Boston Mutual Life Insurance Company

Its integrated policy provides both short and long-term disability coverage through a single policy, which is supposed to ease administration for policyholders. The disability programs are designed to protect employees against disabilities resulting from an accident, physical disease or injury, pregnancy, mental disorders, and more.

Standard Short-Term Disability Insurance Provisions

Boston Mutual offers numerous options in its STD policies. Some of them include the following:

• Benefit Schedules / Amount of Payments – 50%, 60%, 662/3% and 70% of weekly earnings to maximums up to $2500.
• Benefit Durations – Up to 26 weeks.
• Definition of Disability – The insured is disabled under the STD policy if they are unable to perform some or all of the duties of his/her regular occupation with a minimum of 20% loss in earnings.
• “Elimination” / Waiting Periods – Benefit waiting periods from 0 to 30 days.
• Unlimited Return to Work Benefit Incentive – Partially disabled insureds working and earning between 20% and 80% of earnings are eligible for up to 100% of the maximum weekly benefit, subject to standard claim adjudication.

Standard Long-Term Disability Insurance Provisions

Long-term disability options include the following:

• Benefit Schedules – 40%, 50%, 60%, 662/3% and 70% of monthly earnings to maximums up to $15,000.
• Benefit Durations – Reducing Benefit Durations; 2 to 5 Years; or to Social Security Normal Retirement Age.
• Definition of Disability – The insured is disabled if unable to perform some or all of the duties of his/her regular occupation with a minimum of 20% loss in earnings subject to the program option of 1, 2, 3, or 5 Year Own Occupation; Extended Own Occupation; 2 Year Own Occupation/ADL.
• “Elimination” or Waiting Periods – From 30 to 360 days.
• “Return to Work Benefit Incentive” – Partially disabled insureds working and earning between 20% and 80% of earnings are eligible for up to 100% of the maximum weekly benefit, subject to standard claim adjudication and program options of 12 or 24 Months; Unlimited.

What To Do If Your Claim Is Denied

The steps you need to take after receiving a claim denial will vary depending on the type of policy you have and the terms of that policy.

For those with a group plan, your policy probably falls under ERISA. If your claim is denied, ERISA mandates you to file an appeal with the insurance company. Usually, you only get 180 days to do this. Some policies might also give you a chance for a second, optional appeal.

If you have an individual policy or work as a government or church employee, and your long-term disability claim was rejected or halted, you might not need to appeal directly with the insurance company. Instead, it’s wise to speak with a disability lawyer who can guide you on your legal standing.

How A Boston Mutual Long-Term Disability Lawyer Can Help

Nick A. Ortiz is a dedicated disability attorney who provides these legal services for those who have long-term disability policies with Boston Mutual Life Insurance Company:

• Appealing Boston Mutual’s decision to deny individual or government long-term disability benefits.

• Filing an ERISA appeal against Boston Mutual Life Insurance Company if they deny group LTD benefits.

• Challenging Boston Mutual’s decision to wrongly terminate individual or government long-term disability benefits.

• ERISA appeal if Boston Mutual wrongly terminates group LTD benefits.

• Suing Boston Mutual after a final administrative denial of individual or government long-term disability benefits.
• Filing an ERISA lawsuit against Boston Mutual following the final administrative denial of group LTD benefits.

For detailed guidance, call the Ortiz Law Firm at (888) 321-8131. We off er a free case evaluation with an expert Boston Mutual LTD disability lawyer.