Understanding Long-Term Disability Insurance
Long-term disability insurance is designed to provide income replacement when you are unable to work for an extended period due to a serious injury or medical condition. LTD benefits typically cover 50% to 70% of your salary, depending on the policy.
There are two key definitions of disability used in LTD policies:
- "Own Occupation" Disability – You qualify for benefits if you cannot perform the duties of your specific job.
- "Any Occupation" Disability – You must prove that you cannot perform any type of work to receive benefits.
Many insurance companies use these definitions to their advantage, shifting claimants from “own occupation” to “any occupation” status and cutting off benefits prematurely. We fight back against these tactics to ensure you receive the full duration of benefits under your policy.
- Our expertise
Common Reasons for Long-Term Disability Claim Denials
Insurance companies often deny LTD claims using technicalities, policy loopholes, or insufficient medical evidence. Some of the most common reasons for denial include:
Lack of Medical Evidence
The insurer claims your condition is not severe enough.
Definition of Disability Disputes
The company argues you can perform another job.
Pre-Existing Condition Exclusions
They state your disability existed before coverage began.
Surveillance & Social Media Monitoring
The insurer uses photos or videos to dispute your claim.
Missed Deadlines
ERISA has strict appeal deadlines, and missing them can cost you your benefits.
At Reynolds&, our long-term disability lawyers in Chicago know the tactics insurers use to deny claims, and we have the experience to challenge them effectively.
- Our Support
How We Can Help
Applying for LTD Benefits
The initial application process is critical to securing LTD benefits. A weak or incomplete claim increases the risk of denial. We help you gather strong medical evidence, obtain physician statements, and submit a compelling claim from the start.
Appealing a Denied LTD Claim
If your LTD claim has been denied, you have the right to appeal—but you only have one chance to build a strong administrative record before your case goes to court. We will:
Obtain and review your insurance company’s claim file.
Gather additional medical and vocational evidence.
Consult with medical experts.
Submit a comprehensive, legally sound appeal.
Filing an ERISA Lawsuit
If your appeal is denied, the next step is litigation. ERISA lawsuits are highly technical and follow strict court procedures. We have extensive experience litigating against insurance companies and securing benefits for our clients.
Why Choose Our Long-term Disability Lawyers in Chicago?
If your long-term disability claim has been denied, delayed, or unfairly reduced, you don’t have to fight alone.