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Montgomery County, PA ERISA Attorney

Montgomery County, PA ERISA Attorney

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.

Keep These Things in Mind

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.

Time Limits

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.

Responding to the Denial Letter

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:

  • Carefully scrutinizing the claim denial;
  • Gathering additional evidence to substantiate your claim;
  • Ensuring all necessary vocational and medical documentation is in order;
  • Writing a comprehensive report to validate your condition;
  • Conducting professional negotiations on your behalf;
  • Ensuring the appeal meets all deadlines.

If the Appeal Fails

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.

Confidence and Experience Matter

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.

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