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The Edge Series: What Does “Merger Clause” Mean?

Posted by David P. Martin | Jul 22, 2022 | 0 Comments

The lawyers in our firm are focused on helping people with disability policies and ERISA claims. We want to give you the edge in understanding your policy. Today, we want to help you understand what the term “merger clause” means in your disability policy. A merger clause is not a term labeled th...

Can FMLA Be Used for Mental Health?

Posted by David P. Martin | Jul 19, 2022 | 0 Comments

Mental health awareness is increasingly important and applicable to all. Today, we're addressing “can FMLA be used for mental health?” A Refresher on FMLA The Family Medical Leave Act (FMLA) requires entities employing 50 or more employees for at least 20 workweeks in the year, to allow 12 weeks ...

Can You Work While on Disability?

Posted by David P. Martin | Jul 12, 2022 | 0 Comments

It is common to hear people who have a disability wishing to contribute through some type of work. When you cannot work productively, your self-esteem can be affected, and depression is often the result. Because those living with disabilities feel they can no longer utilize their education, train...

Employee and Retiree Access to Justice Act of 2022

Posted by David P. Martin | Jul 05, 2022 | 0 Comments

There is a bill called the Employee and Retiree Access to Justice Act pending in both the House of Representatives and the Senate which could make ERISA much fairer. If you have a long-term disability benefit or disability policy, pension, retirement benefit, health insurance, or life insurance c...

Is Lipedema Liposuction Covered by Insurance?

Posted by David P. Martin | Jun 21, 2022 | 0 Comments

We are commonly encouraged to do what we can to stay fit, but not everyone's weight is within their control. Today, we're highlighting a recent case which addressed the question: “Is lipedema liposuction covered by insurance?” What is Lipedema? Some people suffer from lipedema, a rare condition i...

What are the penalties for violating child labor laws?

Posted by David P. Martin | Jun 15, 2022 | 0 Comments

The United States Department of Labor's Office of the Solicitor uncovered rather extensive child labor violations by Paragon Contractors Corp. and owner Brian Jessop. More than 100 children under the age of 12 were employed during school hours to harvest pecans on a ranch in Utah. The Fair Labor ...

The Edge Series: What Does “Waiting Period” Mean?

Posted by David P. Martin | Jun 02, 2022 | 0 Comments

The lawyers in our firm are focused on helping people with disability policies and ERISA claims. We want to give you the edge in understanding your policy. Today, we want to help you understand what the term “waiting period” means in your disability policy. The waiting period refers to the number...

The Edge Series: What Does “Entire Contract” Mean?

Posted by David P. Martin | May 26, 2022 | 0 Comments

The lawyers in our firm are focused on helping people with disability policies and ERISA claims. Today, we want to help you understand what the term “entire contract” or “legal contract” means in your disability policy. Most people think that the policy itself is the entire contract, but that is ...

The Dark Side of ERISA: Murder & Benefits

Posted by David P. Martin | May 19, 2022 | 0 Comments

We often discuss the bad conduct by insurance companies and plan administrators. But what if a beneficiary engages in bad conduct? Some bad conduct can be grounds for refusing to pay a claim. For example, if a husband murders his wife, is he still entitled to her life insurance benefits? That doe...

Tips & Reminders for Pleading in Federal Court

Posted by David P. Martin | May 17, 2022 | 0 Comments

Since ERISA is a federal statute and we focus on ERISA claims, we primarily practice in federal court. Pleading any case in federal court has its unique requirements; however, pleading a discrimination case has specific minimum requirements, which was recently illustrated in a case in the Elevent...

Can Pension Be Taken Away?

Posted by David P. Martin | May 17, 2022 | 0 Comments

Depending on the claim, your ERISA pension could be taken away by companies that will then deprive you of a full and fair review in court. And, unfortunately, some courts go along with them. This was illustrated in a pending ERISA pension and retirement case in Mississippi. Facts of the Case: ...

Can My Long Term Disability Be Terminated?

Posted by David P. Martin | May 10, 2022 | 0 Comments

Many clients have the impression that once their long-term disability benefit has been approved, they need only to complete annual forms to maintain their approval. The case Boatright v. Aetna Life Insurance Company recently decided by Judge Tom Barber in the Middle District of Florida on April 5...

Underpaid & Overworked: The Need to Keep Employers Honest

Posted by David P. Martin | May 03, 2022 | 0 Comments

We have all seen the recent increase of “help-wanted” and “now hiring” signs. It seems there are not enough people looking for jobs – especially in the restaurant and hotel industries. Surveys reported by the Bureau of Labor Statistics in December 2021 noted that 958,000 restaurant and hotel work...

Treating Physician Rule Change & Who to Believe

Posted by David P. Martin | Apr 19, 2022 | 0 Comments

The treating physician rule required decision-makers to accord special deference to the opinions of treating physicians. The rule is no longer applicable in Social Security cases or ERISA cases. In 2003, the Supreme Court adopted what is considered to be a middle-of-the-road approach, in which de...

Can an ERISA Medical Plan Sue My Law Firm?

Posted by David P. Martin | Apr 14, 2022 | 0 Comments

So, you settled a personal injury lawsuit. An ERISA medical benefits plan previously put you on notice that it had paid medical expenses. The subrogation demand is a significant portion of the settlement. Do you have to pay the plan in full before you disburse funds to the client? What about your...

Why You Should Add FLSA to Your Practice Areas

Posted by David P. Martin | Apr 12, 2022 | 0 Comments

In 2021, the Department of Labor (DOL) collected $234 million in back wages for 200,000 employees in violations under the Fair Labor Standards Act (FLSA). This area of law could be a prime practice area for the plaintiff's counsel, as the DOL is likely only scratching the surface of the problem. ...

Unsafe Workplace Conditions & the ERISA Shield

Posted by David P. Martin | Apr 12, 2022 | 0 Comments

Being a home healthcare nurse can be a very challenging job. Deanna Pierce knows that all too well. She is also familiar with the ERISA games played by employers relating to an unsafe workplace environment. Sometimes those games are inappropriate and repulsive. Her case, Pierce v. Aveanna Healthc...

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