The Financial Hardship of Denied Long Term Disability Benefits and How Iacobelli Law Firm Can Help5/31/2024 Facing a denial of long term disability (LTD) benefits can be a devastating blow, especially when you're already dealing with the challenges of a disability. The financial strain, coupled with the emotional toll, can feel overwhelming. Unfortunately, this scenario is not uncommon. Disability Insurance companies often deny claims as a tactic to save money, leveraging an unfair advantage over those who are already vulnerable. At Iacobelli Law Firm, we understand these dynamics and are committed to fighting for your rights without adding to your financial burden.
The Impact of Denied Long Term Disability Benefits When your LTD benefits are denied, the financial consequences can be severe. Without the income replacement that these benefits provide, you may struggle to cover basic living expenses, medical bills, and other necessary costs. This financial hardship can lead to:
Insurance Companies’ Tactics Insurance companies are in the business of making profits, and one of their strategies to protect their bottom line is to deny or delay legitimate claims. They may use various tactics, such as:
How Iacobelli Law Firm Can Help At Iacobelli Law Firm, we are dedicated to holding insurance companies accountable for their actions. Our experienced LTD lawyers are well-versed in the tactics used by insurers and are prepared to fight for your rights. Here’s how we can help:
A denial of long term disability benefits can create significant financial hardship and is often a tactic used by insurance companies to save money. At Iacobelli Law Firm, we understand these challenges and are committed to fighting for your rights. By working on a contingency fee basis, we ensure you can access top legal representation without upfront costs. Let us help you hold insurance companies accountable and secure the benefits you deserve. Contact us today for a free consultation and take the first step towards justice. Andrew Iacobelli is an experienced personal injury lawyer who established Iacobelli Law Firm with offices located in Ontario, Canada and Florida, U.S.A. Andrew restricts his practice to the representation of personal injury victims in claims involving serious injuries, Catastrophic Injuries, and wrongful death in Canada and the United States. Andrew is a lifetime member of the Million Dollar Advocates Forum, and the author of "Are You a Canadian Injured in the United States? Claim the Damages and Insurance Coverage the Right Way". Andrew also hosts a popular podcast and YouTube channel on the subject of personal injury law and the rights of injury victims.
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In the recent case of Moustakis v. Agbuya (October 17, 2023), the Superior Court of Justice in Ontario delivered an important ruling on the admissibility of expert evidence in personal injury cases. This decision, articulated by the Honourable Justice L. Merritt, underscores the necessity for impartial and relevant expert testimony, reinforcing the Mohan test and the gatekeeper role of the court in ensuring that expert evidence contributes constructively to the judicial process. This ruling has significant implications for personal injury litigation, particularly in addressing the frequent use of biased medical experts by insurance companies.
Case Overview The case involves the plaintiff, Kyriaki Moustakis, who alleged injuries from a motor vehicle accident on January 9, 2016. The defense sought to introduce Dr. Michael Ford, an orthopedic surgeon, as an expert witness to testify on chronic pain and somatic symptom disorder. However, the plaintiff challenged Dr. Ford’s impartiality and relevance, arguing that his testimony was biased and exceeded his expertise. The Mohan Test and the Gatekeeper Role Justice Merritt’s ruling began with an application of the Mohan test, which sets out four criteria for the admissibility of expert evidence:
Key Findings and Rejection of Dr. Michael Ford's Opinions Justice Merritt found that Dr. Ford’s testimony did not meet the necessary criteria for several reasons:
Legal Precedents and Implications The decision in Moustakis v. Agbuya aligns with the principles established in White Burgess, which underscores the importance of expert independence and impartiality. The ruling reinforces that experts must not only possess the necessary qualifications but must also provide evidence that aids the court without bias or advocacy. The Mohan Test The Mohan test, originating from the Supreme Court of Canada's decision in R. v. Mohan, remains the cornerstone for determining the admissibility of expert evidence. The four-part test includes:
The Cost-Benefit Analysis Beyond the Mohan test, the court must conduct a cost-benefit analysis to weigh the probative value of the evidence against its potential prejudicial impact. This involves:
Expert Independence and the Role of Advocacy A critical aspect of Justice Merritt’s ruling was the emphasis on expert independence. The court reiterated that an expert’s primary duty is to the court, not to the party that retains them. This principle is embedded in the legal framework to prevent experts from becoming advocates for one side, thus maintaining the integrity of the judicial process. The White Burgess decision is particularly instructive in understanding the boundaries of expert testimony. The Supreme Court of Canada in this case emphasized that expert evidence must be impartial, independent, and unbiased. The expert must objectively assist the court, rather than advocating for a particular outcome. This case highlighted situations where an expert’s evidence might be excluded, such as when there is a direct financial interest, a close relationship with a party, or exposure to professional liability contingent on the case's outcome. The Reality of Insurance Medical Examinations At Iacobelli Law Firm, we have extensive experience representing injured parties where insurance companies routinely rely on experts that are biased. Many experts hired by insurance companies to defend and defeat personal injury claims earn more money authoring reports for insurance companies than actually practicing medicine. This economic dependence can lead to biased opinions, which was a central issue in Moustakis v. Agbuya. Insurance Medical Examinations: A Closer Look Insurance medical examinations (IMEs) are often portrayed as impartial evaluations. However, these assessments are anything but independent. Insurance companies strategically select doctors for post-accident injuries assessments, aiming to minimize payouts. This practice is explored in our YouTube video on insurance medical examinations, where we delve into the hidden truth behind these evaluations and provide tips on how to navigate them successfully. Here are some key points from the video:
Implications for Legal Practitioners The Moustakis v. Agbuya ruling has significant implications for legal practitioners, especially in personal injury litigation. It underscores the necessity of scrutinizing the qualifications and impartiality of expert witnesses. Legal teams must ensure that their experts are not only well-qualified but also capable of providing unbiased, relevant, and reliable testimony. For plaintiffs, it is important reminder to challenge biased experts hired on behalf of insurance companies. Best Practices for Admissibility of Expert Evidence To enhance the admissibility of expert evidence, practitioners should consider the following best practices:
The decision in Moustakis v. Agbuya is a pivotal moment in personal injury litigation, particularly in curbing biased defense medical opinions. By strictly adhering to the Mohan test and emphasizing the gatekeeping role of the court, this ruling helps ensure that expert evidence presented in court is both fair and beneficial. For legal practitioners, this decision underscores the critical importance of scrutinizing the qualifications and impartiality of expert witnesses to maintain the balance and fairness of judicial proceedings. At Iacobelli Law Firm, we remain committed to providing expert analysis and support in navigating complex personal injury litigation. To learn more about navigating insurance medical examinations, we invite you to watch our YouTube video on the subject. We are here to provide insights and guidancein the ever-evolving landscape of personal injury law. Andrew Iacobelli is an experienced personal injury lawyer who established Iacobelli Law Firm with offices located in Ontario, Canada and Florida, U.S.A. Andrew restricts his practice to the representation of personal injury victims in claims involving serious injuries, Catastrophic Injuries, and wrongful death in Canada and the United States. Andrew is a lifetime member of the Million Dollar Advocates Forum, and the author of "Are You a Canadian Injured in the United States? Claim the Damages and Insurance Coverage the Right Way". Andrew also hosts a popular podcast and YouTube channel on the subject of personal injury law and the rights of injury victims. Disclaimer: This blog is informational only and not a substitute for legal advice. Every case is unique, and you should always consult a lawyer about your specific situation. ![]() As the weather warms up in Ontario, more and more cyclists are hitting the roads and trails to enjoy the beautiful outdoors. While cycling is a great way to stay active and enjoy the scenery, it's important to be prepared for the unexpected. Accidents can happen, and knowing what to do in the aftermath of a bicycle accident is crucial for your safety and legal protection. At Iacobelli Law Firm, we are committed to helping cyclists understand their rights and navigate the complexities of personal injury claims. Here are the essential steps to take if you are involved in a bike accident:
Learn More: Watch Our YouTube Video For a more in-depth look at what you should do if you are involved in a bike accident, watch our informative YouTube video: What You Should Do if You Are Involved in a Bike Accident. This video provides additional tips and expert advice to help you stay informed and prepared. If you or a loved one has been involved in a bicycle accident, our experienced legal team is here to help you navigate the legal process and secure the compensation you deserve. Contact us today for a free consultation and ride safely! For more information and legal assistance, visit our website at iacobellilaw.com. Andrew Iacobelli is an experienced personal injury lawyer who established Iacobelli Law Firm with offices located in Ontario, Canada and Florida, U.S.A. Andrew restricts his practice to the representation of personal injury victims in claims involving serious injuries, Catastrophic Injuries, and wrongful death in Canada and the United States. Andrew is a lifetime member of the Million Dollar Advocates Forum, and the author of "Are You a Canadian Injured in the United States? Claim the Damages and Insurance Coverage the Right Way". Andrew also hosts a popular podcast and YouTube channel on the subject of personal injury law and the rights of injury victims. Disclaimer: This blog is informational only and not a substitute for legal advice. Every case is unique, and you should always consult an attorney about your specific situation. As the weather warms up and motorcycle riding season kicks off in Ontario, it's crucial for riders to prioritize safety on the roads. Motorcycling offers a unique sense of freedom and adventure, but it also comes with its own set of risks. At Iacobelli Law Firm, we care deeply about the well-being of our community, and we want to ensure that every motorcyclist has a safe and enjoyable riding experience. Here are our top safety tips for motorcyclists this riding season:
How Iacobelli Law Firm Can Help At Iacobelli Law Firm, we understand the unique challenges and risks faced by motorcyclists. With extensive experience representing motorcyclists injured in both Canada and the United States, our team is dedicated to fighting for the rights of injured riders and ensuring they receive the compensation they deserve. We know how devastating motorcycle accidents can be, affecting not only the rider but also their families. Our compassionate and experienced legal team is here to provide the support and guidance you need during such difficult times. Whether you’ve suffered injuries or are dealing with the loss of a loved one due to a motorcycle accident, we are here to help you navigate the legal process and pursue justice. By following these safety tips, you can significantly reduce the risks associated with motorcycle riding and enjoy a safer, more enjoyable riding season. At Iacobelli Law Firm, we are committed to promoting road safety and supporting motorcyclists in our community. If you or a loved one has been involved in a motorcycle accident, our experienced legal team is here to help you navigate the legal process and secure the compensation you deserve. Contact us today for a free consultation and ride safely! For more information and legal assistance, visit our website at iacobellilaw.com. Andrew Iacobelli is an experienced personal injury lawyer who established Iacobelli Law Firm with offices located in Ontario, Canada and Florida, U.S.A. Andrew restricts his practice to the representation of personal injury victims in claims involving serious injuries, Catastrophic Injuries, and wrongful death in Canada and the United States. Andrew is a lifetime member of the Million Dollar Advocates Forum, and the author of "Are You a Canadian Injured in the United States? Claim the Damages and Insurance Coverage the Right Way". Andrew also hosts a popular podcast and YouTube channel on the subject of personal injury law and the rights of injury victims. Disclaimer: This blog is informational only and not a substitute for legal advice. Every case is unique, and you should always consult an attorney about your specific situation. This past Saturday night on May 18, 2024, a devastating boat crash occurred on Bobs Lake in the Buck Bay area, north of Kingston, Ontario, resulting in the tragic loss of three lives and injuries to five others. The incident, involving an open bow fishing style boat and a speed boat, is a stark reminder of the critical importance of boating safety.
Details of the Incident The Ontario Provincial Police (OPP) reported that the collision took place just after 9:30 p.m. between Westport and Parham. The victims who lost their lives were identified as a 21-year-old female from South Frontenac Township, a 22-year-old female from Elginburg, and a 23-year-old male from South Frontenac. The five injured individuals, aged between 21 and 44, were transported to a Kingston hospital, with one requiring airlift due to the severity of their injuries. Ongoing Investigation As the investigation into the cause of the boat collision continues, OPP spokesperson Bill Dickson expressed deep sympathy for the affected families and emphasized the need for privacy as they cope with their loss. He also highlighted the unfortunate timing of the incident, coinciding with Boat Safety Week. Importance of Boating Safety Dickson reiterated the vital importance of adhering to boating safety regulations. Key points include:
Legal Support for Victims and Families At Iacobelli Law Firm, we understand the profound impact such tragedies can have on families. We extend our deepest condolences to those affected by this horrific accident. Our experienced team is here to provide compassionate and dedicated legal support to help navigate the complex aftermath of boating accidents. If you or a loved one has been involved in a boating accident, you may be entitled to compensation. We can assist you in understanding your legal rights and pursuing justice. Contact us today for a free consultation. Stay Safe on the Water As we move into the summer months, many will be heading out to enjoy Ontario’s beautiful lakes and waterways. Remember that safety should always be your top priority. Equip your boat properly, follow all safety regulations, and ensure that every outing is a safe one. For more information on boating safety and legal assistance, visit our website at iacobellilaw.com. Andrew Iacobelli is an experienced personal injury lawyer who established Iacobelli Law Firm with offices located in Ontario, Canada and Florida, U.S.A. Andrew restricts his practice to the representation of personal injury victims in claims involving serious injuries, Catastrophic Injuries, and wrongful death in Canada and the United States. Andrew is a lifetime member of the Million Dollar Advocates Forum, and the author of "Are You a Canadian Injured in the United States? Claim the Damages and Insurance Coverage the Right Way". Andrew also hosts a popular podcast and YouTube channel on the subject of personal injury law and the rights of injury victims. Disclaimer: This blog is informational only and not a substitute for legal advice. Every case is unique, and you should always consult an attorney about your specific situation.
Long-term disability (LTD) insurance provides financial support to individuals who are unable to work due to a serious illness or injury. At Iacobelli Law Firm, we frequently receive inquiries about the intricacies of LTD claims, particularly regarding lump sum buyouts. In this blog post, we'll delve into the key aspects of LTD claims and the potential benefits and drawbacks of opting for a lump sum buyout.
What is a Long-Term Disability Claim? A long-term disability claim is a request for financial assistance made by an individual who cannot work due to a debilitating medical condition. These claims are typically filed with an insurance company that provides LTD coverage, either through an employer-sponsored plan or a privately purchased policy. The process of filing an LTD claim involves submitting medical evidence of the disability, demonstrating how it impairs the ability to work, and proving that the condition meets the policy's definition of disability. Once approved, the claimant receives monthly benefits to replace a portion of their lost income. Lump Sum Buyouts Explained A lump sum buyout is an offer made by an insurance company to settle an LTD claim with a one-time payment rather than ongoing monthly benefits. This option can be appealing for several reasons, but it also requires careful consideration of various factors. Advantages of Lump Sum Buyouts
Disadvantages of Lump Sum Buyouts Potential Underpayment: Insurance companies may offer a buyout that is less than the total value of the future monthly benefits. It's crucial to carefully evaluate the offer to ensure it is fair.
Considerations Before Accepting a Lump Sum Buyout Assess Your Financial Situation: Consider your current and future financial needs, including medical expenses, living costs, and long-term financial goals. Evaluate the Offer: Compare the lump sum offer to the total value of your remaining monthly benefits. It may be helpful to consult with a financial advisor or an attorney who specializes in disability claims to ensure the offer is fair. Understand the Terms: Carefully review the terms of the buyout offer, including any conditions or waivers that may affect your rights. Seek Professional Advice: Consulting with professionals who have experience in LTD claims and lump sum buyouts can provide valuable insights and help you make an informed decision. Deciding whether to accept a lump sum buyout for your long-term disability claim is a significant decision that should not be taken lightly. At Iacobelli Law Firm, we are committed to helping our clients navigate the complexities of LTD claims and make decisions that best serve their interests. If you have questions about your LTD claim or need assistance evaluating a lump sum buyout offer, please don't hesitate to contact us. If you have any further questions or need personalized advice regarding your LTD claim or lump sum buyout, feel free to reach out to our team. We're here to support you every step of the way. Andrew Iacobelli is an experienced personal injury lawyer who established Iacobelli Law Firm with offices located in Ontario, Canada and Florida, U.S.A. Andrew restricts his practice to the representation of personal injury victims in claims involving serious injuries and wrongful death in Canada and the United States. Andrew is the author of "Are You a Canadian Injured in the United States? Claim the Damages and Insurance Coverage the Right Way". We are pleased to release our latest YouTube video, where we discuss a common challenge faced by personal injury claimants: lowball offers from insurance companies. As a personal injury lawyer, I've seen many clients initially overwhelmed by the tactics used by insurance companies to minimize payouts. Today, I want to share with you the strategies we use to ensure you receive the fair compensation you deserve.
Understanding the LandscapeIn personal injury cases, the opposing side is almost always an insurance company. Their primary goal is to limit the amount of money paid out on claims. This often results in initial offers that are unrealistically low. Recognizing this tactic is the first step in preparing to counter it effectively. The Importance of PreparationOne fundamental strategy is to prepare every case as if it will go to trial. While the vast majority of personal injury cases settle out of court, showing that you are trial-ready significantly increases the likelihood of receiving a fair settlement offer. This preparation signals to insurance companies that lowball offers will not be entertained and that you are serious about obtaining just compensation. Creating Risk for Insurance CompaniesCreating a perception of risk for the insurance company is key to countering lowball offers. This risk is generated by detailed and consistent medical documentation. If you are seeing your primary care physician or specialists regularly and they document your injuries and treatment thoroughly, it becomes challenging for the insurance company to defend against your claim. Maintaining Honesty and CredibilityCredibility is crucial in personal injury claims. Always be honest with your healthcare providers, employers, and the insurance company. For example, if you claim that your injuries prevent you from enjoying your usual activities yet post contradictory activities on social media, your credibility could be damaged, which can significantly weaken your case. The Art of NegotiationNegotiating with insurance companies is a delicate art. If faced with an unreasonable offer, it is essential to remain calm and not show any frustration during the negotiation. Any emotional reaction can provide the insurance company with insights into your mindset and potentially affect the outcome of the negotiation. The Role of Economic LossInsurance companies often evaluate claims based on the economic risk they pose. Clear documentation of potential income loss and ongoing medical needs is essential. If the insurance company underestimates these costs, they are likely to extend a lower offer. Ensuring that all economic losses are well-documented and presented is critical in receiving a fair offer. Turning Lowball Offers into OpportunitiesSometimes, a lowball offer can serve as a strategic opportunity to re-evaluate and strengthen your case. Understanding the reasons behind the insurance company's valuation can guide you to enhance the areas of your claim that are being undervalued. Dealing with lowball offers from insurance companies is a challenging but navigable part of personal injury claims. Preparation, documentation, credibility, and skilled negotiation are all crucial components in ensuring that you are not undervalued or unfairly compensated. Remember, having an experienced personal injury lawyer can provide you with the guidance and representation needed to navigate these complex negotiations effectively. If you're dealing with a lowball offer and need assistance, don't hesitate to reach out. My team and I are here to help you understand your rights and fight for the compensation you truly deserve. Andrew Iacobelli is an experienced personal injury lawyer who established Iacobelli Law Firm with offices located in Ontario, Canada and Florida, U.S.A. Andrew restricts his practice to the representation of personal injury victims in claims involving serious injuries, Catastrophic Injuries, and wrongful death in Canada and the United States. Andrew is a lifetime member of the Million Dollar Advocates Forum, and the author of "Are You a Canadian Injured in the United States? Claim the Damages and Insurance Coverage the Right Way". Andrew also hosts a popular podcast and YouTube channel on the subject of personal injury law and the rights of injury victims. Disclaimer: This blog is informational only and not a substitute for legal advice. Every case is unique, and you should always consult an attorney about your specific situation. |
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