Webster’s dictionary defines disability as “a physical, mental, cognitive, or developmental condition that impairs, interferes with, or limits a person’s ability to engage in certain tasks.” With a definition this broad, many people can claim they’re disabled. For example, if you’re out of shape and can’t run a marathon, your physical condition has technically “impaired” your ability to engage in this task. You’d be hard-pressed, however, to claim you’re entitled to individual or group disability benefits because you can’t run 26 miles.
But what if you’re a sponsored, professional runner who maintains private, individual long-term disability benefits? In this case, your individual long-term disability insurance policy may entitle you to claim long-term disability benefits if your physical restrictions prevent you from engaging in the important duties of your regular occupation.
When it comes to individual or group-sponsored long-term disability insurance benefits, the definition of disability varies according to the terms and limitations of your policy or certificate. Typically, a long-term disability is defined as when an insured, as a result of an injury or illness cannot perform the important duties of his or her regular occupation, or in some cases you are unable to do any occupation by which you are trained, educated, or suited.
Click to Watch VideoIn the example above, if you’re a professional runner and break your leg, you may qualify for individual or group disability insurance benefits if your policy was “occupation specific.” However, if you can run half-marathons and earn at least 60 percent of your sponsorship money, even if you’re unable to run 26 miles, your policy may not entitle you to claim individual or group long-term total disability insurance benefits, but you might be eligible for partial benefits.
Whether you suffer from a disabling illness or injury under the terms of your long-term disability policy depends on the circumstances of your case and your policy language. While we’ll discuss some of the most common disabling conditions in the United States below, just because your injury or illness isn’t listed doesn’t mean you can’t qualify for individual or group long-term disability benefits.
The award-winning individual and nationally renowned group long-term disability attorneys at DarrasLaw will always conduct a free disability policy analysis and free claim consultation to determine whether your individual or group policy entitles you to long-term disability benefits. If you’re suffering from any type of injury or illness that prevents you from performing the important duties of your occupation, or any other occupation, call us today at 800-898-7299 or contact us online.
Your private long-term disability insurance policy typically falls into one of the following categories:
While each type of plan is unique, many private disability insurance companies defer to the Social Security Administration’s (SSA) definitions and standards for disabling conditions if the language of your plan is any occupation for which you are trained, educated, or suited.
The SSA breaks disabling injuries and illnesses into the following categories:
Just because your illness or injury doesn’t fall into one of these categories doesn’t mean you don’t qualify for individual or group long-term disability insurance benefits. Our experienced long-term disability lawyers and group ERISA attorneys at DarrasLaw commonly see the following disabilities when our clients need help obtaining their individual or group disability benefits.
Heart disease is the leading cause of death in the United States. The following cardiovascular disabilities may prevent you from working:
Whether you qualify for individual or group long-term disability benefits depends on how your condition affects your ability to perform the important duties of your occupation. If you suffer from an arrhythmia once a month, causing mild discomfort, you’ll likely have to use only sick days. If, however, you can no longer drive or work due to fatigue, loss of focus, or concentration, you may qualify for individual or group long-term disability benefits under your individual or group disability insurance plan. An award-winning individual disability attorney or nationally acclaimed group ERISA lawyer at DarrasLaw can help analyze your situation to determine whether you qualify under the terms of your policy.
While medication and diet can manage certain manifestations of irritable bowel syndrome, doctors generally have difficulty effectively treating all digestive or bowel disorders. Many digestive disorders can result in severe pain, illness, and extended disability.
Your general practice primary care physician may diagnose you with a general digestive disorder, such as bowel incontinence, IBD, or liver disease. However, your individual or group long-term disability insurer may require a more specific diagnosis, which is why you should always see a gastroenterologist if you’re suffering from disabling digestive problems. Furthermore, consult the top-rated long term individual disability lawyers or nationally recognized group ERISA attorneys at DarrasLaw for help with the confusing questions on your claim forms or the delay, denial, or termination of your valid claim.
While medication and diet can manage certain manifestations of irritable bowel syndrome, doctors generally have difficulty effectively treating all digestive or bowel disorders. Many digestive disorders can result in severe pain, illness, and extended disability.
Your general practice primary care physician may diagnose you with a general digestive disorder, such as bowel incontinence, IBD, or liver disease. However, your individual or group long-term disability insurer may require a more specific diagnosis, which is why you should always see a gastroenterologist if you’re suffering from disabling digestive problems. Furthermore, consult the top-rated long term individual disability lawyers or nationally recognized group ERISA attorneys at DarrasLaw for help with the confusing questions on your claim forms or the delay, denial, or termination of your valid claim.
The endocrine system controls your hormones, which in turn control many bodily functions. Disorders of the endocrine system include diabetes, thyroid disorders, and sexual dysfunction. The following endocrine conditions may result in an award of individual or group long-term disability benefits:
Some of the hardest disorders to treat result when your own immune system malfunctions. While your treating doctor can help you manage some symptoms, few cures exist for autoimmune and immune system disorders. Examples of these disorders include:
Medications may treat the symptoms of immune disorders and slow their progress, but generally no cures exist. Eventually, your body will wear down as the result of continuous autoimmune attacks. Before that happens, consult an award-winning long-term disability attorney or ERISA group lawyer at DarrasLaw about your options.
Physicians diagnose cancer at different stages, typically Stage I through Stage IV, with IV the most severe. If you’re diagnosed with terminal cancer, you may immediately qualify for individual or group long-term disability benefits. The following types of cancer are among the most common suffered by Americans. Whether you qualify for individual or group long term disability insurance will depend on your policy, the severity of your cancer, and the side effects from your treatment.
Surgery can remove certain cancers without chemotherapy or radiation therapy. If your cancer requires chemo or radiation, however, you may experience more symptoms from treatment than the cancer itself. These symptoms can include:
No matter your type or stage of cancer, always review the terms of your individual or award-winning group long-term disability policy with a top-rated individual disability attorney or group ERISA long-term disability lawyer at DarrasLaw. We can help you get a head start on preparing your individual or group ERISA claim application so you can focus on your recovery. Call us today at 800-898-7299 or contact us online.
Mental and emotional disabilities are typically classified as “self-reported” disabilities because they don’t always provide objective clinical evidence. Instead, the patient reports the nature and severity of the symptoms and how those symptoms directly impact their ability to perform the important duties of his or her occupation. Many individual and group long-term disability insurers limit how long they will provide benefits for self-reported conditions. These conditions include, but are not limited to:
Individual and group long-term disability insurance companies routinely delay, deny, and terminate disability benefits in bad faith for those suffering from cognitive disabilities. Consult an experienced long-term disability attorney or a nationally prominent ERISA lawyer at DarrasLaw about whether you qualify for disability benefits if you experience these conditions.
Some of the most common disabilities result from herniated discs and spinal cord injuries. Whether developed as the result of a degenerative condition or a car accident, even a slightly bulging disc can disable you. Many musculoskeletal disabilities are temporary—a broken wrist may heal in about six weeks. However, the chronic pain associated with these conditions can result in complete disabilities:
Long-term individual or group disability insurers are quick to wrongfully delay or deny disability benefits associated with musculoskeletal disorders. Many disability insurers take the position that we all experience age related muscular pain, so you’ll need to prove how exactly your condition impairs your ability to complete the important duties of your occupation. Let the award-winning disability attorneys and nationally prominent group ERISA lawyers at DarrasLaw help you.
Most people need their brains, eyes, ears, and voices to work reliably. Loss of any of these functions can result in a total or partial disability. Examples of disabling neurological and sensory disorders include:
The following conditions may result in chronic fatigue or an inability to work in certain environments:
Whether your condition is listed or not, if you’re suffering from an injury or illness that makes it difficult or impossible to perform the important duties of your occupation, call America’s top-rated individual and group long-term disability lawyers and ERISA attorneys at DarrasLaw. Frank N. Darras and his firms have recovered nearly $1 billion in wrongfully delayed, denied, and terminated insurance benefits for clients. To schedule your completely free disability policy analysis and free claim consultation, call us today at 800-898-7299 or contact us online.
Get a Free ConsultationWhether you have only recently become disabled and need help filing a claim or you have already filed a claim and been denied, our lawyers are here to extend a helping hand to you.
Compassion is a unique feature of our firm, one displayed by all of our lawyers. We know how much it means to you to get all the benefits you are entitled to as soon as possible. Whether it’s the result of a neck or back injury, a heart attack, rheumatoid arthritis or anything else, you are coming to us in a very stressful time as you adjust to life with a disability. The last thing you need is the stress of having to wait for your benefits longer than necessary. We are here to make your insurance policy work for you.
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Mental Disability & Chemical Disability Claims
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Mental & Nervous Disablities
Head Injuries and Brain Damage
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Does Disability Insurance Cover Musculoskeletal Conditions?
Does Disability Insurance Cover Autoimmune Disorders?
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"Our disabled clients have literally fallen to the very bottom of their life. They’ve been beaten up, worn down, and starved out by their insurance companies. They’ve got an insurance policy that’s supposed to pay benefits, but the claim forms are confusing.” "The insurance company wants to go get them examined. They want tax returns. They want more documents. They’re literally overwhelmed and they need our help now."
Learn More"Our disabled clients have literally fallen to the very bottom of their life. They’ve been beaten up, worn down, and starved out by their insurance companies. They’ve got an insurance policy that’s supposed to pay benefits, but the claim forms are confusing.” "The insurance company wants to go get them examined. They want tax returns. They want more documents. They’re literally overwhelmed and they need our help now."
Learn More“I think the difference at DarrasLaw is that we’ve really earned the respect of the industry. We have over 100 years of hard fought insurance and litigation experience. They know we’ve been to the home office. We’ve deposed everybody there is, at every major insurance company, over the last 30 years. That’s certainly earned the respect of their general counsel, their national trial counsel, defense counsel.” “And that’s important because when you litigate, you’d like somebody to respect you and respect your lawyer, and that’s really, really important. We have left the other side with their dignity and they respect our clients. Last, we have unparallelled resources. We know how to get the insurance company to buckle and to make sure that they’re accountable and responsible for what they did.”
Learn More“Oftentimes, it’s really difficult to decide when you’re really disabled. It’s no problem if you’re hurt in an accident. That’s easy. It’s the day of the accident.” “But when you’ve got a progressive sickness, sometimes we see it a lot with doctors. They give away the big surgeries. They let the younger associates take over the surgical responsibilities. And by the time they get ready to file a year or two later, they’re left with the strains and sprains or pre and post-op follow-up care and treatment duties, and the carrier doesn’t have a very clear picture of your true occupation.”
Learn MoreWhen it comes to insurance, we're often told we're in good hands. And we know better. Our insurance company is going to take advantage of any confusion or ambiguity. Whether you're buying a policy and you need some help understanding the features or the advantages or the benefits, we offer that free policy analysis. Two, you've got a policy, you're not sure that you're ready to file a claim, but you need some help in understanding how to properly fill out a claim form so you won't get delayed or wrongfully denied. Or you're on claim and now the carrier says, we want to come out and have a field visit with you, we want to send you to an independent medical exam, or we want to get a functional capacity evaluation.
Learn More"Our disabled clients have literally fallen to the very bottom of their life. They’ve been beaten up, worn down, and starved out by their insurance companies. They’ve got an insurance policy that’s supposed to pay benefits, but the claim forms are confusing.” "The insurance company wants to go get them examined. They want tax returns. They want more documents. They’re literally overwhelmed and they need our help now."
Learn More“I think the difference at DarrasLaw is that we’ve really earned the respect of the industry. We have over 100 years of hard fought insurance and litigation experience. They know we’ve been to the home office. We’ve deposed everybody there is, at every major insurance company, over the last 30 years. That’s certainly earned the respect of their general counsel, their national trial counsel, defense counsel.” “And that’s important because when you litigate, you’d like somebody to respect you and respect your lawyer, and that’s really, really important. We have left the other side with their dignity and they respect our clients. Last, we have unparallelled resources. We know how to get the insurance company to buckle and to make sure that they’re accountable and responsible for what they did.”
Learn More“Oftentimes, it’s really difficult to decide when you’re really disabled. It’s no problem if you’re hurt in an accident. That’s easy. It’s the day of the accident.” “But when you’ve got a progressive sickness, sometimes we see it a lot with doctors. They give away the big surgeries. They let the younger associates take over the surgical responsibilities. And by the time they get ready to file a year or two later, they’re left with the strains and sprains or pre and post-op follow-up care and treatment duties, and the carrier doesn’t have a very clear picture of your true occupation.”
Learn MoreWhen it comes to insurance, we're often told we're in good hands. And we know better. Our insurance company is going to take advantage of any confusion or ambiguity. Whether you're buying a policy and you need some help understanding the features or the advantages or the benefits, we offer that free policy analysis. Two, you've got a policy, you're not sure that you're ready to file a claim, but you need some help in understanding how to properly fill out a claim form so you won't get delayed or wrongfully denied. Or you're on claim and now the carrier says, we want to come out and have a field visit with you, we want to send you to an independent medical exam, or we want to get a functional capacity evaluation.
Learn MoreDarrasLaw's attorneys, including founder Frank N. Darras, have received numerous honors and awards from peers, validating the claim that we are America's top disability firm.












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