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        <title>Disability Insurance Lawyer Blog</title>
        <link>http://www.disabilityinsurancelawyerblog.com/</link>
        <description>Published  By Frankel &amp; Newfield, PC</description>
        <language>en</language>
        <copyright>Copyright 2010</copyright>
        <lastBuildDate>Wed, 03 Feb 2010 13:35:54 -0500</lastBuildDate>
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            <title>UNUM REPORTS HEALTHY FINANCIAL NUMBERS - BUT WHAT ABOUT DISABILITY INSURANCE POLICYHOLDERS?</title>
            <description><![CDATA[<p>Unum Group just released its quarterly earnings report for the end of 2009 that proudly trumpets the company's "favorable operating trends and solid capital position."   President and CEO of Unum is quoted saying "the actions we have taken (sic)  the past several years have positioned us well and provide us with significant operating and financial flexibility."  While that may make the company's shareholders happy, it doesn't do much for the UNUM long term disability insurance policyholders whose claims are being delayed and denied.    When an insurance company does not pay its policyholders, or instills a company-wide policy, unspoken or otherwise, of denying claims, it's considerably easier to show healthy profits.  </p>

<p>For the formerly hard working employees whose employers purchased disability policies through Unum and are now fighting to get their benefits, the company's glowing press release is of little help.  We work with <a href="http://www.disabilityinsurancelawyerblog.com/2010/01/unum-policyholder---we-win-on-appeal-lifetime-benefits-are-reinstated.html"target="_blank"">many individuals </a>who have had to fight to get their benefits from Unum.  If you are having a problem with Unum, or any of the big name disability insurance companies, call our offices now at 1-877-LTD-CLAIM (877-583-2524) and learn how we can help.  <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2010/02/unum-reports-healthy-financial-numbers---but-what-about-disability-insurance-policyholders.html</link>
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            <pubDate>Wed, 03 Feb 2010 13:35:54 -0500</pubDate>
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            <title>Disability Surveillance Footage - When a Picture Really IS Worth A Thousand Words -  and Dollars</title>
            <description><![CDATA[<p>Anyone making a claim for disability insurance benefits needs to be aware that they can, and likely will at some point be under the careful and close scrutiny of a private investigator armed with video cameras.  They may be parked outside your home in the classic low-budget spy thriller van, or they may be watching from a control room in a non-descript office building thousands of miles away.  But if you've filed a claim, chances are good they are watching.</p>

<p>Video surveillance is a relatively inexpensive way for insurance companies to gather additional information about the life and daily patterns of a claimant.  It's also a great tactic to intimidate policyholders.   See our blog on a <a href="http://www.disabilityinsurancelawyerblog.com/2009/11/good-morning-america-continues-to-report-on-outrageous-acts-of-disability-insurance-companies.html"target="_blank"">Good Morning America investigative news story </a>concerning a Florida man suffering from Multiple Sclerosis.  Hartford Insurance tried to scare him with a videotape, and then backed down when the powerful news show exposed this bullying practice. </p>

<p>Not everything that appears on video, however, is what it seems.  If the videotape is being reviewed by the insurance company, chances are they will ignore the slight limp in a woman's gait.  Or that the man only left the house once during an entire week - hardly "normal" behavior for a healthy person.  Instead, the focus will be on the self-serving needs of the insurance company.</p>

<p>What should you do when an investigator shows up in your driveway with a tape?  Ask for a copy.  And call an experienced disability insurance attorney.  There's a lot more to any picture than meets the eye.  An experienced disability insurance attorney knows the strategies used by private investigators to build the insurance companies case as well as they know the law.</p>

<p>If you are being videotaped, call us.  If you've been presented with a videotape and a surveillance log and the insurance company is delaying your benefit payments, call us.  This is one battle you don't want to fight alone.   <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2010/01/disability-surveillance-footage---when-a-picture-really-is-worth-a-thousand-words---and-dollars.html</link>
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            <pubDate>Mon, 25 Jan 2010 11:08:04 -0500</pubDate>
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            <title>Who is Your Disability Advocate?  </title>
            <description><![CDATA[<p>Trying to advocate for yourself once you've been admitted to a hospital is practically impossible.  If you are lucky enough to have a family member who knows the ins and outs of hospitals and health insurance, you can focus on getting better.  If you don't, the hospital social worker will go toe-to-toe on your behalf with hospital staff, administration, insurance companies, etc.  They are experienced and knowledgeable, and it's their job to help you at a time when you cannot help yourself.</p>

<p>The same holds true for a sick or injured person with a disability insurance claim who is not getting the right treatment from the disability insurance company.  You need to focus on getting better and taking care of yourself.  Your advocate should be an attorney who will fight for you, who has the experience, knowledge and the aggressiveness required to do battle with a large company that simply doesn't care.  </p>

<p>If you read through our <a href="http://www.disabilityinsurancelawyerblog.com/2009/12/aggressive-representation-by-frankel-newfield-gets-hartford-disability-benefits-reinstated-and-back.html"target="_blank"">case studies on the blog </a>and <a href="http://www.frankelnewfield.com/success-stories-litigations.asp"target="_blank"">on our website</a>, you will see how Frankel & Newfield fights for our clients.  Our determination and relentless advocacy are well known by the insurance companies.  If your disability insurance claim has been denied or is being delayed, if you are considering a settlement, call our office at 1-877-583-2524 to learn how we can help. <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2010/01/who-is-your-disability-advocate.html</link>
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            <pubDate>Mon, 18 Jan 2010 12:17:58 -0500</pubDate>
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            <title>UNUM Policyholder - We Win on Appeal, Lifetime Benefits Are Reinstated</title>
            <description><![CDATA[<p>A New Jersey doctor has been on residual disability with UNUM for over ten years as a result of a sickness that limited his ability to practice as an obstetrician/gynecologist.  The language of his UNUM policy states that if he becomes totally disabled before age 65 because of an Injury, UNUM must pay benefits for the rest of his life. </p>

<p>Almost immediately prior to turning 65 the doctor became totally disabled based upon bi-lateral carpal tunnel syndrome.  We immediately notified UNUM that the doctor was unable to perform any of the material and substantial duties of his occupation because he was totally disabled based upon an injury.   </p>

<p>Not surprisingly, UNUM stopped paying benefits at age 65, stating that he was not totally disabled and furthermore, that carpel tunnel syndrome was not an injury.  </p>

<p>Once again, a disability insurance company is trying to stop making payments.  At over $20,000 a month, the doctor, has already received more than $2.4 million in benefits, based upon a sickness - not payable for lifetime benefits.  Not hard to figure out why UNUM would want to cut him off.</p>

<p>Our firm was retained to represent him in an appeal, and with aggressive representation, we were successful.  After performing extensive research, developing and attacking the underlying bases for UNUM's position, and submitting an Appeal to UNUM addressing these issues, we were able to convince UNUM that carpal tunnel was an injury and not a sickness warranting benefits for life.  </p>

<p>Now the doctor will receive full payment - over $20,000 per month - for the rest of his life.    <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2010/01/unum-policyholder---we-win-on-appeal-lifetime-benefits-are-reinstated.html</link>
            <guid>http://www.disabilityinsurancelawyerblog.com/2010/01/unum-policyholder---we-win-on-appeal-lifetime-benefits-are-reinstated.html</guid>
            
            
            <pubDate>Tue, 05 Jan 2010 16:53:12 -0500</pubDate>
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            <title>AGGRESSIVE REPRESENTATION BY FRANKEL &amp; NEWFIELD GETS HARTFORD DISABILITY  BENEFITS REINSTATED AND BACK BENEFITS PAID IN FULL </title>
            <description><![CDATA[<p> Our client, a Global Product Manager with a large international bank, suffers from a painful orthopedic condition that makes it impossible for him to perform in his job.  Hartford went after his disability insurance benefits on several fronts, and we fought back and won.  </p>

<p>They started with a peer review, where an outside company hired by the insurance company engages one of its repeat offending paper reviewing doctors to perform a selective review our client's medical records.  We had worked with our client's doctors to make sure that their files properly and specifically documented not just his condition, but the severe limitations that his condition created. Our doctors swiftly and thoroughly rebutted the insurance company doctors' claims.</p>

<p>We followed with an aggressive attack on the peer reviewing doctor's opinions, which was clearly falsifying his diagnosis and failing to accurately review medical records.  The paper reviewing doctor's opinions were slanted by the peer review company in order to give the insurance company only what it wanted, and not the unbiased and honest review that they are allegedly hired to provide and which is legally required by ERISA, a  federal law.</p>

<p>Our next level of attack involved a rebuttal of the insurance company's surveillance, which had videotaped our client in his yard, mowing the lawn for a few minutes.  We forcefully attacked their surveillance, relying upon a recent <a href="http://www.disabilityinsurancelawyerblog.com/2009/11/good-morning-america-continues-to-report-on-outrageous-acts-of-disability-insurance-companies.html"target="_blank"">Good Morning America </a>broadcast and case law that revealed the treacherous use of surveillance on disability insurance claimants by Hartford and other insurers.</p>

<p>The results speak for themselves.  Our client's claim has been reinstated, and he received full back benefits and reinstatement to his employer's other employee benefits.  <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/12/aggressive-representation-by-frankel-newfield-gets-hartford-disability-benefits-reinstated-and-back.html</link>
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            <pubDate>Wed, 30 Dec 2009 13:18:07 -0500</pubDate>
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            <title>Court Rejects &quot;Result Driven&quot; Functional Capacity Evaluation</title>
            <description><![CDATA[<p>In the field of disability insurance, a trend that has seen a tremendous surge has been the insurance companies' utilization of Functional Capacity Evaluations ("FCE's").  This trend has caught a number of unsuspecting claimants in a web that has tangled their ability to continue receiving their disability payments.</p>

<p>Thankfully, some courts are beginning to see through these issues.  One court recently rejected a claim termination that was based upon a "result driven" FCE.  The FCE, which concluded that a claimant could perform greater than sedentary work over an eight hour day, was rejected, in large part because the examiner focused upon the puported self-limiting behavior, rather than relying upon the testing and observations for assessment of functional ability.  <em>Lowery v. UNUM Life Ins. Co.</em></p>

<p>Many insurers seek FCE's even where the policy does not specifically permit the right to conduct such an evaluation.  In these instances, we typically aggressively challenge the insurers' right to the evaluation, based upon policy language, as well as legal challenges concerning the reliability of the test results, and medical challenges to the safety of such evaluations.</p>

<p>If your insurer is attempting to compel you to attend an FCE, we strongly urge you to engage counsel to protect your rights.</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/12/court-rejects-result-driven-functional-capacity-evaluation.html</link>
            <guid>http://www.disabilityinsurancelawyerblog.com/2009/12/court-rejects-result-driven-functional-capacity-evaluation.html</guid>
            
                <category domain="http://www.sixapart.com/ns/types#category">Long Term Disability News</category>
            
            
            <pubDate>Mon, 28 Dec 2009 15:19:49 -0500</pubDate>
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            <title>HOME FOR THE HOLIDAYS  for all the wrong reasons? </title>
            <description><![CDATA[<p>The holidays are a time of joy and celebration.  But if an injury or illness has made it impossible for you to work,<a href="http://well.blogs.nytimes.com/2009/12/22/after-holidays-a-rise-in-disability-claims/"target:"_blank""> the holidays are an especially challenging time of year</a>.   If you are up against what seems like a Great Wall of Disability, where the long term disability insurance policy that you counted on has instead become an obstacle that you can neither go around, over or through, it may be time to consider retaining an attorney.  If you are not sure what your next move should be, call our offices.  You have enough to deal with.  We can help.  </p>

<p><br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/12/home-for-the-holidays-for.html</link>
            <guid>http://www.disabilityinsurancelawyerblog.com/2009/12/home-for-the-holidays-for.html</guid>
            
            
            <pubDate>Wed, 23 Dec 2009 15:40:58 -0500</pubDate>
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            <title>Court Finds Decision Arbitrary and Capricious </title>
            <description><![CDATA[<p>Despite acknowledging that the abuse of discretion standard of review is quite deferential to plan administrators, a court has determined that Harvard's termination of benefits was an abuse of discretion.  The Court found the administrator improperly rejected the panoply of supporting physicians, and that the only medical opinions that were unfavorable to the claimant were those procured by the administrator.  The Court also was troubled by the failure to consider both Social Security and Workers' Compensation awards.</p>

<p>In language that can be offered to other Courts throughout the country, the Judge stated that while "plaintiffs seldom if ever prevail when the standard [abuse of discretion] is applied.  But seldom if ever cannot mean never at all, or the promise made to claimants that federal courts will review their benefits decisions for abuses of discretion would be a cruel and illusory exercise."  <em>McGahey v. Harvard University</em></p>

<p> </p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/12/court-finds-decision-arbitrary-and-capricious.html</link>
            <guid>http://www.disabilityinsurancelawyerblog.com/2009/12/court-finds-decision-arbitrary-and-capricious.html</guid>
            
                <category domain="http://www.sixapart.com/ns/types#category">Long Term Disability News</category>
            
            
            <pubDate>Wed, 23 Dec 2009 15:29:41 -0500</pubDate>
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            <title>MSNBC Reports:  Job Losses Send Disability Claims Soaring</title>
            <description><![CDATA[<p>The impact that the <a href="http://www.msnbc.msn.com/id/34381782/ns/us_news-the_elkhart_project/sp-tx"target="_blank"">twin forces of a deep recession and an aging boomer population </a>is having on increasing disability claims across the country is no news to Frankel & Newfield.  The phone calls and emails received in our office over the last six months are from people between a rock and a hard place.  In a kinder economic environment, the workplace might have been more flexible with doctor's appointments and more than usual sick days.  Today there's little room for employees with problems, regardless of circumstances.  And once a disabled person is out of work, there are fewer opportunities, and fewer options.  A formerly healthy and hardworking person who is <a href="http://www.disabilityinsurancelawyerblog.com/2009/11/the-new-insurance-paradigm---blame-the-insured.html"target="_blank"">out of work and applying for disability because of illness or an accident </a>should not be treated like a slacker.   </p>

<p>Frankel & Newfield does not represent clients with Social Security claims.  If you have a disability claim through a plan offered by your employer or a private disability insurance policy and you are concerned about protecting your benefits, call us.  <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/12/msnbc-reports-job-losses-send-disability-claims-soaring.html</link>
            <guid>http://www.disabilityinsurancelawyerblog.com/2009/12/msnbc-reports-job-losses-send-disability-claims-soaring.html</guid>
            
            
            <pubDate>Fri, 18 Dec 2009 09:37:54 -0500</pubDate>
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            <title>Prudential Disability Insurance Policyholder - A Successful ERISA Appeal from Frankel &amp; Newfield </title>
            <description><![CDATA[<p>Despite bringing in one of the insurance industry's big guns for hire - a doctor whose practice is more focused on helping insurance companies keep a healthy bottom line than with patient care - Frankel & Newfield has won an ERISA appeal for yet another client.</p>

<p>The Prudential disability insurance policyholder was a Vice President with a global financial company, with a disability insurance policy commensurate with her income level.   She suffers from several severe orthopedic conditions, including coccydydnia and lumbar radiculopathy.  She is unable to sit in a car or at a desk, and the intense pain makes it impossible for her to perform at the high levels that got her to the senior position she held.</p>

<p>Prudential first delayed, then denied the claim.  We knew that the high dollar value of the monthly benefit was the real reason the disability insurance company was trying to stop her claim.  We also knew that she could not work, and deserved the benefits in her policy.  Prudential brought in an insurance doctor whose presence always signifies a serious and expensive claim.  We were ready.</p>

<p>Effectively utilizing our client's treating physician, we delivered a powerful rebuttal to the peer review and clearly demonstrated that our client was entitled to the benefits in her contract.  Today, she is back on claim, receiving monthly checks, and we continue to manage her claim to make sure that her interests are protected.   </p>

<p>If you are having trouble with a Prudential disability insurance claim, call our office toll-free at 1-877-LTD-CLAIM (1-877-583-2524).<br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/12/prudential-disability-insurance-policyholder---a-successful-erisa-appeal-from-frankel-newfield.html</link>
            <guid>http://www.disabilityinsurancelawyerblog.com/2009/12/prudential-disability-insurance-policyholder---a-successful-erisa-appeal-from-frankel-newfield.html</guid>
            
            
            <pubDate>Thu, 10 Dec 2009 14:44:09 -0500</pubDate>
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            <title>Reality TV and Disability Insurance Claims </title>
            <description><![CDATA[<p>Reality TV wanna-be's seem to be everywhere lately, taking their search for fame and fortune beyond the bounds of common sense.   An interior designer from California appeared on a home improvement show while collecting disability insurance.  Sadly for him, an employee for the insurance company was a big fan of the show.  He was convicted for insurance fraud and tax fraud and had to pay the private insurance company more than $150,000.   </p>

<p>Moral of the story - when you are disabled and on claim, everything you do can and will be used against you.  Insurers  are going to all lengths to terminate or deny claims.  By putting yourself out in the public eye, whether through a television reality show, live radio call-in show, Twitter, FaceBook, MySpace, or any public forum, can and very likely will have a negative impact on your claim. <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/12/reality-tv-wanna-bes-seem-to.html</link>
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            <pubDate>Thu, 03 Dec 2009 17:17:55 -0500</pubDate>
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            <title>FRANKEL &amp; NEWFIELD WINS APPEAL FOR HIGH INCOME MET LIFE POLICY OWNER WITH &quot;RED FLAG&quot; CONDITIONS</title>
            <description><![CDATA[<p>Our client suffers from Fibromyalgia, Chronic Fatigue Syndrome, Irritable Bowel Syndrome and Post-Traumatic Stress Disorder.  Claims based on these particular illnesses always send up a red flag to a disability insurance company's claims department.  Add to that her position as a high-earning employee at a leading national consulting company with a high monthly benefit and the result is almost always a denied claim.   A Met Life nurse reviewed the file and claimed that there was no evidence of impairment or cognitive deficits.   We worked closely with our client's treating doctors to prepare a strong appeal, with solid arguments, and we won.  She is now on claim.</p>

<p>Certain impairments set off red flags, as do high monthly benefits.   If you are in this situation, call our office today and learn how we can help.  <br />
 <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/11/frankel-newfield-wins-appeal-for-high-income-met-life-policy-owner-with-red-flag-conditions.html</link>
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            <pubDate>Wed, 25 Nov 2009 13:13:26 -0500</pubDate>
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            <title>The New Insurance Paradigm - Blame the Insured </title>
            <description><![CDATA[<p>As experienced disability attorneys, we at Frankel & Newfield have seen the worst from third party administrators, claim adjusters, doctors for hire and investigators.  </p>

<p>But a recent article in a leading insurance industry publication featured a subtitle that even we found infuriating.   "As bankruptcies soar, some claimants eye insurers for their personal bailouts." No individual we know would choose to suffer from a chronic illness or injury that prevents them from leading a fulfilling life, having a regular job and good health. </p>

<p>Employees of companies that have closed their doors as the result of the current economic climate are not slackers seeking a handout.  And if their illness or injury coincides with a company's shutting down, we don't think that should be a punishable offense.  If you are disabled but fear what might happen if you stopped working, call our office at 1-877-LTD-CLAIM (877-583-2524).  You don't have to go it alone. </p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/11/the-new-insurance-paradigm---blame-the-insured.html</link>
            <guid>http://www.disabilityinsurancelawyerblog.com/2009/11/the-new-insurance-paradigm---blame-the-insured.html</guid>
            
            
            <pubDate>Wed, 18 Nov 2009 12:45:36 -0500</pubDate>
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            <title>Good Morning America Continues to Report on Outrageous Acts of Disability Insurance Companies</title>
            <description><![CDATA[<p>Frankel & Newfield applauds <a href="http://abcnews.go.com/GMA/YourMoney/disabled-man-hartford-stopped-insurance-benefits-surveillance/Story?id=9054265&page=2"target="_blank"">Good Morning America </a>as one of the few news outlets reporting on the outrageous actions of disability insurance companies.  </p>

<p>Earlier this year, GMA reported on a Florida man with Multiple Sclerosis who was told he wasn't sick enough to collect disability benefits.  The same team has revealed a case where The Hartford is trying to cut off payments to a man whose broken neck makes it impossible for him to work.  Three doctors and the Social Security Administration have declared Mr. Whitten disabled. After paying a monthly benefit for five  years,  The Hartford hired an investigator to videotape the man and then showed the tape to Mr. and Mrs. Whitten in an attempt to intimidate them.  Then, his benefits were cut off.  Eight days after reporters from GMA called the company to ask about the case, his $2100 monthly payments were reinstated, and sent him a check for $45,675 for past benefits.  <br />
 <br />
Frankel & Newfield has represented many policyholders who are put through the same torturous pattern:  the disabled person receives benefits for a number of years, and then the insurance company seeks to shut down the claim, using a variety of techniques similar to those The Hartford used against Mr. Whitten.  </p>

<p>Hartford is just one of many companies that utilize surveillance and other techniques to terminate claims.   Claimants need to be vigilant while on claim and should consider engaging attorneys to manage the claim process to prepare for possible challenges.  If you are on claim and have concerns, call our office at 1-877-LTD-CLAIM (877-583-2524).  <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/11/good-morning-america-continues-to-report-on-outrageous-acts-of-disability-insurance-companies.html</link>
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            <pubDate>Fri, 13 Nov 2009 11:34:51 -0500</pubDate>
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            <title>Disability Insurance Forums - A Helpful Source </title>
            <description><![CDATA[<p>A helpful forum where policyholders and disability insurance sources meet online is <a href="http://www.disabilityinsuranceforums.com/categories.cfm?catid=4"target="_blank"">www.disabilityinsuranceforums.com. </a>We are not affiliated with the forum, but we do occasionally participate in the discussions. One common thread that we see is surprise at the callous attitude and uncaring responses of disability insurance companies and their representatives.   We have been fighting insurance companies for so long that we don't expect the insurance companies to be kind or respectful to policyholders.    </p>

<p>Another common question concerns the amount of claims payments.  Policy holders are usually content to accept whatever the insurance company decides to pay, without checking whether it is the correct amount.  In some instances, the insurance companies discover an overpayment error, and the policyholders are in dire straits when they must return the funds.  Other times, policyholders are stunned when they learn that the disability insurance company offsets their payments - deducts the amount that Social Security Disability pays.</p>

<p>Long term disability insurance claims is a complex legal insurance matter, where big companies bring all of their resources to bear on individuals struggling to manage a life-changing illness.  If you are having a problem with a disability insurance claim, or are interested in negotiating a settlement, call Frankel & Newfield at 1-877-LTD-CLAIM (877-583-2524).  You don't have to go it alone. <br />
</p>]]></description>
            <link>http://www.disabilityinsurancelawyerblog.com/2009/11/disability-insurance-forums---a-helpful-source.html</link>
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            <pubDate>Tue, 10 Nov 2009 16:11:50 -0500</pubDate>
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