Full and Fair Review / Statutory Obligation - A Denied Policyholder's Claim Lifeline

Winning Isn't Easy: Long-Term Disability ERISA Claims

Feb 27 2024 • 15 mins

Welcome to Season 4, Episode 5 of Winning Isn't Easy.  In this episode, we'll dive into the complicated topic of "Full and Fair Review - Statutory Obligation".

Host Nancy L. Cavey, a seasoned attorney with extensive experience in disability claims, discusses ERISA's saving grace - a claim regulation stating that any denied policyholder or plan beneficiary must be given the right to a full and fair review during the claim examination process. Regardless of a policyholder's purported right to a full and fair review, disability carriers will often toe the line of acceptability regarding what constitutes said full and fair review - to demonstrate, host Nancy L. Cavey will walk through a number of case examples.

In this episode, we'll cover the following topics:

1 – What Does A “Full and Fair Review”  Mean to a Denied ERISA Disability Claim

2 – Second Time around on A Disability Claim, and How One Federal Judge Threw the Book At A Disability Benefit Claim Administrator Who Missed Deadlines, Edited and Changed Their Doctor’s Reports, and Failed to Produce Request Plan Documents

3 – You’ve Got to Exhaust Your Administrative Remedies by Filing Appeals in Your ERISA Disability Claim, and Why You Can Blow up Your Case if You Don’t

Whether you're a claimant, or simply seeking valuable insights into the disability claims landscape, this episode provides essential guidance to help you succeed in your journey. Don't miss it.


Resources Mentioned In This Episode:

LINK TO ROBBED OF YOUR PEACE OF MIND: https://caveylaw.com/get-free-reports/get-disability-book/

LINK TO THE DISABILITY INSURANCE CLAIM SURVIVAL GUIDE FOR PROFESSIONALS: https://caveylaw.com/get-free-reports/disability-insurance-claim-survival-guide-professionals/

FREE CONSULT LINK: https://caveylaw.com/contact-us/


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Please remember that the content shared is for informational purposes only, and should not replace personalized legal advice or guidance from qualified professionals.