Who We Help

Our disability insurance lawyers help any individual that is seeking short or long term disability insurance benefits from an insurance company. We have helped thousands of disability insurance claimants nationwide with monthly disability benefits ranging from $500 to $90,000 a month. With more than 40 years of disability insurance experience we have helped individuals in almost every occupation and we are familiar with the disability income policies offered by every disability insurance company. We have represented employees from the largest companies in the world and regularly represent business professionals such as doctors, lawyers, consultants, dentist, business owners, veterinarians, executives, accountants, nurses, engineers, pharmacist, analyst, IT pros, managers, pilots, professional athletes, financial advisors, teachers, professors, police officers, sales reps, and government employees. We represent clients nationwide and we encourage you to contact us for a free immediate phone consultation with one of our disability insurance attorneys.

Why Do Disability Companies Ignore Your Job Duties?

Disability insurance companies are trained to look for reasons to deny a claim rather than support claim approval. In a disability insurance claim the definition of "disability" in your disability income policy defines the duties you must be unable to perform in order to qualify for monthly benefits. Most disability policies contain language that in order to get paid benefits you must satisfy either an "own occupation" or "any occupation" definition of disability. Disability insurance companies sell different types of disability income policies and the definition of disability varies in each policy. The challenge in every disability insurance claim is that disability companies manipulatively focus on the generic physical demand classification of your occupation and ignore how your job is actually performed for your employer. The disability company will describe your job generally as one of five physical strength classifications:

S - Sedentary Work

Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

L - Light Work

Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

M - Medium Work

Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.

H - Heavy Work

Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work.

V - Very Heavy Work

Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.

The majority of jobs have physical strength requirements of "Sedentary" and disability claim examiners are trained to ignore the mental requirements of your job and the way in which you perform the job for your employer. For example, if you are a person with a job that requires you to use a computer for more than 4 hours a day, then the disability company will determine that if you can sit in a chair for more than four hours a day then you should be able to do your job. The disability carrier will not consider how your pain and discomfort prevents you from focusing and being able to complete your daily job duties. If a job required nothing more than sitting, then a 16 year old with no education or work experience would be able to do every sedentary job as long as he or she could sit for more than 4 hours a day, 5 days a week. When people apply for jobs, the job description requires significantly more than the general definition of "sedentary" listed above.

Tips For Describing Your Occupational Duties

Your disability company's failure to properly evaluate your occupational duties is a technique that they have been using since the 1930's. We work with our clients to present the disability company with very extensive descriptions of their occupational duties. Most employers have job descriptions and we often find that the employer provided descriptions do not accurately describer the material duties that you perform each day. In order to fully describe how our client performed his or her job we have done the following: request copy of our client's daily calendar, obtain statements from co-workers and past supervisors, provide copies of sample work that has been completed by our client, provide a job description from another person with the same job, retain a vocational expert to interview you and describe the job in great detail, request a recorded interview with the disability company and perform industry specific research to make the disability insurance company understand the demands of your job. A disability company cannot reasonably evaluate your claim by simply relying on a generic physical job classification.

Inability to Perform Your Job Duties May Not Qualify You For Disability Benefits

It's important that you understand how "disability" is defined in your policy and if the definition of disability will change after a certain period of time. Every word in your policy definition of disability has specific meaning that can impact your eligibility. Our disability lawyers are available to provide you with a free review of your disability insurance policy. Let's take a look below at some of the most common definitions of "disability".

Own Occupation Disability

The "own occupation" definition, also known as "regular occupation", is usually defined as the inability to perform the substantial and material duties of his/her regular occupation. Unless your disability policy states otherwise, "regular occupation" is the way in which you performed your job for your employer before you became disabled. This means that your job title is irrelevant and the insurance companies must perform a close analysis of how you performed your job. Unfortunately, there are many policies that are not truly "own occupation" definitions of disability, because the policy will define "regular occupation" to mean how your job is performed in the national economy and not how your job is performed for your employer. We call this the "national economy" definition of disability. The national economy definition is a problem in many claims because a job title does not always match the way a job is generally performed. There have been hundreds of cases litigated as a result of claims being denied due to the way in which the disability company defines how a person's job is performed in the national economy. When dealing with the national economy definition of disability, we work with vocational experts and other members of your profession to define the job as close as possible to how you performed your job. There are many own occupation definitions of disability that may allow you to collect your full monthly disability an work in a different occupation.

Any Occupation Disability

In many policies after 12 or 24 months of a "regular occupation" definition of disability, the definition of disability will change to the inability to perform any job for which you have experience, education or training. This is known as the "any occupation" definition and is similar to the social security definition of disability. In some disability policies, "any occupation" will be defined as the inability to perform any job that pays at least 60% of what you were earning prior to your disability. It is common for disability claims to be denied when a claimant transitions from the regular occupation definition of disability to any occupation. The evaluation of a claimant's eligibility for a change in definition usually starts 4-6 months prior the change of definition date.

Total And Residual Disability

Many long-terms disability income policies provide for both total and residual (partial) disability benefits. Total disability, another name for "own occupation", is usually defined as the inability to perform the substantial and material duties of your occupation, or some variation thereof. Residual disability is often defined as the inability to perform one or more duties of your regular occupation, or the inability to perform these duties for as much time as before, and you have suffered a loss of at least 20% of your pre-disability income. Residual disability is intended to allow a claimant to continue working in their occupation and receive monthly disability payments based upon a percentage of income loss each month. For example, if a claimant is working while disabled and earns 50% of his or her pre-disability income, then the claimant would be eligible for 50% of the monthly benefits. We have handled many cases where a claimant should be considered totally disabled and the disability company is wrongfully paying residual disability benefits. In some cases a claimant will not be eligible for life-time benefits if they are considered residually disabled instead of totally disabled. Read about a case we handled for a dentist that was wrongfully classified as residually disabled when he should have been totally disabled.

It is imperative to always have a strong understanding of the definition of disability in your policy. We constantly work with our clients to make sure that their medical records contain the appropriate support to satisfy the appropriate definition of disability. The number one reason for denial is that the medical records don't contain sufficient information to the support the claim. It is essential that your treating doctors understand your definition of disability so that your medical records can be properly documented. We work with our clients and the doctors to help make sure your records contain the required information. We also like to make sure that your doctor discusses your occupational duties with you. The insurance companies can attempt to call your doctors at anytime and if your doctor does not understand why you cannot perform your job, then the chances of getting disability benefits is very slim. We recommend that your doctor never speak to the insurance company without first speaking to you. We will educate you and your doctor so that the proper information can be supplied to your disability company. We always offer a free phone consultation and we welcome you to contact us at any stage of your disability benefit claim to learn how we can assist you.

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