What are the five most common reasons for a long term disability insurance claim denial?
- What Are the 5 Most Common Reasons for a Disability Insurance Claim Denial?
Disability attorney Gregory Dell discusses the five most common reasons a long term disability insurance claim is denied.
Claimants often ask me what are the most common reasons for a long-term disability claim denial, so I have put together a list of the most five common reasons:
Number one is when you’re definition of disability could change from any occupation to own occupation.
Number two would be if the disability carrier conducted video surveillance of you. As you go through our website, you can see that we’ve done multiple videos on video surveillance, and I would encourage you to check those videos out.
Number three would be if your attending physician is not cooperating in filling out the paperwork for you or is not filling out the paperwork appropriately, that could also be a problem.
Number four would be if you are not getting the appropriate treatment or not seeing the doctor often enough. The disability carriers often want to see you go to the doctor on a monthly basis, however, you’re not required to go that often. As a rule of thumb, we generally say that if you have a physical condition, you should go to the doctor at least once every three months; if you have a psychiatric condition that’s disabling, you should go at a minimum of once a month.
And the fifth reason that a claim is most commonly denied would be for objective evidence versus subjective evidence. The disability carrier would say you just don’t have enough objective evidence to support your claim, and that would be something like you don’t have an MRI, you don’t have a CAT scan, you don’t have a lab report, you don’t have an X-ray. The problem is that there are many disabling conditions where you’re just not going to get any objective evidence to support your claim, so the carrier puts your back against the wall, which is a problem.
All of these issues that I’ve just mentioned, you can view other videos on our website for additional information and you’re always welcome to call us with any questions.
Request a Free Consultation
Click here or call 800-682-8331 now!
We respond the same day.
We represent disability insurance claimants all over the United States.
We have handled thousands of disability claims and you can read about them.
- Dell & Schaefer Wins Disability Appeal against Cigna for Mortgage Banker
- Dell & Schaefer successfully appeal denial by Liberty Life
- Cigna Reinstates Long Term Disability Benefits to Medical Coder
- Cigna reverses its decision to terminate benefits of a claimant with Fibromyalgia, Cervical Spine Spondylosis and Depression
Read what our clients say about us.
- Ed T. ·Mr Dell and paralegal Merlin Bryan are an excellent team. It was a pleasure to have them working for me under what was a very stressful personal situation. They kept me...› continue
- Ron K. ·I was on disability with a major insurance company for five years without any problems, upon a field rep's visit to my home, I let him know that I was planning to try to...› continue
- O. Lee ·My experience with Dell & Schaefer has and continues to be, outstanding. First, I would personally like to thank Cesar for his experience and expertise in handling my...› continue