Companies frequently opt to self-fund employee benefits in private industry. When this occurs, the Employee Retirement Income Security Act (ERISA) governs the rules of operation, primarily in an effort to protect employees from unethical or unwise decisions by fiduciaries and plan managers. These plans may cover a number of areas, including health insurance, life insurance, disability insurance, and retirement plans, including 401K plans and ESOP plans, as well as profit sharing. You and your beneficiaries may find yourselves needing to make a claim at some point, and hopefully, everything will run smoothly. In the event they do not, the help of an experienced ERISA attorney can make a huge impact on the outcome.
As you go through the claims process, you need to realize that the insurance provider is not a benevolent organization bent on making life easier for you. In all too many cases, in fact, it seems they will do anything to delay making payments or to avoid making them altogether. At the Law Offices of J. Price McNamara, our goal is to do everything in our power to take justifications for a claim denial right out of the equation.
One important thing to consider is the fact that once your claim has been denied, there are pretty strict time limits under which you must file an appeal—generally within no more than 180 days of notification. Once that time lapses, so do your rights.
Maybe you are thinking that you are so fed up with plan administrators that you do not even want to go through a complex appeals process. You want to jump right to a lawsuit and give plan administrators exactly what they deserve. Hold up, there—ERISA rules do not permit legal action until after all other administrative remedies have been spent. Additionally, the court cannot consider new evidence in a court filing. That is why thoroughly addressing any and all issues highlighted by the claim rejection is essential. Our efficient legal team will take care of you by:
If the appeal is unsuccessful, now is the time to consider legal action. Your legal team will know precisely how to proceed if things get this far and will be by you every step of the way.
There is nothing more frustrating than having to fight to get the benefits you need and deserve. But having the legal team at the Law Offices of J. Price McNamara batting for you can make a substantial difference in the outcome of your claim. Contact our Montgomery County, Pennsylvania office today for a confidential consultation.
I needed an attorney with a specific specialty and Price McNamara was definitely the right choice. His representation was based on principles that are probably unsurpassed by any other attorney in the field. McNamara represents individuals, not big-money corporations, like so many others in his field of specialty. He is a consummate professional, extremely knowledgeable
I found Mr. McNamara to be practical and efficient. He did what I needed in a reasonable amount of time, keeping me well informed and with excellent results. He communicated with me clearly and on a timely basis. I will use him in the future.
I am a current client of Mr. McNamara’s. He is very accessible and responds to my emails and phone calls in a timely manner. I find him to be very professional and knowledgeable, as well as ready, willing and able to address all of my questions and/or concerns.
I am an attorney. Price represented me, and in a separate suit represented my daughter, for injuries. He moved the cases at lightning speed and obtained maximum recovery. I was grateful and surprised. I would recommend Price to anyone who wants a top-notch attorney who gets results.
I would recommend Mr. Mcnanmara to anyone at any time. He was the best attorney that my family and I came in contact with. About three years ago we had a very tragic, accidental death in our family and the company knew that it was their fault but of course tried passing the buck. Mr.
Price and Sara are great. They helped us in a time of need. Their communication was always spot on and I never felt out of the loop with what was going on with our case.
Price is very professional, honest, and reliable. Whatever he says, he will follow through with the utmost integrity. He will turn over every stone and pays close attention to even the smallest detail. I’m glad I secured his services.
Without going into the painful details regarding the reason for having to hire Price, his compassion and communication helped my family during an extremely difficult time. If you need legal help because you or a family member was injured by something or someone else, don’t hesitate to call him.
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