Key Differences Between Private Disability Insurance and Government Disability Claims

The US Government has a Disability Insurance Program called Social Security Disability (SSD).  This program is paid for in every working person’s taxes.  In other words, everyone working pays a little bit toward having a disability insurance policy to cover them.  The government runs and controls that insurance benefit. That means the government will make the decision on when and who qualifies for payment of the benefits.  Your taxes are just like an insurance premium.  They go toward the general cost of the system.

That program has a component within it which is really just charity.  It’s intended to help the poor.  It is called Social Security Income (SSI).  Our firm does not handle cases where we can only apply for SSI.  To qualify for our firm to handle your claim for government-run disability benefits you must have worked for five (5) of the last ten (10) years.  Unfortunately, with SSI claims, the government won’t pay anyone enough money to cover even the lowest cost of a paralegal to help, so it is impossible to stay in business and not go bankrupt handling SSI claims.  Keep in mind, SSI is a charity program, and the disabled person does not need to prove they worked or paid into the system to qualify for the benefits.

There is also two types of private disability insurance worth noting.  One is Short Term Disability and the other is Long Term Disability.  There is not a government-run program for short periods of disability.  Government-run SSD is for long periods of disability.  The disabled person must have an expectation of being out of work for at least a year before they can apply.LaBovick LaBovick & Diaz explain the major differences between private disability insurance and government disability claims

That means a short period of time where someone is disabled is not even considered for the government.  Short Term Disability (STD) is a term used for private insurance and it assumes a short term of disability.  Keep in mind, the government’s SSD program is permitted to provide the disabled person a “back payment” of income replacement benefits from the date they qualify for benefits. That means, in some cases, the disabled person will be awarded income from all the way back to their first month of disability.  Unfortunately, they get the money years later after we win the case.  That is NOT the same as STD.  The purpose of STD is to hold the person over while they recover from an injury or illness which, hopefully, doesn’t turn into something long term.

STD is private insurance.  You must purchase it.  People usually get it as part of an employee benefits package.  Some people are by nature cautious and will buy it privately as a part of their own private insurance package.  The truth is that most people don’t do that.  Just like most people don’t buy solid life insurance products.  While it is my opinion that is the result of being ignorant and hubristic, the truth is no one believes they are going to die early or unexpectedly or get hurt to the point of disability.  There are some people who do buy those private insurance products, STD and LTD (Long Term Disability), but they are usually well off and can afford the extra insurance without feeling a pinch in their monthly budget.  LTD is simply private insurance which acts like government SSD except it is usually for a lot more money/income per month.  It will cover the insured for however much income the premium covers. So if you want $10,000 per month you need to pay a premium that will cover that benefit.  However one can never buy more insurance than that person actually earns. The reason is simple:  If insurance companies allowed people to over-insure their income streams everyone would buy a huge insurance policy and then jump in front of a truck to get hurt for life.

The way it typically works is that a person will buy a smaller STD policy and then a  larger LTD policy.  For example, a person can buy STD for $5000 per month. That STD policy will cover the first 12 months of disability.  Then that same person would buy a second policy for LTD. But this policy could increase the monthly income to $10,000 per month.  Those monthly benefits would not start until after STD paid the injured victim for 12.  The reason people buy less STD than LTD is that it is way more expensive insurance, because it is used a lot more often, plus many people can survive for a short period with less monthly income because they may have some savings to help them get by.  But if they are permanently injured they will need more money per month after the savings are used up.  So they insured more on the LTD, which has lower premiums because people use it far less often.

Like private insurance, the Insurance Company must pay you when the disability occurs.  If they don’t pay, you can hire a private attorney to handle the matter on a contingency basis. In both government-run SSD and private actions against STD or LTD, our firm will represent you and we won’t get paid until we get money for you

There are many more SSD claims compared to LTD claims because everyone working has SSD Insurance backing them up.  Only a small percentage of workers also have a private disability policy in place.

We look forward to helping in your Social Security Disability Fight.  We also will help with any private insurance benefits which are not being properly paid.  Call us for a free consultation.  Remember, we never get paid unless we get money for you!

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Premises liability

PREMISE LIABILITY

$450,000

James was searching for equipment for painting at Home Depot. In the aisle next to him, there was a worker on a lift stocking the highest shelf. The worker pushed boxes so far across the shelf that they fell off the other edge and hit James in the head. The force almost knocked James unconscious. He sat down and the loud bang got the worker off the ladder to see what fell. When they saw James they offered him a bucket and made a report. James did not recall leaving the store or how he got home. He did not recall much except being at home depot and getting hit in the head. Home Depot told him that it was a small box of dust masks that hurt him. We discovered it was actually a large box of emergency kits that fell off the shelf.

Personal injury

PERSONAL INJURY

$850,000

In this case, our client slipped and fell on water that had accumulated near the hot tubs/showers on the Lido deck of a major cruise line ship. The client suffered torn ligaments to her shoulder that required 2 arthroscopic surgeries. The cruise line took the position that the condition on the floor was open and obvious.

Premises liability

PREMISES LIABILITY

$980,000

Georgia was visiting a friend in the hospital when she walked out of the elevator and into her friend’s room. As soon as she entered the room she slipped on a newly mopped floor without any wet floor sign present. The floor was so wet that Georgia’s entire outfit was soaked. Because of the muted tile floor, the water was invisible. Georgia needed a back operation which was unsuccessful and caused her to slip into a coma. She luckily survived.

Motor vehicle accident

MOTOR VEHICLE ACCIDENT

$1.1 MILLION

AUTOMOBILE REAR END COLLISION

Rodrigo was driving his work truck home when he was rear-ended at a stoplight. Rodrigo needed a fusion of his thoracic spine. A terrible and complex operation. Unfortunately, while Rodrigo was undergoing the spinal operation, one of his children died and he was unable to be with his grieving wife. It was a tragic case that eventually settled.

Bicycle vs car accident

BICYCLE VS CAR ACCIDENT

$1.45 MILLION

David was a teacher at a local high school. He rode his bike to school in the morning and after school would ride another 10 miles for exercise. On a sunny afternoon on his way home an older driver turned right into him as he was riding down the street. He hurt his shoulder and neck and needed two operations. Defendant felt his injury was due to playing football 10 years earlier and would not provide him a fair or reasonable offer.

Car vs commercial truck accident

CAR VS COMMERCIAL TRUCK ACCIDENT

$3.4 MILLION

Joe was driving his 18 wheeler on the Florida Turnpike headed south after a long-haul run.  He was “bobtailing” which means he did not have a cargo trailer on the back of his truck rig.  A drunk driver lost control of his car causing Joe to avoid the accident but drive off the highway and into a canal.  He was injured in the accident but also witnessed a child die when he climbed out of the truck and came to the accident site.  There the injured child was trapped under the car and he was powerless to save the child before it passed.

Auto accident T-Bone

AUTO ACCIDENT T-BONE

$4.5 MILLION

Xao, a Vietnamese immigrant was driving home after work at night to see his pregnant wife. He stopped at a 4-way intersection and looked both ways. He did not see anyone in either direction. As Mr. X when through the intersection he was hit on the passenger side door by a mid-sized black SUV driving without their lights on. Mr. X was catastrophically injured.

Personal injury

PERSONAL INJURY

$8.2 MILLION

This was a hard-fought pedestrian accident case, in which our client was struck by an SUV driven by a teen driver, as they attempted to cross North Military Trail in West Palm Beach, FL. As a result of the accident, our client suffered numerous fractures, partial loss of vision and frontal lobe brain injury that affected his speech, and other personal injuries that required him to be hospitalized for 58 days.

At the time of the accident, our client was a cashier at Walmart and has been unable to return to work.

“This case is the epitome of what we consider part of our Core Culture and broad vision – which is to be Warriors for Justice,” stated Brian LaBovick. “Mr. Jacobus has serious permanent injuries and will continue to fight to regain his life into the foreseeable future. This verdict will allow him to get the professional help he needs to safely navigate the rest of his life.”

Medical malpractice

MEDICAL MALPRACTICE

$15 MILLION

Brain damages child due to medical negligence.  Mother was misdiagnosed upon entry to the hospital while under contractions.  The child was born severely disabled.