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How does a pre-existing medical problem affect a long-term disability claim?

Disability Benefits - Question 75
Generally, pre-existing medical problems only pose a problem if the disability arises a short time after coverage begins (usually one year on a group policy). In cases where a claim of total disability is made in the first year of coverage, the insurer may investigate to see if entitlement to benefits is excluded because of a pre-existing medical condition that came up just before coverage began (e.g. in the 90 days prior to the coverage beginning). The wording of the insurance policy is critical. Any policy should be carefully examined to determine specific provisions and how they may apply.

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This searchable database contains information about disability, critical illness and life insurance claims, and what you can do if you are denied or cut off of your benefits. It is a collection of the most common questions we receive from our clients. General answers have been provided by our lawyers.

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