Disability Insurance

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shamrockmd

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  1. Attending Physician
I just wanted to post this and let everyone know how much I hate some of these DI companies out there. I have a good friend that just finished her residency and became disabled. She had three differant policies. Only one of the companies paid out her claim. The two that did not are so called "respectable" companies offering "own occ" to doctors. She was paying an arm and a leg for them and they did not pay out. I think this is something very important to talk about.
 
I just wanted to post this and let everyone know how much I hate some of these DI companies out there. I have a good friend that just finished her residency and became disabled. She had three differant policies. Only one of the companies paid out her claim. The two that did not are so called "respectable" companies offering "own occ" to doctors. She was paying an arm and a leg for them and they did not pay out. I think this is something very important to talk about.

What was the disability and why didn't they pay out?
 
I just wanted to post this and let everyone know how much I hate some of these DI companies out there. I have a good friend that just finished her residency and became disabled. She had three differant policies. Only one of the companies paid out her claim. The two that did not are so called "respectable" companies offering "own occ" to doctors. She was paying an arm and a leg for them and they did not pay out. I think this is something very important to talk about.

This was discussed in the anesthesia forum;

States challenge insurers that deny disability claims

"The general public doesn't have a clue what's going on. They're out buying policies that are just about worthless," he said.

"Sick and injured Americans often have little recourse when an insurance company denies their disability benefits."



from;
http://www.newsobserver.com/104/story/420933.html



"The regulators said Unum-Provident relied on its in-house doctors to find reasons to deny claims when it should have used independent doctors; read reports by independent doctors narrowly or incorrectly in searching for a reason to turn down a claim; failed to consider a policyholders' overall health in assessing a disability; and placed too much of the burden on a policyholder to prove a disability existed."


from;
http://kennebecjournal.mainetoday.com/news/local/2700769.shtml

Agreed to reconsider approximately 200,000 denied disability claims

200,000 claims denied and that is in the good old U.S.A.


I have seen this several times that when faced with a large payout Insurance companies don't just write a check as your disability insurance salesman promised but they deny the claim and force you to fight to get the money you are owed. This lawsuit is not unique but representative of the actual policy of most insurance companies.


From;
http://www.lawyersandsettlements.com/case/first_unum


UnumProvident Denied Disability Claims
In recent settlements, UnumProvident has agreed to reconsider approximately 200,000 denied disability claims. Under investigation and pressure from the Department of Labor (DOL), UnumProvident's family of companies must offer to reassess claims denied or closed since January 1, 2000 for reasons other than settlement, death, or reaching benefit maximums. They must also allow for reassessment, upon request, of claims similarly denied or closed between January 1, 1997 and December 31, 1999. The company will continue to accept and reevaluate these claims, whether or not the claimant is still disabled, until December 31, 2006.

If you have made a claim under a long-term disability policy provided by or administered by:


First UnumProvident Corp.

Unum Life Insurance Company of America

Paul Revere Life Insurance Company

Colonial Life & Accident Insurance Company or

Provident Life & Accident Insurance Company

and have had your claim denied, or if your claim was granted and then later terminated, you may be eligible for substantial additional benefits from these companies.

UnumProvident and its subsidiaries offer individual and group insurance programs such as long-term disability income protection, short-term disability income protection, life insurance, long term care insurance, and voluntary critical illness insurance. UnumProvident insures more than 25 million people worldwide.

UnumProvident declare they have paid $4.2 billion in disability benefits in 2004 and reserve $25 billion for potential claims. Disability income protection insurance provides financial benefits to employees when they are unable to work due to a disability caused by a covered illness or injury, regardless of whether or not that illness or injury is work-related.
 
Northwestern Mutual payed out their part of the claim. It was an own occ policy for 5 years and then regular base definition after that. I am just looking at all of these companies that are offering this own occ and they are not paying the claims. I went with Northwestern Mutuals policy for my own policy because they pay out the claims. They have a proven track record of paying out claims and their definition of disability is differant than every other company. The policy also inclused a partial disability clause and a loss of time clause as well. I realized that the own occ to 65 is a great policy but if it does not pay out then what good is it.

:luck:
 
Wow. I have a Guardian policy. Greeeeeaaat! 😕

If you don't mind me asking: what field was your friend in? And what did she end up being diagnosed with where she needed to file for disability?

My own occ. bennie is supposedly to kick in if I can't perform EMG/Injections, and that will be a big chunk of my income.
 
Northwestern Mutual payed out their part of the claim. It was an own occ policy for 5 years and then regular base definition after that. I am just looking at all of these companies that are offering this own occ and they are not paying the claims. I went with Northwestern Mutuals policy for my own policy because they pay out the claims. They have a proven track record of paying out claims and their definition of disability is differant than every other company. The policy also inclused a partial disability clause and a loss of time clause as well. I realized that the own occ to 65 is a great policy but if it does not pay out then what good is it? :luck:

New member? Company specific advice? Hmmmmm? Me thinks this is an advertisement.
 
New member? Company specific advice? Hmmmmm? Me thinks this is an advertisement.

Regardless if that is true or not, it does appear that this post has been placed in multiple forums - dreaded TOS violation. Thus, it will be closed here. Let the Anesthesiology denizens (where it is also posted) discuss it.
 
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