Why You Should Hire a Long-Term Disability Lawyer

Why you should hire a long-term disability lawyer
Posted By On June 25, 2024

Did you know that in Canada, a staggering 60% of long-term disability insurance claims face rejection? This high rate of rejection underscores the critical role of specialized legal representation. 

Engaging a long-term disability lawyer can make the difference between securing your financial future and facing undue hardship. From guiding you through the application process to representing you in appeals and litigation, a skilled long-term disability lawyer can provide invaluable support and advocacy every step of the way. 

Understanding the Complexities of Long-Term Disability Benefits

Long-term disability (LTD) benefits are designed to offer financial relief when a severe health condition impedes your ability to work. Yet, understanding the myriad stipulations of these policies often proves to be a formidable endeavour. 

These benefits typically cover 50%-85% of your pre-disability income and potentially extend until the age of 65, contingent upon continuous qualification under the policy’s strict criteria. Initially, LTD benefits hinge on proving that you are “totally disabled,” a term that entails an inability to perform your job due to your health condition.

The initial 24 months following the onset of a disability often focus on whether you can perform the duties of your own occupation. After this period, the criteria may shift to any occupation for which you are suited by education, training, or experience. 

The intricate nature of these definitions and their implications on your claim underscores the necessity for professional legal counsel.

Essential Steps in the Long-Term Disability Application Process

Filing for LTD benefits involves several detailed and critical steps that must be followed to avoid jeopardizing your claim, such as:

  • Documenting your disability: Collecting thorough documentation, like medical records, tests, and physician statements, is crucial to prove your disability. The accuracy and completeness of this evidence are vital for your claim.
  • Precision in completing application forms: Accuracy in completing application forms is paramount. Ensure all information is precise and complete to avoid potential setbacks. 
  • Meeting deadlines: From observing waiting periods to submitting required forms promptly, meeting deadlines is imperative. Failure to do so may result in a denial of benefits, exacerbating your challenges.
  • Enlisting the services of a skilled disability lawyer: Long-term disability lawyers specialize in disability law and have a deep understanding of the legal complexities surrounding disability claims in Canada.

    They can navigate the intricate regulations and statutes governing disability benefits, facilitate paperwork, and negotiate with insurance companies to protect their clients’ rights.

Understanding Denials

There can be various reasons why the disability claims can be denied. The following outlines some of the possible reasons that can lead to a denial:

  • Policy complexity: Insurance policies often contain intricate definitions of “total disability,” posing challenges for claimants. Legal expertise is crucial to navigate these complexities and ensure alignment with policy terms.
  • Unfair practices: Insurance companies may unfairly modify or terminate policies, leaving claimants vulnerable. A proficient long-term disability lawyer can challenge such practices and uphold claimants’ rights.
  • Incomplete documentation: Insufficient documentation often leads to claim rejections. A skilled lawyer ensures all necessary evidence is compiled and presented effectively.
  • Coverage parameters: Determining coverage under long-term and short-term disability policies depends on various factors. From physical disabilities to mental health issues, understanding coverage criteria is pivotal.
  • Benefit entitlements: Disability benefits serve as a financial lifeline during incapacitation. Adherence to policy requirements is essential to access these benefits.

Every disability claim brings its unique challenges, shaped by specific policy stipulations and individual circumstances. Understanding the intricate details of disability law and insurance policy language is paramount.

A long-term disability lawyer possesses the nuanced understanding necessary to interpret these complexities. Their expertise becomes crucial in transforming a rejected claim into a successful settlement, ensuring your rights are defended with precision.

The Benefits of Hiring a Long-Term Disability Lawyer

Let’s explore why enlisting the expertise of a long-term disability lawyer is not just a choice, but a necessity for securing any benefits you may be owed:

Assistance With the Application Process

A long-term disability lawyer can guide you through the entire application process, helping you gather the necessary documentation, complete forms accurately, and meet deadlines. Their expertise can significantly increase the likelihood of a successful claim.

Partnering With Medical Experts

A long-term disability lawyer does more than compile documents; they actively collaborate with your healthcare providers to secure supportive medical opinions. They know the precise questions that reveal the full extent of your limitations, which is a crucial aspect often overlooked by generic forms provided by insurers.

Building a Strong Case From the Start

Most claimants are unaware that introducing new evidence is generally not permitted in a lawsuit against an insurer. This is where a seasoned long-term disability lawyer’s strategy to prepare your claims file meticulously pays off.

They ensure that every piece of medical evidence and expert opinion strengthens your case right from the outset, eliminating surprises during internal appeals or court proceedings.

Minimizing Risks and Avoiding Costly Errors

The application process for disability claims is intentionally complex, a tactic insurers use to exploit unrepresented claimants. A long-term disability lawyer not only clarifies the fine print of your insurance policy, but also safeguards against damaging misstatements that could adversely impact your claim.

Filling out forms incorrectly or failing to submit the proper medical documentation can lead to claim denial. A skilled lawyer ensures meticulous completion of all required documents and provides strategic advice to enhance the strength of your claim.

The Importance of Vocational Experts

Depending on the specifics of your policy, whether it covers your “own occupation” or “any occupation,” your long-term disability lawyer might engage a vocational expert. 

Such experts play a pivotal role in demonstrating how your disability affects your ability to work, providing testimony that counters any biased experts the insurance company might employ.

Levelling the Playing Field

Insurance companies prefer to deal with unrepresented claimants, as it simplifies the process of denying claims without substantial justification. Having a legal advocate compels the insurer to consider your claim seriously. 

A long-term disability lawyer champions your interests and signals to the insurance company that you are fully prepared to pursue legal avenues to challenge any unfair denial.

Appeals and Litigation

Should your initial claim be denied, a long-term disability lawyer is critical for the appeals process. This stage may require more detailed evidence provision and robust argumentation of your case, which are tasks best handled by a professional who understands the legal standards and evidentiary requirements.

Choosing the Right Disability Lawyer

Choosing a disability lawyer requires careful thought. Here are four important factors to consider:

  • Experience: Opt for lawyers with a proven track record in disability insurance claims, ensuring adeptness in navigating the nuances of such cases.
  • Success rate: Evaluate a lawyer’s efficacy through their history of overturning rejected claims, indicative of their prowess in advocating for clients.
  • Fee structure: Consider the fee arrangement, opting for a transparent structure aligned with your financial comfort zone.
  • Reputation: Prioritize lawyers with sterling reputations, substantiated by positive client testimonials and referrals.

Take Action With a Trusted Long-Term Disability Lawyer

If your long-term disability claim has been unjustly denied, or if you’re struggling with the complications of the claims process, it’s time to enlist professional help. Our team of long-term disability lawyers at Affinity Law is here to advocate for your rights and secure the compensation you deserve.

With unique insights gained from defending insurers, we’re expertly positioned to challenge unfair denials and secure the benefits you deserve. Contact Affinity Law today to schedule a free consultation at 1-844-786-8766 or contact us here.