Application Tips: Lloyds of London Disability Benefits – Top Denial Reasons
Lloyd’s of London has some of the most high level professionals, athletes, and celebrity clients in the insurance industry and is often most well known as an excess disability insurance carrier. Because of this, Lloyd’s of London policies are unlike any other type of long term disability policy in the business. At Dell Disability Lawyers, we’ve gained years of experience in handling Lloyd’s of London long term disability insurance claims and can help you navigate the ins and outs of this unusual policy. Read on for some tips and tricks to boost your odds of disability claim approval. What should long term disability claimants know before submitting their claim for disability benefits to Lloyd’s of London?
Lloyd’s Disability Policies Have Very Specific Policy Terms that are Strictly Enforced
The long term disability policies offered by Lloyd’s of London tend to have a term of a limited number of years – often just five to ten years. Generally speaking, the longer the term, the higher the premium cost. These policies will define “disability” in their own ways, but most will consider a claimant disabled if they are unable to perform the substantial material duties of their own occupation.
Some Lloyds policies will also require the disability claimant to establish that their disability has at least some level of permanency. In other words, someone who is temporarily unable to perform their job after a hip replacement or heart attack may not be able to receive long term disability benefits under their Lloyd’s of London disability insurance policy because the disability should be short term in nature. However, not all Lloyd’s of London policies include the permanency clause, and a careful review of your long term disability policy can reveal how disability is defined.
Lloyd’s of London Will Always Use A Third Party Administrator to Handle the Claim for Benefits
When a claimant submits their long term disability claim to Lloyd’s of London, this claim is likely to be reviewed (and a decision to award or deny benefits is likely to be made) by a third party administrator hired by Lloyd’s of London. Lloyd’s of London tends to hire out its claim review, tasking this third party administrator with the job of obtaining all medical records, doctor statements, and other witness statements, as well as reviewing the investigation of the claims.
Although these third party administrators are hired by Lloyd’s of London, they aren’t necessarily trained to be disability specialists and may deny benefits based on a misunderstanding or misreading of the long term disability insurance policy. This is one reason it’s so important to seek legal advice before submitting a long term disability claim (or before appealing a denial of long term disability benefits).
The Medical Support Must be Documented with Specificity to Meet the Policy Term
It’s a disability insurance claimant’s burden to prove that they’re entitled to long term disability insurance benefits based on the language in the disability insurance policy. Part of this proof includes medical support and medical records from a wide range of sources. Claimants shouldn’t rely on just one doctor or just one specialist, as this may not provide a full picture of how the condition affects their ability to work.
It’s also important for claimants to carefully review their medical records to ensure that these records are in a form that will be readily accessible and understandable to Lloyd’s of London. Doctors are trained to communicate in a way that allows them to efficiently treat patients, not in a way that allows their patients to more easily qualify for long term disability insurance, so it can take some communication between a claimant, their attorney, and their doctor to begin to get these medical records into a more helpful format.
If you’d like help in managing your claim for long term disability benefits with Lloyd’s of London, contact Dell Disability Lawyers. Give us a call or use the contact form to schedule a FREE consultation with one of our experienced disability insurance attorneys.
Resources to Help You Win Disability Benefits
Submit a Strong Lloyd's of London Appeal Package
We work with you, your doctors, and other experts to submit a very strong Lloyd’s of London appeal.
Sue Lloyd's of London
We have filed thousands of disability denial lawsuits in federal Courts nationwide against Lloyd’s of London.
Get Your Lloyd's of London Disability Application Approved
Prevent a Lloyd's of London Disability Benefit Denial
Negotiate a Lloyd's of London Lump-Sum Settlement
Our goal is to negotiate the highest possible buyout of your long-term disability policy.