Long-Term Disability Claims

Denver Disability Lawyers

Long-Term Disability Claims

The Denver disability lawyers at McDermott Law are experienced insurance law litigators, who deal almost exclusively with cases related to long-term disability and life insurance, including individually purchased policy claims, ERISA claims, and Colorado PERA disability program claims.

This overview of disability insurance is designed to give you an introduction to coverage, eligibility, and other aspects of disability coverage in Colorado. However, if you have a case related to long-term disability insurance, nothing can replace the personalized advice of an experienced lawyer. If you have a case related to your disability benefits, please contact long-term disability insurance attorney Shawn E. McDermott, a lawyer who has served Denver, Colorado and the surrounding areas since 1992.

What Is Disability Insurance?

Disability insurance coverage is income replacement coverage that comes in both short- and long-term forms. Disability insurance is either purchased by individuals through private insurance policies or provided by employers for the benefit of qualified employees. Group long-term disability (LTD) insurance is a benefit of great value to employees and often can be provided at little cost to the employer. Employer-provided LTD benefits are specifically included in the “welfare benefits” plan definition, and are therefore covered by ERISA.

Are Employers Required to Provide Disability Insurance in Colorado?

In most states, including Colorado, employers are not legally required to provide disability insurance.

Long-Term Disability Insurance Benefits

Long-term disability (LTD) insurance programs typically begin after short-term benefits have been exhausted — usually three to six months after the onset of the disabling illness or an injury has occurred. LTD benefits usually cover 50 to 67 percent of an employee’s salary, and are almost always subject to a monthly maximum, usually $10,000. Some insurance plans categorize the employee participants in relation to these “welfare benefits,” while executives are entitled to higher benefit limits.

If the employee is also receiving other benefits, such as Social Security disability benefits, the long-term disability insurance benefits may be reduced proportionately, as designated by the policy language. Benefits generally end at age 65; sometimes they terminate within as little as five years after the disability begins. The age at which the participant becomes disabled also may determine the length of available disability coverage. It is extremely rare to find a group policy providing benefits for life.

If you have a question related to your long-term disability insurance benefits, contact attorney Shawn McDermott, a lawyer in Denver, Colorado who has helped many Colorado residents navigate their insurance policies and recover the benefits to which they are entitled.

“Own Occupation” and “Any Occupation” Eligibility

Most group long-term disability insurance plans define disability in two ways for purposes of benefits eligibility. These definitions are often referred to as “own occupation” and “any occupation.”

Disability is usually defined as an inability to perform the material and substantial duties of a person’s “own occupation.” An individual must be disabled from his or her own job or regular occupation for a specified period to begin receiving long-term disability insurance benefits.

If approved for “own occupation” benefits, a transformation of the definition of disability occurs at a certain point in time in the future, usually 24 months after the “own occupation” period begins. The participant’s eligibility is then based on his or her inability to perform “any occupation.” This new definition requires that the person prove both an inability to do the former job and an inability to perform any job for which he or she is capable or qualified, based on past work experience, education, and ability to retrain. If deemed disabled under the “any occupation” definition, the claimant may be entitled to benefits for only an additional three years or, more typically, until age 65.

To determine the eligibility of a plan participant, the claimant and his or her attorney must read the plan documents and the insurance policy. These provide information regarding the exact definitions used, the long-term disability insurance benefits available, and the duration of those benefits. Each group policy insurer uses different language, and even the same insurer may use slightly altered language from one group policy to the next. The claimant should also compare the language used in the plan documents with that contained in the group policy, because the language sometimes differs.

Contact our Denver Long-Term Disability Insurance Attorney in Colorado

If you may have a case related to your disability coverage, please contact Colorado long-term disability insurance lawyer Shawn E. McDermott. These experienced attorneys serve all communities of Colorado, including  Denver, Colorado Springs, Ft. Collins, Boulder, Pueblo, Grand Junction, as well as the entire Rocky Mountain West region.  McDermott Law can help you navigate the complicated laws and will diligently fight for you during the entire claim, appeal, and litigation process.

Related Blog Posts

Serving Denver, Colorado Springs, Ft. Collins, and all other Colorado Communities

Specializing in Long Term Disability & Life Insurance Denials & Personal Injury Claims

CONTACT US TODAY! (303) 964-1800

TOLL FREE: 877-564-1800

Denver Tech Center

4600 S. Ulster Street, Suite 800
Denver, CO 80237

Maps and Directions