There are, generally speaking, two types of long term disability insurance policies. There are “private” policies which are not obtained through employment. There are also long term disability policies which are obtained as the result of employment.
If you have a long term disability policy through your employer’s group long term disability insurance, the odds are that it is considered an “employee benefit plan” which is subject to a federal law known as “ERISA.” If you have a long term disability policy which is subject to ERISA, then the federal law known as ERISA, and the Department of Labor regulations applicable to ERISA, will apply to your claim.
If your initial claim for long term disability benefits was denied, you have certain rights under ERISA, including, but not limited to:
- Filing an appeal of the denial with the plan administrator
- Having at least 180 days after the denial to file an appeal
- Obtaining all of the records and documents relied on by the plan administrator in denying the claim
- Having an experienced disability insurance lawyer represent you in your appeal