27 October

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Your MetLife Long Term Disability Claim and Social Security Benefits

MetLife has written an interesting article that has some basic overviews of Social Security questions and answers. While the information is helpful, you need to understand that MetLife requires you to apply for Social Security Disability benefits as part of your Long Term Disability claim. While they try to explain the benefits as to why you should apply for Social Security Disability benefits, they really don’t make is clear that your Long Term Disability benefits will be reduced by MetLife once you’ve received Social Security Disability benefits. They also recommend that you call MetLife to discuss hiring an attorney to represent you...

27 October

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Dr. Gerson and Your Long Term Disability Claim

Posted by Nancy Cavey

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Dr. Gerson is a well-known psychiatrist in the Long Term Disability world who makes millions doing part time reviews for companies like UDC. Dr. Gerson MO is clear, as revealed in an article “Doctors Paid to Aid Insurers in Disability Claim’s Denial” by Evan George. Mr. George noted that Prudential Claims uses Dr. Gerson to perform medical reviews as an independent contractor. According a Prudential Claims worker, Dr. Gerson tells them how to successfully deny claims including that of a woman with a brain tumor. Dr. Gerson will suggest surveillance and/or having neuropsychological examination among other tests. The Long Term Disability carrier...

27 October

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Multiple Sclerosis and Your Long Term Disability Claim

Posted by Nancy Cavey

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In Multiple Sclerosis there are a number of mobility challenges you may experience because of weakness, spasticity and balance problems. Weakness is often accompanied by a stiff and heavy feeling in your legs. This weakness and spasticity in your trunk and legs can reduce your balance. It’s important that your medical records and physical therapy notes document the problems that you are having with weakness, spasticity, and balance problems, as those are important parts of your functionality....

27 October

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How Can the Surveillance Company Positively Identify the Long Term Disability Claimant?

Posted by Nancy Cavey

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Long Term Disability carriers spend a lot of money to get pictures of Long Term Disability applicants or recipients so that they can ultimately deny Long Term Disability benefits. They have to make sure they have the right person! How do they do that? The Long Term Disability carrier may provide the surveillance company with a picture of you. The surveillance company will then attempt to match your photo and do at least six other things: 1. Overhear you state your name to someone. 2. Overhear someone else call you by name and you acknowledging your name being called. 3. Exiting a residence...

27 October

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How Long Will You Be Surveyed?

Posted by Nancy Cavey

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Surveillance cases are normally scheduled for a ten hour work day, 6am to 4pm. Most Long Term Disability carriers require investigators to check in with police or law enforcement on a daily basis. Upon arrival, investigators normally take a time shot of your resident for at least 30 seconds. If it’s a gated community they’ll try to make special arrangements to gain access to your community on the pretext doing “work.” Thereafter, most Long Term Disability carriers require that the investigator take time shots of 15 seconds at the beginning of every hour and a final time shot of thirty seconds at...

27 October

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Depositions and Discovery in Wrongfully Denied Long Term Disability Claim

Posted by Nancy Cavey

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The ability to take depositions in the long term disability cases is, unfortunately, limited. That allows of insurance companies like LINA to hide the conflict of interest in its reasons for denying disability benefits. For example, Medhav-Harahwaj is a repeat offender. Ms. Harahwaj has never seen a long term disability claim that she could pay. Fortunately, the court agreed that in Alleen V Lina Ms. Harahwaj could be deposed on topics including LINA’s internal growth procedures, or if LINA took steps to promote accuracy in its claim’s administration, the actual review of the claim filed, whether LINA had a history of large...

27 October

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Chronic Fatigue Syndrome Claims and CIGNA

Posted by Nancy Cavey

in CIGNA Insurance Company

If you are a CIGNA disability policy holder, you should know that CIGNA has internal guidelines for chronic fatigue syndrome that CIGNA long term disability adjusters are supposed to follow in evaluating a claim. Unfortunately, more often than not, CIGNA ignores their own internal guidelines and makes a concerted effort to deny valid claims. If you are a CIGNA policy holder who has been diagnosed with chronic fatigue syndrome, contact Nancy Cavey prior to filing you claim for legal advice about how to be successful with your chronic fatigue syndrome claim; learn about the games that CIGNA will play in denying your...

27 October

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Are you the Victim of UNUM Surveillance?

Posted by Nancy Cavey

in UNUM Insurance Company

UNUM, one of the world’s leading employee benefits providers, offers long-term disability coverage to more than 25 million people. UNUM routinely selects long-term disability cases for surveillance and has practices and protocols for the surveillance companies that it hires. One of the primary companies that UNUM uses for surveillance is Global Options. If you are a UNUM long term disability policy holder, we prepared a special book regarding Long Term Disability surveillance methods. To order your free no obligation copy contact our office today at 727-894-3188. You will have to give us your name and contact information and we will verify that you aren’t in anyway...

27 October

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Hartford Scams and Your Treating Physician

Posted by Nancy Cavey

in Hartford Insurance Company

Long Term Disability carriers collected your premium to make money not pay your benefits. One of the ways that Long Term Disability carriers, such as Hartford, set up and scam you is by asking your treating physician to check off boxes on attending physician statement forms and submit progress notes. Hartford then pays big bucks to its peer review doctors to review your physician’s progress notes and attending physician statements in response to a completely different set of questions from the claims manager. These questions include such infamous questions such as: 1. Are your complaints supported by objective evidence? Answer: The insurance company...

25 October

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How Long Term Disability Carriers Ignore Pain in Determining Own Occupation Eligibility

Posted by Nancy Cavey

in Uncategorized

Many Long Term Disability carriers use the Dictionary of Occupational Titles, they search and stretch definitions of “sedentary” and “light,” close to the relevant plan definition. Additionally, carriers like Standard also ignore side effects of medication, sometimes concluding that you can discontinue the medication and be able to work. A Long Term Disability plan’s administrator abuses its discretion when it fails to consider how the side-effects of clients’ medication impacts the client’s ability to perform their own occupation. See Draby vs. Bell South Telecom, Inc, (89F3d, 755, 741 11th Circuit 1996). Some carriers even reject claims of side effects of medication because of...

Author: Nancy Cavey