Disability Denial Appeal Letter Examples
Disability Denial Appeal Letter Examples
[Your Name]
[Your Address]
[Your Phone Number]
[Your Email Address]
[Date]
[Name of Insurance Company]
[Address of Insurance Company]
RE: Appeal of Disability Denial – Policy Number [Policy Number]
Dear [Insurance Company Representative Name],
This letter serves as an appeal of the denial of my disability claim, which was initially filed on [Date of Initial Filing]. My claim was denied on [Date of Denial], and I am writing to request a review of this decision.
Background:
I am [Your Age] years old and have been employed as a [Your Occupation] for [Number of Years] years.
On [Date of Disability], I became unable to work due to [Your Medical Condition].
I have provided all necessary medical documentation, including [List of Supporting Documentation] to support my claim.
Reason for Appeal:
The reason(s) for my appeal are as follows:
[State specific reasons why you disagree with the denial. This may include disagreements with the medical review, the assessment of your limitations, or other factors considered in the denial.]
[Provide specific details and evidence to support your appeal, such as additional medical records, physician statements, or relevant documentation.]
Request:
I respectfully request that you reconsider my claim and grant my disability benefits. I am confident that a review of the evidence will demonstrate that I meet the criteria for disability benefits.
Next Steps:
I am available to provide any further information or documentation you may require. I am also willing to participate in a medical examination if requested.
I look forward to your prompt response to this appeal.
Sincerely,
[Your Signature]
[Your Typed Name]
Note:
This is a sample letter and should be tailored to your specific situation.
Be sure to include all relevant information and evidence to support your appeal.
Keep a copy of the letter for your records.
Consult with an attorney if you feel you need legal assistance.
Disability Denial Appeal Letter Examples :
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