
I had a professor in law school that would frequently use that quote when describing various components of the legal process. As unfortunate as it may be sometimes, it often rings true. We live in a fast-paced society that is only getting faster. Between two-day, online delivery and lightning-quick smartphones, consumers want, and expect, everything ...
Today’s world is dominated by social media. Many clients do not realize, however, that social media can have an adverse effect on a short term/long term disability claim. There has been an increasing trend by insurance companies to use social media, in part, to deny an individual’s disability claim. It is an important trend that ...
A frequent issue that arises at the onset of ERISA claims is the ability of a client to get a statement from his or her treating physician to be used in support of the claim of disability. Getting a statement from your own doctor is a crucial step in the process. Moreover, the language in ...
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