My Long Term Disability Insurance called to question me after 22 years of benefits


I acquired a disability decades ago. My back decided to break down and herniate to the tune of 11 disc protrusions with spinal nerve and cord compression. I had a professional career and worked until I couldn’t.

As many of us I made a lot of mistakes in my younger days but one mistake I didn’t make was I listened to my financial advisor and purchased Long Term Disability Insurance and paid for it out of my personal income not my corporation. My Disability Insurance carrier was fantastic. They reviewed all of the documentation and after the waiting period I received my first of many checks from them. My policy was until age 65. Every month for the next 22 years I received a check from them without question. Having Long Term Disability Insurance was truly a Blessing as I could not work given my condition. The closer I got to 65 the less I worried about having any issues with them.

I woke up one morning at 59 years old and it was an ordinary day until I went to get the mail. In my mail box that day was a letter from my Long Term Disability Insurance telling me that they wanted to send an investigator to my home to interview me.  “Please contact us” they said so we can schedule the appointment. The letter also cited language from my policy indicating that they had the right to do this and that if I refused it could jeopardize my benefits.

I don’t know if any of you have experienced a situation like this. My first reaction was to break into a sweat and my heart started beating really fast. I was fear stricken. Can they actually stop my benefits after all this time? What will I do? I need that money to live on. Like many people receiving long term disability benefits I read all the stories of this happening. I remembered how sad I felt for those people and how happy I was that my Disability Insurance has never bothered me. They were a great company.

After a period where my mind raced thinking of the worst, I went to my computer and Googled everything I could on situations like this. There is a ton of information about this on the web. My suspicions were confirmed. In situations like this, the Disability Insurance was looking for a way to stop your benefits. The pervasive opinions of people who went through this said to never let any investigator into your house. It will never work in your favor.

After my initial response, my logical mind stepped in. You have been on Long Term Disability for over 20 years now. You haven’t worked during that time. Does the insurance company believe that you are getting better as you get older? I mean they paid me for 22 years. They are committed to only 6 more years of payments. What are they thinking?

I contacted a close friend of mine who is an attorney. He confirmed that in his experience for whatever the reason they are looking for a way to stop my benefits. He told me to contact the adjuster and tell her that I am happy to meet with the investigator but I will do so in my attorney’s office not my home.

I followed my friend’s advice. I called the adjustor. She agreed to set up the appointment at my attorney’s office. “Great” I said to myself. This is big. I thought to myself, why are they doing this? They have questions about me and where I am in life and contrary to my friend’s advice, before I hung up I said to the adjustor what are you looking for? You obviously have questions for me. You obviously are looking for a way to stop my benefits. I have nothing to hide. Ask my any question you want and I will be 100% truthful with you. I at the end of our conversation you still want to send an inspector, you can send him/her to my home. I don’t have anything to hide. She agreed and we set up a 1 hour phone appointment for the next day.

I prepared all night for this phone call. I read my Disability Insurance policy cover to cover again. I read as much as I could about the law. You get me drift.

The next day the phone range, it was her. The phone call started out adversarial. Her tone with strong, firm and combative and her voice was monotone. We went over the policy as she quoted specifics and she then started the questions.  I assured her that I would answer all of her questions truthfully. We started.

“Do you do any house chores”? “Can you lift anything”? “Can you walk”? “What is your level of pain on a scale of 1-10”? These questions seemed ridiculous to me. I’m thinking common! Haven’t we been through all of this? I then said to her can we please get to the pointed question. What exactly do you want to know? She then said “can you do anything”? “Do you just meander around the house all day?

At that, I just told her about my life and what I can and cannot do? Contrary to advice, I told her more than just a one word answer. I started by asking her a question trying to appeal to her logical mind. “I acquired my mobility disability pertaining to spinal degeneration some 22 years ago and I am now 59 years old, do you think my spine is more or less degenerated now than it was then”? She responded I would think it is more. Of course I agreed. I then said if you are currently or you are contemplating putting me under surveillance, this is what you will find. You will find me doing some grocery shopping. I go for small lists of things so they aren’t too heavy.  You will also see me going for a walk. You see, I have learned over the years to live with my disability not die because of it. I do my best to embrace the life that I have. “So go ahead”, I told her, send the cameras. That is what you will find.

By now her attitude towards me changed. She seemed to understand better who I am and I was simply trying to live as best I could with my disability. I told the truth to every question she asked. She said thank you and we hung up. Two weeks later I received a letter from My Long Term Disability Insurance with an offer to buy out the next 6 years of my policy in a lump sum or simply keep receiving the benefits until 65. The moral of this story is the truth will always set you free!


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