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Filing an Appeal

Time is of the essence – Do not delay filing your ERISA insurance appeal. Here are some helpful tips.

File Your Appeal. Generally, you only have 180 days in which to file. If you fail to file an appeal, you may lose your right to your benefits.

Ask for a complete copy of your claim file, including a copy of the insurance policy and plan documents. Make sure to review these completely and correct any errors when you file your appeal.

Prepare your evidence. Get a copy of your medical records from your doctors. Make sure your doctors have noted your limitations and restrictions that prevent you from working, including any side effects from your medication. If possible, have the doctor or medical examiner review the claim denial letter and comment on why they disagree.

File your appeal in writing and provide additional evidence supporting your claim. Even if you only submit a one-page note stating your appeal, make sure you file the appeal.

Ask the insurance company what else is needed for your appeal to be granted. Do this in writing and repeat it in every letter you send to the insurance company.