Whether you seek benefits for a brief span of time or for a much longer timeframe, you must deal with an impairment. That impairment places restrictions on certain aspects of your life. Hence, the definition for disabled remains the same, regardless of the amount of time during which any benefits must be delivered to the disabled policy holder.
Another feature shared by STD and LTD benefits
Both promise the delivery of an amount of money that equals between 60% and 85% of the recipient’s previous weekly income. The insurance company can lower that amount, if you have found another source of funds.
Primary features of a STD benefit
Used by someone that has an impairment for a short amount of time. In Ontario. Canada, the government payments arrive weekly for up to 15 weeks. In both Canada and the United States, the person that has purchased a policy from an insurance company can expect payments for up to 6 months.
When do the payments start? The start date comes after the policy holder has provided the insurer with a statement from a treating physician. That statement should include the doctor’s prognosis.
Primary features of LTD benefit
It is used by someone that has a permanent impairment. The benefit includes money to cover the cost of rehabilitation services. The payout period can have a temporary halt, if the insurer has demanded proof that the policy holder remains unable to work.
Possible reasons for a denial of payment
A mistake has been made during the process of completing the application or in the process of filing the application. It fails to provide the insurer with all of the requested information and the adjuster asks for a re-evaluation of the applicant’s claims.
What action can be taken if STD or LTD benefits have been denied?
The applicant can appeal the decision. The chances that the appeal will be granted increases, if the same applicant has hired a lawyer. That expert in legal matters can also help with correcting any previous mistake, so that the insurance company no longer has any grounds for sticking with the denial of benefits.
Still, even with a lawyer’s help, an applicant might remain unable to feel assured of a benefit’s delivery. Yet that does not mean that the person that received the denial must face a life in which there will be no source of financial assistance. Lawyers understand what to do, if a client faces such a problem.
Personal Injury Lawyer in Cambridge know how to sue for bad faith. An insurance company can be charged with bad faith, if it has denied payments to a policy holder that has sent in all the requested money for his or her chosen policy.