When you purchased your long-term disability (LTD) insurance policy, you likely assumed that in the event that you became disabled and unable to work that you would be able to collect benefits through your LTD insurance provider.
Sadly, insurers refusing to settle LTD claims is far more common than you might think. And if you have landed on this page, chances are, you have an LTD denial in your hand. But the good news is that you don’t have to see the insurance company’s denial as the end of the road.
With help from a Toronto lawyer, you may be able to handle the insurer and gain access to the benefits that are rightfully yours. Read on to learn more about how disability denials work and how you can go about appealing a denied LTD claim.
Insurance companies have the right to deny long-term disability claims, but only when the claimant does not meet the criteria needed to be awarded benefits. Any reason beyond this could be grounds for a bad-faith insurance claim.
The truth is, more than sixty percent of LTD claims are initially denied. Some insurers look for ways to deny long-term disability claims because paying out the benefits associated with them is going to cost them money. You may need to be prepared to take your LTD claim into your own hands by filing an appeal so you can gain access to the benefits that are rightfully yours.
There are several different types of appeal routes you could take after receiving an LTD denial. First, you could file what’s called an “internal appeal.” Here, you’ll essentially be asking the insurance company to review your application for benefits again.
This can be a good option, depending on why your claim was initially denied. Sadly, some insurance companies use internal appeals as an opportunity to delay your claim further, hoping the statute of limitations expires in the meantime.
For this reason, you may want to move straight to a tribunal hearing or court action. In a tribunal hearing, your appeal is heard by a panel of arbitrators, whereas a court action is heard by a judge and possibly a jury. These types of appeals are a great way of showing the insurance company that you mean business.
Since every policy is different, what might seem like a good appeal option for you may not be best for someone else. The only way to know which appeal is the best to start with in your case is by having your case reviewed by a talented long-term disability lawyer.
If you have recently received an LTD denial and are unsure how to appeal, you may need a qualified Ontario long-term disability lawyer at Jasmine Daya & Co. to help you hold the insurance company accountable.
Schedule your free, no-obligation consultation when you call our office at 416-967-9100 or complete the convenient contact form we have provided below.