Health Benefits and ERISA
Nationwide Health Insurance Benefits and ERISA Lawyers
Employees spend most of their waking hours serving their employers. Many employers offer health insurance benefits. If the company you work for provides health benefits, it must comply with ERISA (Employee Retirement Income Security Act), a federal law regulating the plans that provide these benefits — and it must keep its promises.
Unfortunately, more and more loyal employees are being repaid with denial of benefits when they need it most. As you might expect, the claims that are denied are the most expensive ones, including:
- Residential rehabilitation services for mental health issues and drug or alcohol addiction
- Long-term illnesses
- Pre-existing conditions
- Pre-certification issues
You might have promises to provide benefits for these conditions that you can enforce under ERISA. For example, ERISA requires coverage of some pre-existing conditions. HIPAA (Health Insurance Portability and Accountability Act) is the act that accomplished this.
Dedicated, Knowledgeable Arizona Employment Attorneys
Our experienced lawyers can help you determine what should be covered and help you fight for what you have been promised. You have a right to appeal denial of benefits and sue in a court of law if your benefits are denied after appeal. You also have rights to request and receive documents governing your entitlement to health benefits. Going through the administrative claims processes without consulting an attorney and understanding your rights is a mistake that may ruin your chances of ultimate success.
If you think your rights to health benefits may have been violated, you should consult with an attorney who concentrates in the practice of law in the fields of labor, employment and ERISA benefits. Our practice includes fully documenting your condition, filling out the necessary forms, and pursuing appeals with the Plan Administrator when necessary. Know your rights before you file an appeal with the plan. Many times, the failure to consult an attorney before appealing to the plan will limit your chances for success if you later decide to pursue your claim in court. It is most important to know that if you need to take your case to court, you may be limited in your evidence to what you have earlier presented in your appeal to the plan administrator.
A Firm You Can Trust
At Martin & Bonnett PLLC, our experience, knowledge and success have made us one of the preeminent employee rights law firms in Phoenix, Arizona and throughout the country. Our lawyers litigate high-profile cases against large corporations and governmental agencies. We have successfully handled cases against some of the largest employers in the country. We are experienced, proactive attorneys who are strong and effective advocates on behalf of our clients. We know the law and are innovative in developing and implementing legal strategies for success.
See our notable case results and FAQ.
Contact Our Phoenix, Arizona ERISA Lawyers
For more information or to schedule an appointment with a Phoenix, Arizona ERISA attorney please call (602)240-6900 or toll free 1-800-952-4750. You can also contact us online.