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Mental Health Disabilities in ERISA Long-Term Disability Appeals

Mental Health Disabilities in ERISA Long-Term Disability Appeals

Seeking disability benefits based on a mental health disability in ERISA long-term disability appeals can present unique challenges. There is almost always a 24-month benefit limitation in most LTD policies. These can be defined in varying manners, each impacting differently how the limitation will be applied. There are also evidentiary challenges in proving a disability based on a mental health condition. However, an experienced ERISA attorney can help overcome these challenges.

To establish a mental health disability in an ERISA long-term disability appeal, comprehensive documentation is crucial. This includes medical records, treatment history, and expert opinions from mental health professionals. Often, mental health providers are reluctant to release mental health office notes and records, in order to protect the client’s privacy. Your attorney can work closely with medical experts to gather and present this evidence effectively. She can ensure that your medical records are complete and reflect the severity of your mental health condition. Additionally, she can engage mental health professionals to provide expert opinions on the impact of your condition on your ability to work.

By presenting a comprehensive case, your attorney can demonstrate that your mental health disability meets the criteria outlined in your insurance policy for long-term disability benefits. She can effectively argue that your condition substantially impairs your cognitive, emotional, or social functioning, rendering you unable to perform your occupation or any other suitable occupation. With the guidance of an attorney who specializes in ERISA long-term disability appeals, you can navigate the complexities of proving mental health disabilities and increase your chances of a successful appeal.