An application for long-term disability insurance is much different from an application for workers’ compensation disability. If you incurred a disability that is thought to be permanent or long-term and restricts your ability to work, then applying for long-term disability insurance is within your best interest. Below, the LTD application process, and how an attorney can help, is explained.
What is long-term disability insurance?
Long-term disability coverage, or LTD coverage, is a type of insurance coverage generally offered to an employee by an employer. The first thing to understand is that not all employers carry LTD coverage; the law does not require them to do so. However, if your employer does carry LTD coverage, then it covers a wide array of disabilities, not just those incurred during a work-related injury/task. You gain coverage for LTD insurance by paying a monthly premium amount. Some employers provide LTD insurance policies for free.
LTD insurance coverage will help replace part of your income during the period that you are disabled. Usually, this amount is approximately 60 percent of your salary.
Proving that You Are Disabled
Proving that you are disabled is the most important part of applying for LTD benefits. Depending upon your individual policy, you may have to prove that you are totally disabled. However, some policies only have a partial disability requirement. As such, you must meet your policy’s definition of disability. If you don’t, then your LTD application will be denied.
In order to prove that you meet your insurance policy’s definition of disabled, you will need to submit medical evidence. If the medical evidence is insufficient, then your claim will likely be denied.
The Importance of Medical Evidence
The medical evidence required to substantiate your claim is often complex. For example, you will need to receive frequent and long-term care. If you’re not, the insurance company may not believe that your disability is severe enough to qualify for LTD benefits.
You’ll need to make sure that your insurance company receives all of your medical records. If any medical records are missing — even those from before your disability was incurred — your claim may be denied.
Finally, you will need a doctor’s statement that speaks the validity of your disability. The statement should indicate your limitations, specifically in regard to your work-related tasks.
Filing Your Application in a Timely Manner
Most LTD insurance policies come with a stipulation that a claim for LTD benefits must be filed within a certain amount of time. If your claim is denied, then there is also a time limit for which you must file an appeal (typically 180 days, although this varies by policy). If you don’t file your policy or appeal within the required timeframe, then you may forfeit your right to benefits and the right to sue your insurer.
How an Attorney Can Help File Your LTD Application
Ensuring that your application is complete when applying for LTD insurance is extremely important. To make sure that you have all the evidence necessary to substantiate your claim, you need the help of an attorney.
Once your application is filed, there may be other requirements you must fulfill before your benefits will start. For example, most LTD insurers will require you to apply for Social Security disability benefits to offset your LTD benefits. An attorney can help you understand this requirement and how to satisfy it.
Filing an LTD application or appealing a denied application on your own is never a good idea. To improve the chances of your application being approved, call ARM Lawyers today. Our team is ready to help you! Reach us at 570-257-4509.