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Hold Unum Accountable For Your Unum Denied Disability Claims

Clients often question our attorneys about Unum denied disability claims and if they should instead seek a settlement. While Unum might offer claimants a settlement, they will do so according to their own terms, which will likely be very favorable to Unum. Make no mistake about it: buyouts always favor the insurance carrier, or else they would not agree to them. Every buyout results in a financial windfall for the carrier, whereby they would pay a lump sum amount upfront, in exchange for a waiver of any future benefits claims.

Understanding Company Tactics Regarding Unum Claim Denials

Some experts across the industry agree that Unum has frequently not provided accurate figures to the policy holder when it comes to settling lifetime claims. In other cases, the company has been accused of offering settlements before and during the holidays when they know that the insured might want the extra money. If Unum does offer a settlement, which they might refuse to do, the offer could fall on the low end of the spectrum. If the insured refuses the settlement, the claim can be subject to greater scrutiny thereafter, and be watched closely for regular updates. An attorney with experience in investigating these settlements can provide direction regarding the negotiation and evaluation of a settlement offer. Remember that a decision about an insurance settlement should not be made in desperation; instead, the policyholder should carefully consider the ramifications of accepting a settlement.

Filing a Complaint Against the Company Regarding Unum Denied Disability Claims

Many life and disability insurance claim consultants feel that filing a complaint with your state insurance department against the company is not worth the time or energy. The state insurance department frequently declines to investigate ERISA matters which are governed by federal law; even in non-ERISA matters, the insurance departments may not investigate the complaint, instead of sending a letter that states the insurer’s stance and that disavows any wrongdoing. A more effective solution could be for the insured to take up the matter with the state insurance department and ask for a review of Unum’s claims practices. While they might not pay attention to an individual complaint, they will look more carefully if many people complain about the same thing, which could eventually help hold the company accountable.

Holding Unum And Other Carriers Accountable

Insured claimants can also contact their employer’s human resources department to explain the unfair tactics used by Unum. The employee should be prepared to back their story with specific examples of how poorly he or she was treated. A loss of market share would seriously impact Unum and possibly lead to updating the procedures used for claim reviews. In some cases, employers are already canceling policies with Unum and opting to go with other insurers instead. Your employer might be able to offer alternatives to policies through Unum. Most companies sit up and pay close attention when their bottom line is affected. Change can happen at the grassroots level when employers understand that Unum is not serving the needs of the insured and not providing effective coverage. They might reconsider how to handle claims more fairly instead of dismissing an insured’s request with so little consideration.

If I am offered a lump sum buyout of my policy, should I take it?

Not before a knowledgeable lawyer thoroughly reviews it.  Insurance carriers rarely do anything voluntarily, unless it is in their financial or legal interests.  Whether to accept a disability claim buyouts is a complex issue that should be thoroughly analyzed by someone who completely understands the real value of a buyout offer and is working solely for the policyholder.  All pertinent factors, which bear on such a decision must be carefully weighed. Claimants should be wary of a carrier trying to get out from under a claim cheaply by tempting the beneficiary with what appears to be a sizable sum when the beneficiary is hurting and is financially strapped. You can contact New Jersey disability lawyer Mike Quiat for more details.

Long term disability insurance policies vary widely in coverage. New Jersey disability lawyer Mike Quiat has more than 30 years of experience in litigation and insurance law. Contact Uscher, Quiat, Uscher & Russo, P.C., today for a free consultation.

If I end up in litigation with my disability income or life insurance carrier, am I entitled to have my legal fees reimbursed by the carrier if I win?

Yes and no, depending on the type of policy the claimant has and the state in which the claimant lives.  Claimants may have state law rights that allow them to have their legal fees reimbursed by the carrier if they win. Most states, including New Jersey and New York, do not provide for these rights for private disability insurance.  However, if you recover punitive damages for a carrier’s “bad faith” your legal fees will most likely be covered. Our New Jersey insurance claim attorney can assist you in claiming insurance benefits.

If your claim is under a group policy covered by ERISA, such as an employer-sponsored Long-Term (“LTD”) Disability insurance plan, you are entitled to ask the court to reimburse you for legal fees if you are successful in litigating your claim.

The benefits of hiring a New Jersey insurance claim attorney are many. Our experienced New Jersey and New York Attorney is accustomed to act quickly and provides aggressive legal help with Social Security Disability claim. Contact Uscher, Quiat, Uscher & Russo, P.C., for a free initial consultation. Call 201-781-5645 or send an email today.