by Gabriel Manzano Nieves | Feb 10, 2025 | Gabriel Manzano, Workers Compensation
A Medicare Set-Aside Agreement (“MSA”) is an agreement that allocates a portion of the funds obtained through the settlement of a worker’s compensation claim for deposit into a bank account or annuity in order to fund the future treatment of a workplace injury. In...
by Jessa Victor | Feb 10, 2025 | Jessa Victor, LTDI
For most ERISA long-term disability (LTD) cases that proceed to court, the case is decided on a closed administrative record in which the judge can only review the information contained in the insurer’s claim file as of the date it rendered its final decision. In...
by Naomi Swain | Jan 13, 2025 | LTDI, Naomi Smith
An insurance company’s goal is to make money, which naturally means the number one goal, besides selling insurance policies, is to deny insurance claims. However, if a claimant has a strong case with no plausible reason to deny, insurance companies will sometimes...
by Forrest Stewart | Jan 13, 2025 | Employment Law, Forrest Stewart
What is constructive discharge and why is it important? Constructive discharge is a legal theory that allows employees to establish an adverse employment action even when they quit their job. This is important because an “adverse employment action” is an...
by Forrest Stewart | Jan 13, 2025 | Employee Benefits, Forrest Stewart, LTDI, Uncategorized
Dentists’ claims for short-and long-term disability (STD and LTD, respectively) benefits are often among the most complex and difficult claims to get (and keep) approved, and also to successfully navigate appeals and lawsuits when they get denied. This article...
by Donnie Malchow | Nov 1, 2024 | Donnie Malchow, SSDI
The Social Security Administration (SSA) treats SSDI (Social Security Disability Insurance) benefits and SSI (Supplemental Security Income) benefits differently. If you receive SSDI benefits, the SSA generally won’t reduce your benefits even if you receive income from...
