Unum approves long-term disability benefits for a general surgeon diagnosed with cervical degenerative disc disease
Our client, a general surgeon for 25 years, was forced to stop performing surgery due to chronic degenerative cervical disc disease. Fortunately, our client had purchased a long-term disability policy from Paul Revere Insurance Company (acquired by Unum), during the early years of his career. The Unum long-term disability policy provides a monthly disability benefit in excess of $12,000 in the event our client is unable to perform the substantial and material duties of his occupation.
Dell Disability Lawyers were retained in order to advise our client of his contractual rights to long-term disability benefits and to assist with the submission of his application for benefits. Through a coordinated effort led by Attorney Gregory Dell, our client’s physicians, employer, and accountant provided all of the information necessary to submit the application for long-term disability benefits. Once the application was submitted, Unum requested to speak with our client, and that conference was attended by Attorney Gregory Dell and his client.
Within 30 days of submitting the application for long-term disability benefits our client’s claim for long-term disability benefits was approved. Dell Disability Lawyers was able to assist our client in obtaining a quick approval for long- term disability benefits, as Dell Disability Lawyers has submitted disability applications on behalf of hundreds of disability claimants. Dell Disability Lawyers continues to handle our client’s long-term disability claim on a monthly basis and Unum is required to direct all communications directly to our office.
Attorney Gregory Dell stated, “It is important to anticipate and be prepared to submit every relevant document the disability carrier may request, otherwise a claimant’s application process can take six months to a year to obtain a claim decision. After deposing the claim representatives and reviewing the internal claims handling manuals of every major long-term disability insurance company, my team of lawyers has a great understanding of exactly what the disability insurance companies need to see in order to approve a claim.”
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Q: FMLA and my LTD claim
Q: Is the recipient responsible for overpayment when they had nothing to do with the reporting?
Q: Does UNUM periodically review Group Long Term Disability Insurance claims/payments? For example, do they verify medical eligibility every five or ten years?
Q: Unum is cross plan offsetting
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