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Long Term Disability Benefits

Discussion in 'Accidents, Injuries, Negligence' started by gabyelbaz, Oct 26, 2016.

  1. gabyelbaz

    gabyelbaz Law Topic Starter Guest

    Jurisdiction:
    New York
    I am currently receiving workers comp benefits from my company in New York and not working for 1 year now. Three months ago an Independent Medical Exam determined that I'm 25% disabled. My company accepted the claim but recently reduced my benefit amount by 75% and can't offer me light duty work.

    One month ago, my LTD insurance plan at my company reviewed my disability status and decided that I no longer meet the Disabled definition under the plan and identified (through vocational assessment) that a gainful occupation (which meet my earning requirement) existed around my home and, therefore, I’m no longer eligible to receive LTD benefits.

    Do I have legal grounds to appeal the LTD discontinuation/denial? If yes, how?
     
  2. army judge

    army judge Super Moderator

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    I suggest you discuss your dilemma with several WC lawyers in your area.
     
  3. ElleMD

    ElleMD Well-Known Member

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    Any appeal rights and time frames would be spelled out in your insurance policy documents. There is no one sixe fits all answer. It would be rare for a LTD policy to pay based on a work injury, but anything is possible.
     

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