Question

Can Standard decide I am no longer disabled if my condition hasn't changed at all? How do I get a copy of my policy?

Asked on August 11th 2013 by Brett
I’ve been receiving my LTD benefits since December 8th 2012 for Degenerative Joint Disease in my right knee. I just received a letter from Standard informing me that they have reviewed my claim and decided to close my claim stating I no longer meet my group policy’s Own Occupation Definition of disability. My condition has not changed at all. If anything it is getting worse. I can no longer climb stairs or crouch, crawl, kneel or anything of that nature. How can they all of the sudden out of thin air say I am no longer considered disabled? I have repeatedly asked them to mail me a copy of my companies policy which they say I don’t qualify for. Have yet to receive. Is this some kind of scare tactic or can they actually do this?

Answer

Answered on August 12th 2013 by Attorney Cesar Gavidia

Brett, Unfortunately, an insurance company can deny your benefit based upon a review of the medical records by one of its medical professionals. This appears to be the case with your denial. Technically, Standard does not have to keep a copy of your policy on file. It is your (former) employer’s duty to provide a copy so I would suggest that you reach out to your company for same. I would recommend you secure your policy and a copy of the denial letter and contact us for a free consultation at 1-800-682-8331 to determine how we may assist you.