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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.

Seneca ERISA Appeals Lawyer

Are you having difficulties collecting benefits from an ERISA pension or health plan in the state of South Carolina?  If so, it would be prudent to seek the legal counsel of a local attorney who is familiar with this federal program.


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.


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.

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What is ERISA?

The United States Department of Labor created the Employee Retirement Income Security Act of 1974 (ERISA) in order to establish basic standards for health and pension plans that are established voluntarily in the private sector. They do not apply to religious or government entities. ERISA plans may have several components:

  • Short-Term Disability Plans that address medical bills and salary compensation for a limited period of time;
  • Long Term Disability Plans that deal with illness or injury that may or may not be job-related, and that impact health for a lengthy period of time, or for which a complete recovery is not expected;
  • Health care plans to address the needs of your family;
  • Pension or retirement plans such as 401k, ESOP, and profit sharing plans;
  • Life insurance to provide for your loved ones in the event of your death.


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

Complete the confidential form for a free, no obligation case evaluation and we’ll tell you how we can help.

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)

Filing Claims

Employees who wish to file a claim should first ensure that they are entitled to benefits.  It is possible in some cases that waiting periods exist before coverage kicks in, or that dependents do not have coverage after reaching a particular age. In the event you do have coverage, ERISA guidelines provide timelines under which your claims must be addressed, all of which may be extended under particular circumstances:

  • Urgent Care claims are those that need quick decisions; otherwise, the health implications could be serious. They must be addressed as soon as possible, but in no longer than 72 hours;
  • Pre-service claims are essentially preauthorization for medically required procedures that are planned for a future date. There is a 15-day response time for most claims;
  • Post-service claims are for services previously rendered.  They must be decided within 30 days.
  • Disability claims involve making a determination as to a disability that has short- or long-term implications.  These must be decided within 45 days of request for consideration.

Appealing a Denial

What happens when these timelines are not met, or when the response is a denial of benefits?  The frustrating process of appealing a denial should not be undertaken alone. You have at least 180 days to file an appeal if your claim is denied, and you could seriously benefit from the knowledge and experience of an attorney at The Law Offices of J. Price McNamara. Our legal team knows how to proceed:

  • By documenting in depth your medical and work history;
  • By requesting documents and information related to your claim denial, including consultants who considered your claim;
  • By assembling the necessary evidence to proceed;
  • By conducting professional negotiations with plan administrators on your behalf;
  • By taking your case to court if ultimately necessary.

Contact Us

Do not become overwhelmed by the mountains of paperwork and technical jargon that is used to intimidate you. Let us help you through the appeal process. Contact our adept team at the Law Offices of J. Price McNamara in Seneca today for a 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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