When a serious injury or illness prevents you from working, one of the first concerns is often health insurance. Employer-sponsored coverage can come to an abrupt end at the very moment medical care is most important. In many situations, however, individuals may be entitled to continued coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA)....

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Insurance companies may deny your ERISA claim because you missed a deadline, made a mistake filling out paperwork, or because you’re deemed ineligible for coverage. Insurance companies may also note limitations or exclusions in your policy as a justification for denial, which are sometimes hidden in the fine print of your policy. In situations like...

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The answer in some cases is, unfortunately, yes. Say that you are receiving long-term disability (LTD) benefits and then get a lump sum back payment from the government for Social Security Disability Insurance (SSDI). Your insurance company may try to collect that lump sum. The insurer will claim that they overpaid your benefits. If you’re...

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Most people encounter the word “ERISA” for the first time when their employer-sponsored benefits have been denied. These kinds of claims can be complicated and frustrating, and if you aren’t careful, you may lose your ability to obtain the benefits you were wrongfully denied. This is why it’s so important to speak with an ERISA...

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When you are covered by an employer-sponsored benefit plan, understanding the ERISA claims process is essential. The Employee Retirement Income Security Act (ERISA) sets strict rules for how disability, health, life, and retirement benefits are handled. From the first claim form to the final review, every step is controlled by ERISA laws and regulations, and...

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Most people do not hear about ERISA until a problem arises with their benefits. When a disability, life insurance, or health claim is denied, ERISA suddenly becomes the set of rules that controls what happens next. The process is technical, full of deadlines, and often tilted in favor of insurers, which is why knowing how...

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Our client was the HR Manager for a nationwide business. Like many, she Googled for help getting her ERISA governed disability benefits when her claim was denied by New York Life. Like many, she clicked on a firm claiming nearly miraculous “success rates” and asserting they were the Best Lawyer Anywhere Ever! What she didn’t...

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