Best For Financial Stability: State Farm
Quotes and policies only available through an agent
No normal childbirth or pregnancy coverage
No coverage for complications from cosmetic surgery
Maximum benefit up to $3,000 per month
Besides Mutual of Omaha, State Farm is the only provider to offer short-term disability benefit periods as long as three years. Short-term disability insurance through State Farm provides between $300 and $3,000 in monthly coverage, depending on your occupation and current income.
Founded in 1922, State Farm currently holds an A++ financial strength rating from AM Best, the highest rating available. Their short-term disability insurance policies are offered in 47 states . They also boast a simple application process that provides you with fast coverage.
There are some important exclusions to keep in mind with State Farm for instance, theres limited coverage for mental or nervous disorders, and no coverage for complications stemming from cosmetic procedures, unlike some other providers. State Farm doesnt offer optional riders either.
You cannot purchase a policy or get a quote for coverage online through the State Farm website. Instead, youll need to contact a local agent for a quote and policy details.
Best For Shortest Elimination Period: Haven
Maximum issue age is 55
Maximum benefit period of 12 months
Not available in all states
Haven offers the shortest elimination period of the companies we reviewed that offer STD insurance to individuals. You can choose an elimination period of 14 days, 30 days, or 60 days and a benefit period of three, six, or 12 months. Policies are guaranteed renewable until age 65, and policies are generally affordable.
Plus, you can get a quote and apply directly from Havens website for an instant coverage decision. We also appreciate the information, ease of use, and transparency the Haven website provides. Though Haven is a young company, policies are backed by MassMutual, which has an A++ financial strength rating from AM Best, which is the highest possible.
There are some limitations to Havens policy, however. The maximum benefit period is one year and the maximum monthly benefit is $5,000 or 60% of your income, so higher income individuals may be better served by Mutual of Omaha. Whats more, youll need to go with another company if youre over 55 or live in CA, DE, FL, MT, ND, NY, SD, or WY.
What Is An Erisa Disability Policy
ERISA stands for the Employee Retirement Income Security Act. It is a series of federal statutes that govern benefit plans that Employers offer to their employees. These statutes control health insurance, dental insurance, vision insurance, 401ks, and short-term/long-term disability insurance. The rules are strict and federal courts are unforgiving. They do not give the claimant the benefit of the doubt instead, the courts treat both sides the same, often to the claimants detriment because you did not have a lawyer helping you through the process.
If you are applying for long-term disability in Virginia, that usually means you have been diagnosed with a significant injury like chronic fatigue syndrome, musculoskeletal problems such as back injuries, cardiovascular diseases like heart failure or coronary artery disease, cognitive impairments like a traumatic brain injury, respiratory diseases like asthma or COPD, or maybe even cancer.
These diagnoses are difficult. They require significant treatment and sometimes they require a significant amount of rest.
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Different Laws May Apply To Your Disability Claim Depending On Whether It Is Employer
Many disability claimants dont realize that different laws apply to different types of disability insurance claims. The laws that apply will frame your entire claim process, including when you can file a lawsuit and how much you can get in damages.
If your Mutual of Omaha policy is an employee benefit, a federal law called ERISA will likely apply to your claim. Under ERISA, you must follow a strict two-step appeal process.
If Mutual of Omaha denies your application for long-term or short-term disability benefits, you must first exhaust your administrative remedies by completing an insurance company level appeal. During this time, you can submit additional evidence that supports your claim.
You cannot file an ERISA lawsuit until the insurance company completes its administrative process and issues a final decision. At that time, you can file a complaint in the federal courts. However, there are limitations:
- You cannot give the judge any more evidence
- Jury trials are not an option
- You cannot demand compensation for a bad-faith denial by Mutual of Omaha
If youre not sure whether ERISA applies to your disability insurance claim, you should speak with an experienced disability attorney immediately.
More importantly, in a state law claim, you can:
- Ask for a jury trial
- Submit new and material evidence during your lawsuit
- File bad-faith insurance claims against Mutual of Omaha
Disability Income Choice Portfolio
Underwritten by Mutual of Omaha Insurance Company, 3300 Mutual of Omaha Plaza, Omaha, NE 68175. Disability income policy/certificate form numbers: D81, D82, D83 . 150BE or state equivalent. These policies have exclusions, limitations and reductions.
In NY, these policies provide disability income insurance only. They do NOT provide basic hospital, basic medical or major medical insurance as defined by the New York State Department of Financial Services. The expected benefit ratio for D81-21098, D82-21100, D83-21102 and 151BE Series-12495 is 55 percent . The ratios are the portion of future premium, which the company expects to return as benefits when averaged over all people with these policies.
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What Is The Difference Between Short
The Family and Medical Leave Act is a helpful regulation that allows employees to take leave if they are ill, injured, or need to care for a family member, without fear of losing their job in the process. FMLA is not paid leave, however, and only protects your position at your place of work for up to 12 weeks.
On the other hand, short-term disability insurance does provide paid coverage if you need to take leave due to an injury or illness. The exact financial coverage and benefit period that your short-term disability coverage will offer depends on the exact policy you purchase.
How Osterhout Berger Disability Law Can Help
Bring your letter, your claim file and any correspondence with Mutual of Omaha into the office of Osterhout Berger Disability Law. Our experienced attorneys will review the information and offer you a legal opinion about the approach that you should take. They may ask you to help them with your claim by keeping all of your medical appointments, continuing to see your doctor, completing all follow-up appointments and recommendations, submitting to additional tests and exams and securing written statements about your condition from your former employer, friends and medical professionals. It is important that you listen to and follow the guidance provided to you by your disability lawyer because it is meant to strengthen your claim by adding as much favorable evidence to your file as possible. This may help you to win your appeal while it is still with Mutual of Omaha rather than later having to sue the company after exhausting your internal appeals. To learn more about your potential recovery rights, schedule a consultation with the professional disability lawyers at Osterhout Berger Disability Law today.
Contact us now
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What Is Mutual Of Omaha Insurance
Founded in 1909 and headquartered in Omaha, Nebraska, Mutual of Omaha is a Fortune 500 company that offers a broad suite of insurance products. The company sells life insurance, Medicare supplement insurance, retirement and annuity plans, dental and health insurance, disability insurance and other products. Mutual of Omaha employs nearly 5,000 people and had an annual revenue of $7.9 billion in 2016.
Best Overall: Mutual Of Omaha
Mutual of Omaha
- No-exam policies available: Yes, for applicants ages 18-45 applying for up to $6,000 in monthly benefits
- Maximum coverage amount: $20,000 per month
Benefit periods range from six months to 10 years
Maximum monthly benefit of $20,000
Generous built-in policy benefits
No-exam underwriting available for some applicants
Coverage for mental or nervous disorders is limited without purchasing an additional rider
Partial disability benefits cost extra
Must contact an agent to apply
Taking the top spot for best overall short-term disability insurance coverage is Mutual of Omaha. This insurer provides up to 10 years of benefits , with some policies offering coverage as soon as 30 days after your eligible disability. Monthly benefits are available up to $20,000, and policies can be issued through age 61.
Mutual of Omaha has been around since 1909 and has an A+ financial strength rating from AM Best. It offers insurance coverage across the country, though not all policies are available in all states.
Short-term disability coverage through Mutual of Omaha is some of the most comprehensive and benefit-rich around. Policies come full of built-in benefits, such as a survivor benefit, waiver of premium benefit, guaranteed renewability, rehabilitation coverage, and up to six weeks of leave for maternity. Elimination periods are available in lengths of 30, 60, and 90 days. Longer elimination periods of 180, 365, and 730 days are also available.
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What Happens If Mutual Of Omaha Denies My Appeal
If Mutual of Omaha decides that they were correct in denying your benefits, then you have one last option. You can file a lawsuit in federal court.
You will want an attorney for this lawsuit as it can be difficult to overturn Mutual of Omahas decision. The attorneys at Ben Glass Law know how to handle long-term disability insurance lawsuits, and we will work to overturn Mutual of Omahas decision. Mutual of Omaha will try to show that they were right in denying your benefits, but a federal judge will make the final decision. With our help, you will get the closure you deserve.
What Excuses Did Mutual Of Omaha Use To Deny Your Long
Your claim will pass through many hands starting with a disability claims examiner.
From there it will be passed on to an in-house reviewing doctor who will cherry-pick your medical records, selecting only the portions that will support a denial of your claim.
Theres also a team of in-house vocational rehabilitation consultants and outside counsel.
Thats a big team to deal with for someone who is vulnerable because of an illness or an injury.
Long-term disability insurance companies come up with various reasons as to why your claim was denied and Mutual of Omaha is no different.
Here are a few of the most common reasons for long-term disability denials:
- Incomplete medical records
- Medical records did not provide enough proof of your diagnosis
- You have a pre-existing condition
- Your doctors recommendations were not taken into account
- Insurance company inaccurately stating your job functions, duties, and responsibilities
- Catching you under surveillance
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Experienced Lawyers Fighting For Your Disability Benefits
Long-term disability insurance may be available if you are unable to work as a result of a disabling injury or illness. However, these disability benefits are often difficult to apply for and obtain. This is why having a Mutual of Omaha disability lawyer on your side is essential. We have decades of experience filing long-term disability claims and representing lawsuits in court. You can trust us to help you with everything from understanding your policy language to ensuring you know your options.
Do not hesitate tocontact us atto make an appointment for a free case evaluation.
Mutual Of Omaha Has A History Of Denying Worthy Claims
After reviewing your claim, dont be surprised if Mutual of Omaha sends you a denial letter.
Its no secret that Mutual of Omaha denies the majority of initial long-term disability applications.
Applications for LTD claims are often written in ways to encourage responses that result in a denial of benefits.
Or perhaps instead of an outright denial, they will claim to have not received needed medical records or send you requests for more information, delaying desperately needed benefits month after month.
Your denial letter will only have the insurance companys decision and will not go into much detail regarding the reasons for your denial. For this, you will need a copy of your claim file.
You must ask for this file as it wont be provided to you. Once requested, Mutual of Omaha is required under ERISA guidelines to send you a copy of your claim file. In it, you will find a detailed account as to why your claim was denied.
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Do You Need Our Disability Attorney To Handle Your Mutual Of Omaha Appeal
You are not required to hire our lawyer to file a long-term disability appeal. Mutual of Omaha prefers that you do not consult with our lawyer because it does not want you to learn about your legal rights.
An insurance company has enormous resources to fight long-term disability claims. They are large corporations with legal departments and teams of adjusters, investigators, and claims representatives. Each of these professionals protects the best interest of the insurance company.
You need to even the playing field with Mutual of Omaha. Hiring the Law Office of Kevin J. McManus to handle your long-term disability appeal gives you the resources you need to fight Mutual of Omaha for the long-term disability benefits you deserve.
Our legal team has substantial experience and knowledge of ERISA laws and insurance laws. Put our knowledge, experience, and resources to work for you.
Based on the review, you can decide whether to schedule a consultation to discuss further action against Mutual of Omaha for denying your long-term disability income and benefits.
Its Critical To Work With Your Doctors Throughout The Long
Mutual of Omaha, like other disability insurance companies, will have specific definitions of disability, what conditions are covered, and for how long. Its important to analyze the policy and then work to educate your doctors so that they understand the terms and conditions .
If your doctors are like most practicing physicians, they will only take a minute to look at a form or listen to you about this or they will delegate it to a staff member. Lets face it, most doctors already think they know what it means to be disabled and they often dont give a lot of support for the opinions they put in their medical reports.
The reality is, that they dont understand your disability policy definitions and dont have the time to review the policy.
Many doctors want to help, but they end up hurting your claim for long-term disability because they use the wrong definition, or include medical conditions that are secondary but may limit your ability to get disability benefits. Its hard work convincing them, even though they mean well.
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At This Point You Can Do Three Things:
If you are defeated, you can stay down and lose the right to pursue your claim at all in the future. By not doing anything or waiting too long, it will be too late to accomplish any degree of success.
HANDLE THE APPEAL ON YOUR OWN
You can work up you appeal on your own by filling out the insurance companies limited forms and hope for the best knowing that the insurance company has more resources and knowledge about how these claims are resolved. At the end of the day, this may cost you.
HIRE AN ATTORNEY
An attorney should be able to review your medical records, job description, and educational and training history to tell you what your chances of success may be. Then, develop a plan to prevail.
Egan V Mutual Of Omaha Insurance Company
Egan purchased an individual disability insurance policy with Mutual of Omaha he later filed a disability claim under his policy. Mutual of Omaha denied Egans claim, stating that Mutual of Omahas own claims manager for Egans policy deemed the claim fraudulent.
Egan brought suit against Mutual for bad faith and unfair dealing. Egan presented evidence that he was no longer able to work despite his own good-faith recovery efforts. Furthermore, Egan had offered to undergo a medical evaluation by a doctor of Mutual of Omahas choosing before he sued, but Mutual of Omaha declined his offer Mutual of Omaha also did not order any medical evaluation before wrongfully denying Egans claim.
The trial court found in favor of Egan, holding that Mutual had not sufficiently investigated Egans claim before denying it. Mutual of Omaha appealed, and the states supreme court affirmed the trial courts finding, agreeing that Mutual of Omaha failed to properly investigate Egans claim before denying it.
Greguhn v. Mutual of Omaha Insurance Company
Greguhn purchased a disability insurance policy with Mutual of Omaha. The disability insurance policy entitled Greguhn to monthly benefit payments for as long as Greguhn was unable to work. After a year of payments, Mutual of Omaha stopped paying Greguhn they argued that he was able to continue working.
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Why Does Mutual Of Omaha Deny Claims For Long
Denial of claims by insurance companies like Mutual of Omaha has a long history and occurs for reasons that include:
Incomplete or inadequate information on a disability claim form
The claimed disability is linked to a medical condition that existed before the coverage date of the disability insurance policy
The disability is not covered by the terms of the insurance policy, or the claimants medical exam did not sufficiently validate the disability
The disability arose from an elective medical procedure rather than from an accident or illness
Mutual of Omahas denial of a disability claim may sometimes be justified, but in many other cases, it can be appealed or an application for benefits can be resubmitted with a more conclusive explanation of how a disability is preventing a claimant from performing his or her regular duties at work.