Afraid Of Angering Your Insurer? What Nonsense!
Earlier in the week, someone said to me, “If I do that will I make my insurer angry?” “Oh, boy”, I thought, “here we go again.” Throwing aside my first instinct to reply, “Do you care?”, I realized the correct answer is...
COVID’s Administrative Perils -Can’t Find It – No Way, No How
What is becoming increasingly clear in the last few weeks is just how much chaos and disorganization is going on inside insurance companies. Not only is it almost impossible to speak with claims handlers, it is also impossible to keep documentation updated because,...
Everyone On The Net Has A Sad Story
Every disability claim is unique with its own set of circumstances, medical reports and history. The idea that one can “look up”, or research other cases on the Internet, and put together their own strategy from the tales of someone else is pure lunacy....
Prudential – Second Only To Unum In Unfair Claims Practices
Usually, there is so much focus on Unum Group and its unfair claims practices, that the second worst insurance company, Prudential, is often left out of the discussion. Make no mistake, however, Prudential and its close ties to Unum, remains steadfast in unfair claims...
Unum And Reservation Of Rights
I’ve been hearing quite a bit about Unum and “Reservation of Rights” lately. It doesn’t surprise me that Unum would suddenly resurrect the “old ROR dog” it used on a regular basis since we are about 5 weeks to 1st Qtr....
The Hungry Vulture – Unum Denials Begin With A Vengence!
Yesterday, I received 4 calls from claimants reporting denied claims. Although three of them were non-clients I referred everyone to experienced attorneys for Appeal processing. They were all ERISA claimants with Unum Plans, and one person was from Texas. So, in the...
Guardian’s Nastiness! “Any Entity That Is Nasty Is Already Beneath You”
Fifteen years ago, Berkshire/Guardian used to be a decent, fair-minded insurance company, but like all others who merge, the tide changes and insurers always seem to become like each other – unfair and downright nasty at times. Guardian is now the awful...
Reminder – I Can’t Help You If You Wait Until Claim Termination
In today’s current state of turmoil, even attorneys are recommending that claimants and insureds take special care to continuously support their claims in ways that encourage continued payment of benefit. Opportunities for fair litigation may not exist in the...
First Quarter Profitability Results And Short-Deadlines
This is just a reminder that we are within 2 months of 1st Qtr. profitability. Requests for IMEs, surveillance, and to a lesser extent field interviews will be sent out. Insureds should also be exercising due diligence on “short deadlines” given to...
Employer’s Leave, FMLA And Private Disability
Those who first go out on disability often “intermix” everything that’s happening together with little understanding of any one thing. Understandably, STD can be confusing because there ARE so many things going on at once. First, every employer has a...
The Re-Birth Of Any Occupation Investigations
Any occupation investigations are haphazardly done by ill-advised claims handlers, vocational reps, Genex, and other third-parties. As the insurer’s last hope of denying claims to avoid costly liabilities, the “any occ” process, is so out-of-touch...
Managing STD vs. LTD – Very Different
Let’s start the new year off right with another “educational” article concerning the differences between managing STD vs. LTD. Short-Term Disability In the past, most insurers considered STD a mere “shoo-in” and really didn’t...
Top Ten Worst Disability Insurance Companies In 2020
Clearly, Americans saw 2020 as a very difficult year with changes that no one could have expected. However, disability insurance, and the processing of claims continued, and on a much larger scale, stretching resources and financial committments to the hilt. The...
Relationships With Mental Health Providers
<p class="just")In 2020, my own statistics indicate that more mental health practitioners such as psychologists, psychiatrists and therapists were reluctant to support disabilities due to depression, anxiety and other lesser DSM-5 identified illnesses....
Group LTD 101
I’ve just updated a 98 page mini book I wrote entitled Group LTD 101. If anyone is interested, I’m happy to email the writing to you as a reference. The book had been published on my website for many, many years, but i don’t believe it was actually...
Friday Q & A
What is Unum Aspire? I’ve already written an article entitled “ASPIRE to be Great and Go To Disneyland”. You may want to check out more detail using the Home Page Search for the article. Unum’s Aspire program sends specially chosen claims...
Insurance Robber Barons White Paper By Linda Nee 2018
Statistics published by the Health Insurance Association of America (HIAA) report three out of ten American workers file disability claims before retirement. Of the thousands of disability claims filed in the United States, excluding Social Security, approximately 20%...
Article By Anonymous Former Client
Investigation of Your Claim: Fraud is Not Always the Focus Disability insurance fraud is where a person, alone or in collusion with others, willfully makes a false statement or misrepresentation, or withholds a material fact for the purpose of collecting benefits. ...
Disability Claimant’s Bill of Rights – 2021
As a direct or indirect party to a disability contract involving insurance coverage for disability or income replacement (IDI), you are entitled to generally recognized rights of expectation that the provisions agreed to in the Plan or policy contract are adjudicated...
GROUP LTD POLICY REVIEW WORKSHEET – REVIEW YOUR PLAN!
To begin this year with a more knowledgeable perspective, I put together the template below to guide you when reviewing your Group LTD Plan. This template will be particularly helpful to new claims as well as ongoing claims....
