Thursday, May 12, 2011

Dealing with Social Security Disability Insurance

I know that Social Security is a sensitive subject these days. But I wonder how many people relate government owned and operated insurance with how private insurance companies operate in this country today.

How many people understand that it is through the legislative process and regulations that allow insurance companies to deny the protection that you pay them for.

Each state controls what insurance companies can sell you in your state. In fact, the state receives a portion of what you pay in premiums. I know, most of you don't know this and really don't care. Well, you don't care until you find that you have been paying for something that really doesn't exist.

Let's take a look at auto insurance. In Michigan, we have NO FAULT, insurance. The state allows the insurance companies TWO months to settle your claim if you are involved in an accident to either have your auto fixed or in the case the insurance determines your auto would cost them more to fix it than replace it, they will total it out.

So what numbers do the insurance companies use when they total out your car? Here in Michigan, they use dealer prices and then offer you less than dealer price. Keep in mind that the state gives them Two MONTHS to play with you and bring you down to their price. How many people can wait for TWO MONTHS to replace their car.

But what if you are injured? Want to live through a nightmare? Put a bumper sticker on the back of your car that says HIT ME.

Whiplash can devastate your whole life, but, don't tell the state legislators who receive lots of money for their campaign from insurance employees.

Here in Michigan, you will find that if you don’t have health care insurance, and you are injured in a car accident, your auto insurance will not pre approve anything that will prove your injury. Any test the doctor orders will have to be paid out of your pocket and then if it’s something the insurance company approves of, depending what the test and doctor determine, they may or may not pay for it.

Ok, so when the insurance is done denying and you have no other recourse, you follow your attorney’s advice and file for Social Security Disability.

Doesn’t that have a nice sounding name? SOCIAL SECURITY. Well, I did file, back in 2001. I was still dealing with my insurance company, ZURICH KEMPER LUBERMAN MUTUAL, and because I refused to take the mediation award of $10,000 which didn’t cover my medical, I went to court and lost.

I say I lost because while the JURY determined that I was injured, they didn’t feel the insurance company should have to pay the medical expenses I incurred. I guess if Gov. Engler hadn’t put caps on Attorney’s fees, maybe my attorney would have handled my case differently. Like maybe allow my doctors who were willing to come to court and testify, to do so. Instead, he just let the insurance companies attorney’s make me look like a “GOLD DIGGER”.

So, when my husband applied for SS Retirement, they asked him about me. He told them I had applied for SSD and was denied. The SS agent told him I needed to apply again.

So, now that you are up to date here, I applied AGAIN because a SS agent here in Muskegon, Michigan told my husband that I should.

Guess what, I just love it when I get those letters from agencies we PAY for protection that have DENIAL stamped on them.

But what’s even more telling is the veiled threat in the letter confirming that I will have a hearing before a Administrative Law Judge.

THE HEARING

At the hearing, you may present your case to the ALJ who will hear and decide it. The ALJ will consider the issue(s) you have raised and the evidence now in your file and any additional evidence you provide. The ALJ may consider other issues as well and, if necessary, change parts of the previous decision that were favorable to you. The Notice of Hearing will state the issues the ALJ plans to consider at the hearing.

Well, since there has never been any favorable decision in my direction, I guess I really have nothing to loose by demanding a JUDICIAL HEARING in front of an Administrative Law Judge who also works for the Federal Judicial Court System overseeing Federal Administrative Social Programs.

4 comments:

MasterShake13 said...
This comment has been removed by the author.
MasterShake13 said...

Very interesting article. As someone suffering with disabilities myself, one of the most daunting things about being diagnosed was trying to figure out how the loss of income would prevent me from keeping the lifestyle I had worked so hard to achieve. Disability Insurance for individuals is important to consider; while people always seem to remember insuring their homes and cars, they forget that if your health were to take a turn for the worse, your income would likely suffer. Though we don't know what life will throw at us next, we can be prepared for the unexpected by protecting our income!

Blue b said...

he Social Security Administration’s (SSA) definition of disability is different than other programs you may come into contact with through your employer or private insurance. The SSA pays only for total disability. No SSDI benefits are payable for partial disability or for short-term disability.
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johny Lee said...

Hi,

This is the marvelous post that I have come over after huge searches. Social security is a wonderful financial security blanket for everyone that has paid into the system. I am really thankful to you for providing this unique information.

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