Resource Center

How to Talk to a Lawyer About Your Disability

Some people seem to enjoy talking about their ailments, but most professionals are just the opposite. They are used to functioning at an unusually high intellectual level, with a focus and drive that continually drive accomplishments forward at a rapid pace. There’s no room to slow down. There’s no tolerance for sub-par performance. So when professionals such as physicians, psychologists, attorneys, executives, or accountants suffer from a condition that interferes with their ability to function professionally, they don’t want to talk about it. They don’t even want to think about it. And that’s a problem. It is important to take […]

Residual Disability: A Misunderstood Problem for Dentists and Other Professionals

Disability is not an “all or nothing” phenomenon. If you’ve been hurt in an accident or suffered a serious illness, you might recover some, but not all, of your former abilities. While you might not be confined to your bed all day, you might not be able to put in the long days that used to be a standard part of your practice. There’s a gray area of partial disability, and it is huge. It hits professionals particularly hard, and among them, dentists are often affected the most because of the physical demands of the profession. A problem like chronic back pain […]

Does Your Disability Insurance Include the Right Adjustments for Inflation?

When you move money into your retirement investment accounts, it is easy to envision a secure and enjoyable future.  But it is difficult to get enthusiastic about the prospect of paying for disability insurance, especially long-term disability insurance. No one wants to think about a future where a physical or mental disability has such a significant impact on their life that they are unable to practice the profession that they’ve built their life around. But that future is a real possibility for professionals in every field. Statistics from a variety of sources show that approximately 20-25% of adults will suffer […]

Beware: The Insurance Company May Try to Trick Your Doctor into Saying Something that Allows Them to Deny Your Claim

Professionals are often surprised to learn that even though they’ve been paying premiums for years for a disability insurance policy from a respected insurance company, when the time comes to file a claim for benefits, they face a daunting uphill battle to recover a single dime. It seems reasonable to expect the insurance company to honor its obligation once you’ve provided basic medical evidence of your disability. But that is rarely the case. The medical evidence requested often requires months of testing, evaluation, and expert opinions and observations. Documentation must be meticulous. And then just when it seems like the […]

Is Data Vital for Your Disability Insurance Claim Getting Lost in the Digital Shuffle?

It’s supposed to be good for the environment. It’s supposed to be less expensive. It’s supposed to make life easier and information more accessible. The first two statements may be true, but the switch to digital “portals” for sharing information is not making life easier for many disability insurance policyholders who need to file a claim. While there are some advantages to handling material digitally, there is a significant potential for critical information to get lost in cyberspace. When you add the fact that disability insurance companies are increasingly relying on AI to evaluate claims, the potential for mislaid and […]

Expansions in the Law Allow More Professionals to Use ABLE Accounts to Supplement Private Disability Insurance Benefits

Disability insurance benefits provide a critical lifeline for professionals who are unable to continue practicing their profession due to a disability. But your benefits may not cover everything. Many people find it helpful to have additional sources of support when dealing with a disability. Professionals who are struck with a disability relatively early in their careers may find it beneficial to open a tax-advantaged ABLE account. Pennsylvania has just expanded eligibility for these accounts, so it is helpful to understand what they are and how they can be used. Achieving a Better Life Experience ABLE is an acronym for “Achieving […]

Disability Insurance Benefits: Can the Insurance Company Require You to Have Surgery?

In literal terms, an insurance company cannot require a policyholder to do anything. But, as a practical matter, insurance companies often wield significant power.  We purchase insurance to protect us in times of emergency, and when an emergency occurs, we rely on the resources provided under the insurance policy to keep us in good financial condition. So, if the insurance company says we need to do something in order to receive payments, we generally try to comply. For instance, if the company that provides our disability insurance requests copies of test results and examination records from a specific date, we […]

Does the Cause of the Disability Affect My Disability Insurance Claim?

It’s no secret that insurance companies are happy to sell you a disability insurance policy and not at all willing to pay benefits when you suffer from a disability and need to file a claim. These companies have become experts at finding reasons to deny claims. The sad fact is that even when coverage should be clear and obvious, insurance companies dig themselves so deeply into the denial trench that many claimants are unable to receive benefits without the assistance of an attorney who focuses on resolving disability insurance claims. One question that naturally arises for many disability insurance claimants […]

Important Features to Consider When Choosing Disability Insurance

Purchasing disability insurance can be a wise investment to protect yourself and your family, particularly if you’ve invested substantial time and resources in developing a professional career. However, it is important to make wise choices when selecting a policy to ensure that you get the most for your investment and that you have the protection you expect to receive. At Seltzer & Associates, we have focused on disability insurance for decades, so we have seen the problems that arise when policyholders do not understand their coverage limitations. Of course, we’ve also assisted in many situations where policyholders had the right […]

What is “Appropriate Care” in a Long-Term Disability Policy?

Hidden inside every long-term disability insurance policy is a clause that can cause tremendous problems for policyholders who don’t understand the insurance company’s requirements represented in the terms of art of that clause. The language will specify in some way that a policyholder is required to receive “appropriate care” for the condition that has led to a disability. If you fail to receive care that satisfies the insurance company’s requirements, then you may be considered to have violated the terms of your policy, and you could lose your eligibility for benefits. As a legal team focused on protecting professionals who […]