Discover how to reverse your long term disability insurance claim denial via the company’s ERISA administrative appeals process.
The Answers to Your Questions About Long Term Care Insurance
1. My parents have a long term care policy. What kind of insurance benefits are they entitled to? Generally, long term care insurance provides benefits to pay for care when one is no longer able to perform “activities of daily living” or has a “severe” cognitive impairment. The type of benefits provided depends upon the […]
How to Choose a Lawyer to Fight a Denial of Your ERISA-Governed Life, Health, or LTD Benefits
You have made a claim for Life, Health, or LTD benefits under your employer’s Benefit Plan. The claim has been denied or your benefits terminated. You need[1] to appeal the denial, or if you have already appealed, and the appeal was denied, and you now want to file a lawsuit to obtain the benefits. You […]
Kantor & Kantor Wins Appeal Forcing Anthem to Pay for Residential Treatment for Client with Mental Illness
Over 50 million Americans have a mental illness. Despite this overwhelming number, the denial of health insurance coverage for mental health treatment continues to be extremely common, despite federal and state parity laws that are supposed to ensure fairness. On January 26, 2022, our client was admitted to a residential treatment program for teens and […]
Can I Get Disability Benefits for Parkinson’s Disease?
The answer is yes.Parkinson’s disease is a degenerative nervous system condition where a part of the brain deteriorates, causing more severe symptoms over time. While this condition is best known for how it affects muscle control, balance, and movement, it can also cause a wide range of other effects on a person’s senses, thinking ability, […]
Cigna Doctors Rejecting Health Claims Without Reading Them
ProPublica released a scathing article on March 25, 2023, detailing the manner by which Cigna has systematically denied hundreds of thousands of medical claims in recent years by using automated systems which allow Cigna doctors to “instantly reject a claim on medical grounds without opening the patient file.” Claimants were left with unexpected bills and […]
Wildfire, Landslides and the Efficient Proximate Cause Doctrine
Your home has suffered Mother Nature’s Double Whammy – it was burned or damaged by smoke during a recent wildfire, and now your property has suffered further structural damage from earth movement.Wildfires can destroy vegetation and make soil less permeable, which makes it easier for even short bursts of heavy rain to cause mudslides. If […]
What To Do When the Insurance Company Cancels Your Long Term Care Policy?
Do not assume that the insurance company properly cancelled your policy. You should have the cancellation of coverage reviewed by a long-term care attorney. Insurance companies repeatedly cancel insurance policies in violation of the terms of the policy and/or statutory law.The most common examples of improper cancellations of coverage include the following: 1. When there […]
The Limits Of Arbitration Provisions In The ERISA Context
From the perspective of plan sponsors and fiduciaries, the main advantage of mandatory arbitration is that it has been perceived as a way of avoiding the potentially large recoveries available to plaintiffs in class action lawsuits. But in the Employee Retirement Income Security Act of 1974 context, accomplishing this through arbitration provisions may not be […]
What is NEDA Week?
National Eating Disorders Awareness (“NEDA”) Week is an observance to bring awareness to the seriousness of eating disorders across the United States. Each year, the final week of February is designated Eating Disorders Awareness Week. In 2023, Eating Disorder Awareness Week begins on Monday, February 27th, and ends on Sunday, March 5th. The theme of […]
