Law Offices of Eric A. Shore

ERISA / LTD Appeal Hub

ERISA & Long-Term Disability Appeals: Denial Letters, Evidence & Appeals

When your long-term disability claim is denied, it can feel overwhelming. Most employees receive coverage through an ERISA-governed plan (Employee Retirement Income Security Act). These rules are strict, deadlines are short, and one mistake can permanently damage your right to benefits.

This guide explains what ERISA is, how the appeal process works, and why acting quickly with the right evidence is the key to overturning a denial.

What ERISA Is & Why It Matters

  • ERISA (Employee Retirement Income Security Act) governs most group disability insurance plans provided through employers.

  • It sets the rules for filing claims, appealing denials, and ultimately taking your case to federal court.

  • ERISA is designed to protect insurers — not workers — which is why you need strong legal guidance to level the playing field.

Important: Unlike regular lawsuits, ERISA appeals are decided mostly on the administrative record — the evidence you submit during your appeal. If you miss evidence at this stage, you likely cannot add it later.

The Role of Deadlines in ERISA Appeals

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Denial Letter Deadline: After receiving a denial, you usually have 180 days to file your appeal.

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Insurer’s Response: Once your appeal is filed, the insurer must respond within 45 days (with one possible 45-day extension).

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Lawsuit Timeline: If your appeal is denied, you can file a lawsuit in federal court — but only after completing the administrative appeal.

Overview of Evidence & Strategy

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Detailed medical evidence — physician notes, imaging, and functional capacity evaluations.

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Vocational evidence — proof of how your condition prevents you from performing your job duties.

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Expert opinions — supporting letters from doctors and specialists.

Supporting Resources

Speak to an ERISA Appeal Attorney Today

If your long-term disability benefits have been denied, don’t wait. Call 1-800-CANT-WORK now for a free case review. We’ll explain your rights, manage deadlines, and fight to secure the benefits you earned.

Call us today!
1-800-CANT-WORK

Receive the compensation you deserve.
Let’s talk about your case

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Need Help with a Legal Issue? Your Questions Answered Right Here, Right Now

Our experienced attorneys at the Law Offices of Eric Shore can assist you with various legal matters. We can help you file for disability, pursue compensation, or resolve workplace disputes. Reach out for a consultation at our offices in Philadelphia or New Jersey today!

Need Help with a Legal Issue? Your Questions Answered Right Here - Right Now

Our experienced attorneys at the Law Offices of Eric Shore can assist you with various legal matters. We can help you file for disability, pursue compensation, or resolve workplace disputes. Reach out for a consultation at our offices in Philadelphia or New Jersey today!