Feb
5
2013
Most individuals become familiar with the phrase 502(a) lawsuit by receiving a letter from an insurance company denying access to their long-term disability benefits.
The traditional language often used by long-term disability insurers advises clients that they have “exhausted their administrative remedies”, and now have the ability to file a lawsuit under Section 502(a) of the Employee Retirement … Read the rest
no comments | tags: 502(a) Litigation Attorney, 502(a) of ERISA, administrative appeal, administrative remedies, appeal, arbitrary and capricious, Disability, disability advice, disability attorneys, disability denial, Employee Retirement Income Security Act, ERISA, ERISA 502(a), erisa blog, ERISA lawyers, exhaustion of administrative remedies, Exhaustion of remedies, Insurance, Judge, law firm, Lawsuit, Long Term Disability, Long Term Disability Denial, reinstatement of benefits, successfully litigate, well documented appeal, wrongful disability denial | posted in ERISA, Long Term Disability
Mar
11
2009
“Peer Reviews” Lead to Wrongful Denial of Disability Claims
A peer review is NOT the same as a second opinion or independent medical exam (IME). Essentially, a peer review is a tool used by the insurance company to review your Dr’s medical records.
Peer reviews are problematic because of the type of information that the insurance … Read the rest
4 comments | tags: Add new tag, disability denial, disabled workers, low quality evidence, misrepresention of doctor summary, peer review, peer reviewing physician, peer-to-peer consultation, violates HIPAA, wrongful disability denial | posted in ERISA, Insurance Denial, Long Term Disability, Peer Reviews