ERISA Claims Always Keeping Your Best Interests in Mind

Fort Lauderdale ERISA Claims Attorney

What Is ERISA?

ERISA stands for the "Employee Retirement Income Security Act" which aims to protect workers by regulating employee insurance policies and retirement plans. When you have short-term or long-term disability insurance and are unable to work as a result of an injury or illness, you will likely qualify for benefits that cover a percentage of your paycheck. However, your employer’s insurer may improperly deny your claim to avoid paying benefits. The United States Department of Labor enforces ERISA rules and oversees the conduct of plan administrators and fiduciaries.

What Happens if My Claim is Denied?

If your plan is covered by ERISA rules, you are entitled to certain rights when your claim is denied. Fort Lauderdale ERISA claims lawyer Martin J. Sperry can help you explore all of your legal options when an insurer acts in bad faith. Our firm has over 45 years of legal experience in this field and has recovered millions of dollars for our clients. We can assess whether your plan is covered by ERISA regulations, determine if you have a case, review potential remedies, and assist you in seeking the compensation you deserve.

If your insurance plan is covered by ERISA and your claim has been wrongfully denied, do not hesitate to call (954) 324-2340 or contact us online. We offer free initial consultations.

How ERISA Works

Many employees procure life insurance, short-term disability insurance, and long-term disability insurance policies through their employer. ERISA sets and enforces minimum standards for many private employers that choose to offer these and other types of insurance and retirement plans. Under ERISA, most private employers that offer insurance and retirement plans must abide by rules governing:

  • Disclosures. Private employers must regularly disclose policy benefits, means of obtaining benefits, rules, limitations, and changes.
  • Accountability. Managers of company-offered policies and plans must make regular filings with the federal government to ensure no rules are being broken.
  • Claims. Private employers must provide policyholders with a clear, written system for filing claims and appealing denied claims. ERISA also requires that claims and claims appeals must be adjudicated in a reasonably efficient manner.
  • Conduct. Managers of plans and policies have legal fiduciary relationships with plan participants and policyholders under ERISA. Their conduct is strictly enforced.
  • Plan Protection. ERISA quires managers of plans and policies to act in the best interests of the plan participants and policyholders.

ERISA rules require that policy administrators make timely decisions about approving or denying benefit claims. If your insurer denies your claim, they are required by law to provide a letter outlining the reasons for their decision. They must also disclose any evidence they used to make their decision and the identities of any experts whose expertise they relied upon during the adjudication process. When your ERISA-covered insurance claim is denied, your policy administrator must provide you with written instructions for how to appeal the decision.

Generally, you will have up to 6 months to file a formal appeal. Your appeal must be reviewed and adjudicated within a reasonable timeframe. If your appeal fails, you will likely have the opportunity to file a lawsuit against your insurer on the basis of your claim being wrongfully denied. These lawsuits are litigated in federal court.

Who is Subject to ERISA?

Private-sector companies, including C-corporations, S-corporations, partnerships, proprietorships, and limited liability companies, that offer certain insurance plans and/or pension plans to their employees are subject to ERISA. However, ERISA does not apply in every case, and there are some employers who are not bound to follow this law. For example, plans offered by a government employer or entity are not covered by ERISA, nor are unfunded excess benefits plans or plans maintained outside of the United States for the benefit of non-resident aliens. If you have questions about ERISA, who it applies to, and whether your employer or benefits plan is subject to this law, our attorney would be happy to review your case.

Don't Wait to Get Help With Your Case

Our Fort Lauderdale ERISA claims attorney at Martin J. Sperry, P.A. can assist you with every element of your appeal when your disability insurance claim is wrongfully denied. Our firm has a complete understanding of ERISA regulations and can leverage our decades of hands-on experience to move through the process as efficiently and effectively as possible.

Learn more about your rights under ERISA by contacting us online or calling (954) 324-2340. Our Fort Lauderdale ERISA lawyers offers free consultations. We look forward to helping you secure the compensation you deserve.

Hear It from Our Clients

Delivering High-Quality Legal Services
  • I consider Martin Sperry a consummate professional, one of the most experienced and preeminent insurance attorneys in this area.

    “Marty was always reachable, always returned calls, consistently achieved good results in those cases, and the clients were always very satisfied.”

    - C.N., Esq.
  • Consistent Communication and Professionalism

    “Martin Sperry is the type of attorney who sees everything through from start to finish with consistent communication and professionalism.”

    - P.W.
  • I found him to be experienced, responsive, knowledgable and honest.

    “I would highly recommend Martin Sperry to anyone seeking legal representation that is fair, honest and will keep your best interest and unique needs at the forefront.”

    - J.E.
  • Mr. Sperry is the smartest.

    “Mr. Sperry is the smartest attorney I have ever spoken with.”

    - Luiz. P
  • Professional and Experienced

    “Top-notch responsiveness and customer service.”

    - Timothy P.

Case Results

  • $5,000,000 Recovery for Delayed Payment of Insurance Benefits
  • $4,200,000 Recovery on Commercial Insurance Claim Following a Complete Denial of Benefits
  • $1,950,000 Recovery of Disability Insurance Benefits
  • $800,000 Recovery for Delayed Payment of Insurance Benefits
  • $520,000 Recovery of Accidental Dismemberment Benefits
  • $350,000 Lump Sum Settlement on Individual Disability Policy
  • $300,000 Recovery of Long Term Disability Benefits Under ERISA Plan After Complete Denial of Claim
  • $260,000 Recovery of Disability Benefits
  • $135,000 Recovery ERISA Disability Benefits
  • $105,000 Recovery of Long Term Disability Benefits After Complete Denial of Claim
  • $87,000 Recovery of Long Term Benefits Under ERISA After Complete Denial of Coverage

Reasons To Hire Martin J. Sperry, P.A.

Put Experience in Your Corner
  • Personalized Legal Services

    All clients work directly with Attorney Sperry to discuss their unique case.

  • Cost-Efficient Approach

    No fee unless we reach a resolutionĀ and recovery on your case.

  • Experience on Your Side

    Our Attorney brings more than 45 years of experience to every case that we take on.

  • Free Consultations

    Don't wait, contact our firm to schedule your free consultation today.