Long Term Disability Insurance/ERISA Case Results

Case Results

Successful Long-Term Disability Claim for Client with Severe Back and Knee Problems

A 55-year-old woman retained our services to prosecute an application for Long-Term Disability (LTD) benefits. The client was presenting symptoms of severe arthritis in both knees causing her to limp significantly, along with major back problems including degenerative disc disease with disc bulges. Complicating matters for our client was her inability to tolerate major pain medicines such as oxycodone and tramadol…

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Long Term Disability (LTD) Claim Settled for Over $800,000.00

Peter Casciano and Elliott Andalman have just settled a Long Term Disability (LTD) client’s claim in full for total settlement of over $800,000.00! This was a significant win for the client for several reasons. First, the client’s claim was denied on initial application. Mr. Casciano and Mr. Andalman were able to successfully appeal this denial and produced medical…

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Blue Cross Concedes Health Insurance Coverage for Hospitalized Client

This client retained our services to appeal a denial of insurance coverage for a psychiatric hospitalization. Blue Cross Blue Shield (BCBS) claimed that the hospitalization, which was for over two months, was not considered medically necessary. We obtained the entire medical record from the hospitalization,…

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Successful Disability Claim for Client with Chronic Fatigue

This client retained our services to appeal a denial of Long Term Disability (LTD) benefits. Basis of disability is profound fatigue. The carrier claimed that records did not include specific restrictions and limitations on why the client could not work nor were diagnostic tests provided. Benefits…

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Continued Success for Claimant Subject to Long Term Disability Insurance Review

Client retained our services for claim for Long Term Disability (LTD) and Social Security Disability (SSD) benefits. Claimant has had both hips replaced and has low back pain, and osteoarthritis. The claim for LTD benefits was awarded on initial application, but with initially three month reviews….

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Attorney Elliott Andalman Wins Disability Appeal for Client with Multiple Sclerosis

This client retained our services to appeal termination from Long Term Disability (LTD) benefits. Basis of disability is Multiple Sclerosis (MS). The LTD carrier terminated benefits based on a single office visit note from treating neurologist indicating that the client had an excellent exam. It required…

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Disability Appeal Won for Client Suffering from Lupus

A client retained our services to appeal termination from Long Term Disability (LTD) benefits. Basis of disability is lupus. Benefits were terminated because the client’s treating doctor reported that her condition had stabilized and also based on the client’s ability to travel to visit her sick parent…

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Success on Long Term Disability Claim Improperly Filed by Employer

The client retained our services to appeal a denial of Long Term Disability (LTD) benefits. Basis of disability is osteoarthritis of the right knee for which client underwent a total knee arthroplasty. A significant hurdle in this claim was that the benefits manager at the client’s company never properly…

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