Disability Denial and Consumer Fraud

Long-Term Disability Insurance Denial

Long-term disability insurance can help support you if you become sick or injured and cannot work. Unfortunately, what should be a straightforward process is anything but simple.

Despite paying premiums for years, your insurance company may have unfairly denied your legitimate disability claim. This could leave you without a steady income. The longer your insurance company takes to pay your claim, the more money they stand to gain. As the policyholder, delayed or denied benefits can cause you and your family financial hardship, emotional strife, and physical suffering.

You may be entitled to compensation if any of the following companies unfairly denied you long-term disability benefits:

  • Aetna® Insurance
  • AIG® Insurance Co.
  • American United Life Insurance Company®
  • Assurant® Specialty Property
  • Assurity® Life Insurance Co.
  • AXA® Equitable Life Insurance Co
  • BenefitAmerica
  • Berkshire Life Insurance Co.
  • Berkshire Hathaway Specialty Insurance
  • Boston Mutual Life Insurance Co.
  • Cigna®
  • Colonial(SM) Companies
  • Colonial Life® and Accident Insurance Company
  • Combined Insurance®
  • Conseco®
  • Duncanson & Holt/Services
  • Farmers® Insurance
  • First Unum® Life Insurance Company
  • Guardian® Life Insurance Company of America
  • Hartford Insurance
  • Liberty Mutual® Insurance
  • Lincoln Financial Group®
  • Lloyds of London
  • Massachusetts Mutual® Financial Group
  • MetLife®
  • Mutual of Omaha®
  • National Life Group® of Vermont
  • New York Life
  • North American® Company for Life and Health Insurance
  • Northwestern Mutual® Life Insurance Company
  • Northwind Holdings/Reinsurance
  • Paul Revere (now Colonial Life)
  • Paul Revere Life Insurance Company
  • Paul Revere Variable Annuity Insurance
  • Provident® Investment Management
  • Provident Life® Insurance Company
  • Provident Life® and Accident Insurance Company
  • Provident Life® and Casualty Insurance
  • Prudential®
  • Prudential® Disability Insurance
  • The Standard®/Minnesota Mutual
  • State Farm®
  • Sun Life Financial®
  • Tailwind Holdings/Reinsurance
  • Torchmark® Corporation
  • Trustmark Life Insurance Group
  • United Healthcare®
  • Unum® International Underwriters
  • Unum® Life Insurance Company of America
  • Wellpoint® Insurance Company/Anthem®

Insurance Bad Faith: What is it?

Bad Faith is a legal term referring to an insurance company’s attempt to refuse payment on a policyholder’s legitimate claim. People buying insurance coverage for long term disability or other needs naturally assume their insurance company will act in good faith when a claim is made. Unfortunately, they may never suspect that bad faith may often be the response.

Many claimants may be unaware of their rights or may be unwilling to fight a bad faith insurance claim. If the insurer makes the process hard enough, the policyholder could become frustrated and may simply go away — even if the company is in the wrong. Not fighting a bad faith claim to get the benefits rightfully owed to you does not have to result in devastating financial losses to you and your family. Don’t give up on compensation you may be owed.

You Can Take Action Against A Bad Faith Claim

Every state has laws banning bad faith claims. However, even when fined by the courts, insurance companies can be difficult or impossible to fight on your own. To get the compensation you may deserve, you will need the help of a law firm experienced in bad faith insurance denial.

Investment and Stockbroker Fraud

Financial fraud lawsuits can result from damages inflicted through fraudulent securities, or by stockbrokers, financial advisors and brokerage firms that fail to act in your best interest. Stockbroker fraud is securities misconduct or abuse of fiduciary trust on the part of a broker or financial advisor. This may result in a significant financial loss of savings or retirement funds.

Stockbrokers and brokerage firms have legal duties to you, the investor. They are required by law to make appropriate investment decisions based on your circumstances. They are also are prohibited from making decisions to benefit themselves at your expense. Stockbroker fraud is a violation of U.S. securities law and can be grounds for a lawsuit.

The following are examples of Stockbroker Fraud:

  • Churning – engaging in excessive trading in an account in an effort to generate commissions
  • Failure to execute – failing to execute a client’s order in a timely manner
  • Selling away – recommending to a client an alternative investment that is offered by a person or entity other than the brokerage firm and has not been reviewed, approved or recommended by the firm
  • Making unsuitable recommendations – advising an investor to purchase, sell or exchange a security that is not suitable given the client’s financial situation and needs
  • Over-concentration – recommending or failing to diversify a portfolio that is over-concentrated in a small number of stocks or one asset class
  • Misrepresentation and omission – knowingly offering inaccurate, incomplete, or biased information or omitting a material fact about a particular security or the risks involved

Anyone Can Be A Victim of Investment Fraud

Most investors rely on the advice of brokers as a trusted source of financial protection to secure their future. Investors willingly place themselves in the hands of their financial experts expecting them to act in good faith on behalf of their clients.

Can Stockbroker Fraud Losses Be Recovered?

Stockbrokers have legal duties to their investors, and these are well-defined by U.S. Securities law. If you believe you are a victim of stockbroker fraud, call Sokolove Law.

Unlike regulatory agencies, which are focused on oversight of the entire industry, a stockbroker fraud attorney will focus solely on the details of your case. If you believe your investment losses have been the result of fraud or negligence, you may be entitled to compensation.

Social Security Disability Insurance (SSDI) Denials

Most workers have paid into the U.S. government’s Social Security Disability Insurance (SSDI) program with every paycheck to receive income if they are unable to work due to illness or injury. Then it happens: when you need help most, the Social Security Administration (SSA) unjustly denies your valid claim.

The process of applying for SSDI benefits is complicated. The insurance claim paperwork can be complex and frustrating. These additional stresses can further complicate a person’s health. Many applicants become discouraged and give up when they are genuinely entitled to benefits. More than 60% of Social Security Disability Insurance claims are denied when first submitted to the Social Security Administration (SSA). Many people appeal those denials and ultimately receive a monthly income.

Sokolove Law may be able to help simplify the SSDI application, appeals and hearing processes. Our lawyers can make appeals, negotiate on your behalf and take on the burden of completing the lengthy paperwork necessary to obtain an accurate decision from the SSA.

More than 1 million social security disability claims are rejected each year. Many of these potentially valid claims are turned down because of technicalities, such as missing or incorrect information, or for not having sufficient medical documentation to back up their claim.

Social Security Administration 5 Step SSDI Decision Process:

  1. Are you able to work? SSDI is intended to replace your income. If you are working and earning more than the SSA allows, you may not qualify.
  2. Does your severe medical condition prevent you from working? In order to meet the SSA’s eligibility requirements for SSDI, your illness, injury, or medical condition must significantly limit your ability to perform basic work activities—such as walking, sitting and remembering—for at least one year. If your medical condition does not meet these standards, the SSA does not consider you disabled.
  3. Is your medical condition on the List of Impairments? Each state agency has a List of Impairments describing medical conditions that automatically qualify affected persons for SSDI. If your medical condition is not listed, then the SSA’s state agencies will determine if your condition(s) equals that of a listed impairment before classifying you as disabled.
  4. Can you do the work you did before? The SSA’s state representatives decide whether they think you can perform the work you did before. If they determine that you can work, then they do not consider you disabled.
  5. Can you perform other work? While you may no longer be able to work in your chosen profession, the SSA will determine if you are able to successfully perform other jobs. They assess your age, education, work experience, and skill set. If you can work in another job, then the SSA does not classify you as disabled.

Help May Be Available

Sokolove Law reviews disability insurance denial and consumer fraud claims 24 hours a day and assists clients in all 50 states. To get started, call us at (888) 360-1323. There is no cost to talk to us. If we determine you can file a claim and you choose to partner with us, we’ll work on a contingency fee basis – meaning we don’t receive any fees until you are successfully paid*.

* Client may be responsible for expenses. All registered trademarks are property of their respective owners.

Author:Sokolove Law Team
Sokolove Law Team

Contributing Authors

The Sokolove Law Content Team is made up of writers, editors, and journalists. We work with case managers and attorneys to keep site information up to date and accurate. Our site has a wealth of resources available for victims of wrongdoing and their families.

Last modified: September 11, 2020