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RECOVER YOUR DENIED INSURANCE BENEFITS

LET A FORMER INSURANCE COMPANY ATTORNEY
GUIDE YOU

Long Term Disability / Life /
Accidental Death / ERISA

Our past years of representing insurance companies taught us a thing or two about how they work behind the scenes. Let our experience work for you.

Pottstown, PA ERISA Lawyer

Over 50% of workers in this country earn health benefits through their jobs, in addition to other benefits such as profit sharing, retirement plans, COBRA plans, and disability insurance. If you are one of these Americans and have been denied benefits to which you believe you are entitled, having an experienced ERISA attorney on your side can dramatically impact the results of your appeal.

 

We answer any questions
you have FREE OF CHARGE.

(866) 248-0580

Receiving a bill should never be the first step in getting help. Our firm knows that when dealing with an ERISA, long term disability or insurance claim, what you need is answers, and we are here to provide them free of charge.

Our firm welcomes telephone calls or the opportunity to visit with you in person to answer any questions you may have. We also provide FREE comprehensive case reviews. There is no obligation to hire us as your ERISA attorney.

Why I Love Our Mission Of
Helping People Like You…

Too much is at stake to guess about the best approach and strategy for fighting your denied insurance claim — years and years of financial security.

After spending years representing insurance companies, we don’t guess. We know their playbook and how they work behind the scenes. Using that knowledge, we’ve developed our own Clear Advantage Process for fighting claims.

It’s personally satisfying to use what I’ve learned as an insurance company insider, now for the good — helping families reverse unfair denials of insurance benefits they paid for, need and deserve.

FREE CASE CONSULTATION

About J. Price McNamara

Price McNamara began his law practice in 1990 representing insurance companies.

In 1995, Mr. McNamara founded McNamara Law Offices, where he represents people across the U.S. who are wrongfully denied long-term disability insurance, life insurance, and accidental death insurance benefits, with special focus on ERISA claims and lawsuits.

His is a member of the Louisiana and Texas Bars, with office locations by appointment only in Baton Rouge, Metairie, and Houston. He lives in Baton Rouge, Louisiana with his wife and their three children.

See How We Have Helped Others In Situations Just Like Yours.

Client Testimonials

Our Testimonials

What is ERISA?

ERISA, the Employee Retirement Income Security Act of 1974, is a critical federal plan designed to protect the interests of employees who work under the umbrella of the plan. These plans relate to private employers who offer employer-sponsored benefits and do not cover religious or government entities. ERISA creates standards of accountability and transparency, setting forth specific requirements to inform employees about their plans. Canons of conduct for fiduciaries and plan managers are designed to ensure that monies are not abused or mismanaged.

 

Our number-one goal is getting you and your family back to financial security as soon as possible.

Contact Us Today. We Can Help You.

Free Case Consultation

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Baton Rouge Office

10455 Jefferson Hwy,
Suite 2B
Baton Rouge, LA 70809
Phone: (225) 201-8311
Fax: (225) 201-8313
(By Appointment)

New Orleans Office

4141 Veterans Memorial Blvd.
Suite 212
Metairie, LA 70002
Phone: (504) 458-8455
Fax: (225) 201-8313
(By Appointment)

Houston Office

363 N Sam Houston Pkwy E
Ste 1100 PMB, #114
Houston, TX 77060
Phone: (713) 439-0339
Fax: (225) 201-8313
(By Appointment)

Appealing a Denial

Let us say you have filed a claim and were surprised to see that your provider denied the benefits. What now? Section 503 of ERISA guarantees claimants the right to a fair review of denied claims. The appeals process, however, can be quite daunting, so this is the time to get some serious legal assistance. The coming weeks and months will involve a fair amount of paperwork and some aggressive maneuvers:

  • Obtaining all relevant documentation and scouring over it to understand what is covered, time limitations, requirements, the process to file an appeal, and so forth;
  • Carefully analyzing the specifics of the denial, including what the carrier’s physicians have concluded about your condition, in order to objectively address the issues;
  • Assembling additional evidence of your disability, including employment records, medical records, witness statements, detailed physicians’ affidavits, and other pertinent documents;
  • Writing a comprehensive explanation detailing precisely how the disability impacts your ability to work.
  • Filing an appeal within the required time frame.

The Appeals Decision

Within a specified period of time—it varies depending on the type of claim–you should receive written notice of the claim decision. In the event it is still denied, the explanation must include the explicit reasoning behind the decision and unambiguous references to provisions within your plan to back up the denial. At this point, your lawyers will have to negotiate through a second appeal. Ultimately, all internal procedures must be exhausted prior to ultimately taking the case to court in a civil action.

Advocating for You

If you have been denied the benefits you need, it can be incredibly frustrating, adding to the agony of an already untenable health event.  In Pottstown, the experienced ERISA legal team at the Law Offices of J. Price McNamara is dedicated to pursuing your claim to get you the help you need as quickly as possible. Quite often, simply tightening up the documentation in the appeal is all that is necessary. But when further action is required, we do not shy away from the task. If you have been blindsided by an unfair denial, contact us today for a free, confidential consultation.

Attorney Advertising. This website is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship. Testimonials are not a guarantee, warranty, or prediction of the outcome of your case. By providing certain contact information herein, you are expressly authorizing the recipient of this message to contact you via the methods of communication provided.

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