Reliance Standard

Even though my spinal illness is very well-documented, Reliance Standard has yet to transfer me to LTD.

Reviewed by Mary T. on April 1st 2016   Verified Policyholder
On Oct. 12, 2015, I submitted a dual STD/LTD claim with Reliance Standard due to the continuing decline of my congenital spinal stenosis compounded by spinal DJD and psoriatic arthritis which has a spinal component. Over the last eight years, I have experienced herniation’s of every lumbar disc, the S-1 disc, some of them more than once. Until 2014, I was SVP of hospital operations for a national hospital chain. I took a downgrade of positions due to my inability to continue to travel once i became wheelchair bound (had no feelings in left leg and right leg buckled). I took a downgrade to VP, Revenue Cycle Management in a position the company created for me to allow me to continue working and even telecommuted half time. My spine has continued to deteriorate to the point that I can no longer sit for extended enough periods of time to work full-time and even have difficulties part-time. This has been well documented over the course of eight years, through multiple pain specialists (driven by my insurance), more epidurals than I can count, extended periods on steroids. All of this has also made me diabetic, etc. Long story short, I am limited on sitting to about an hour and a half (with pain), walking to about 30 yards, with walker before back seizes up and leg buckles, standing to under five minutes. Reliance Standard paid the short-term disability with no issue but after 5 1/2 months, still has not approved LTD even though they have my records demonstrating all of these issues as well as statements from my rheumatologist who manages most of these issues. I cannot get them to return my calls. Have spoken to my rep a total of two times now, both when I managed to get him to answer his phone. Spoke with him on 3/31 and he told me that he was meeting with medical team that day on my case and would call me back on either Thursday afternoon or on Friday. Again, nothing. I can’t get a denial to appeal so can’t go that route. All i get is nothing. Is it time to obtain counsel?
Reply
Sent on April 1st 2016 by Attorney Stephen Jessup

Mary, please contact our office to discuss your claim. Typically a claim for LTD benefits is to be made in 60-90 days, which depending on when the review process began following STD, they may still be within their timeframe though it seems that they should have all the required information to process the claim by now.