Updated Standard of Care Cements Ruling in Health Benefits Dispute
Proton beam radiation therapy is used to treat various forms of cancer. Rather than using X-rays, proton therapy directs focused energy from protons at tumors. […]
Author: Mark Debofsky
How to Defeat Ambiguities in Disability Insurance Claim Forms
The start of every disability insurance claim is the completion of forms the claimants is required to submit to receive benefits. While the forms are ostensibly designed to be clear and straightforward, the questions asked on the disability insurance claim forms often confuse claimants, and ambiguities in disability insurance claim forms can lead to misunderstandings and delays in the processing of claims. […]
Disability Insurer Loses Bid to Limit Benefits Physician Sought
Both federal and state laws mandate parity in health insurance policies between physical and behavioral health conditions. However, mental health parity is not required in disability insurance policies by any state other than Vermont. […]
The Role of the Treating Doctor in a Disability Insurance Claim
Every claim for disability insurance benefits requires the completion of three forms – the claimant’s statement, the employer’s statement, and the attending physician’s statement certifying the claimant’s disability. The claimant’s statement notifies the insurance company about what the claim is about and why the claimant is asserting an inability to work. […]
What Steps Can I take if My Claim for Long-Term Care Insurance Benefits Is Denied?
Long-term care (LTC) insurance is very complex. The requirements for receiving coverage are far more demanding than what is needed to qualify for long-term disability insurance – the insured needs to be unable to perform or needs substantial assistance to perform at least two basic activities of daily living such as feeding oneself, dressing, showering or bathing, toileting, or transferring from a seated to standing position or vice versa. Alternatively, a substantial cognitive impairment would qualify someone to receive long term care insurance benefits. […]