When Accidental Death Isn’t “Accidental”: How Insurers Use Policy Language to Deny AD&D Claims
Accidental Death and Dismemberment (AD&D) insurance promises financial protection after an unexpected tragedy. These policies are marketed as straightforward—if a person dies or suffers a serious injury due to an...
Understanding the Timeline: What Happens After You File a Long-Term Disability Claim?
Filing a long-term disability (LTD) claim is a significant step toward securing the benefits you need to maintain financial stability during a serious medical challenge. But what happens next can...
How to Respond to a Request for Additional Documentation During the LTD Review Process
If you’ve filed a long-term disability (LTD) claim, receiving a request for additional documentation from the insurance company can feel both stressful and confusing. You may wonder what’s missing, whether...
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Disability Insurance Attorneys Representing Radiologists Throughout the U.S.
At Disability Insurance Law Group, our attorneys represent radiologists nationwide who have suffered the trauma of a disabling injury, illness, or condition that keeps them from working, only to be doubly overwhelmed by the claims process required to access the benefits they are entitled to under their policies.
We know how hard you have worked to become a radiologist, and when a disability upends your career and livelihood, the last thing you need is resistance in obtaining benefits from your private or employer-supplied insurance provider.
Conform with the American Board of Physician Specialties (ABPS) Code of Ethics.
Have an unrestricted license to practice medicine in your state.
The substantial physical and financial investments you make to become a radiologist are often protected by disability insurance should the unthinkable happen. Whether your disability insurance is through a private policy or employer-provided group policy, it should be there when you need it.
Can Disability Insurance Law Group Handle Private and Employer-Supplied Insurance Claims?
Disability insurance provides financial protection for radiologists nationwide should they become unable to work due to a disability or injury, whether they have a private or employer-supplied policy, often governed by the Employee Retirement Income Security Act of 1974 (ERISA).
Private disability insurance and ERISA-governed disability insurance are two distinct types of disability insurance with significant differences in coverage, regulation, and features.
Private Disability Insurance
Private disability insurance is purchased by individuals directly from insurance companies or through insurance agents. Policyholders pay the premiums themselves, and the policy is owned and controlled by the individual. It is typically used to supplement any employer-provided disability coverage.
These policies are regulated at the state level. State insurance departments oversee and regulate these policies to ensure compliance with state laws, including claims processing, policy terms, and benefit payments.
The definition of disability can vary widely among private insurance policies. Some policies may use an “own occupation” definition, which considers the insured disabled if they cannot perform the duties of their specific occupation. Others may use an “any occupation” definition, requiring the insured to be unable to work in any occupation for which they are reasonably suited.
When a disability claim is denied under a private insurance policy, the appeals process typically involves communication and negotiation between the policyholder and the insurance company. Policyholders have the right to take legal action against the insurance company if their claim is unfairly denied, and the legal process is subject to state laws.
ERISA-Governed Disability Insurance
An employer provides ERISA disability insurance as part of the employee benefits package. The premiums are often paid by the employer or through employer and employee contributions.
The federal government sets specific rules and requirements for ERISA employee benefit plans, including disability insurance provided by employers.
Many ERISA-governed plans use an “any occupation” definition of disability, meaning the policyholder must be unable to work in any occupation for which they are reasonably qualified. However, the specific definition can vary depending on the plan’s terms.
ERISA-governed plans have a more structured appeals process. If a disability claim is denied, the policyholder must go through the plan’s internal appeals process, including submitting additional information and documentation. If the internal appeals process is exhausted, the policyholder may have the option to take the case to federal court for judicial review.
No matter which type of policy you have or who the insurer may be, our attorneys work tirelessly to ensure that radiologists receive the maximum benefits to which they are entitled under their policy, including both short-term and long-term disability benefits by developing a strategic approach to maximize the likelihood of a successful claim.
Let us take the lead in your case and pursue actual results that allow you to enjoy the quality of life of putting your claim behind you, just as we have successfully done for thousands of professionals nationwide.
At Disability Insurance Law Group, we also offer insurance claims for the following occupations:
Contact Our Dedicated Disability Insurance Claims Attorneys for Radiologists Today
Contact our skilled nationwide disability insurance attorneys for radiologists today by calling (954)-989-9000 or contact us online to schedule a completely free and confidential case assessment so we can put our over 50 years of combined experience to work for you — no matter where you work or live in the U.S.
Do You Need Legal Counsel? We Invite You To Contact Us For A Free Consultation.
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