Insurance company making me sign documents for SSDI application - are they allowed to demand repayment?
I've been receiving Long Term Disability benefits from my private insurance for about 7 months now. Today I got a packet of documents from them asking me to sign papers with some law firm they work with. The documents authorize them to apply for SSDI benefits on my behalf, which seems helpful I guess, but there's also an agreement saying I have to pay them back from any SSDI payments if I get approved. Is this normal procedure? I'm worried they're trying to reduce how much they have to pay me. The repayment part makes me nervous - can they legally make me sign this? What happens if I refuse to sign? My condition isn't improving and I really can't afford to lose my current benefits.
16 comments


Grace Johnson
Yes, this is completely normal. Almost all LTD policies have an offset provision for SSDI benefits. This means if you get approved for Social Security Disability, your LTD company reduces their payment by the amount you get from SSDI. They're just trying to recoup what they've already paid you once your SSDI gets approved (which often comes with backpay). The attorney they're connecting you with specializes in SSDI claims and will likely do a better job than if you applied yourself.
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Aurora St.Pierre
•Thanks for explaining. Do I HAVE to use their attorney though? I'm worried the insurance company's lawyer won't really be looking out for my interests.
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Jayden Reed
READ THE FINE PRINT in your LTD policy!!! I went through this last year and my policy REQUIRED me to apply for SSDI. If I didn't, they could have terminated my benefits entirely! And yeah, they ALL have offset provisions - it's how these companies make $$$. They're not trying to help you with the lawyer, they just want to GUARANTEE they get paid back!
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Aurora St.Pierre
•Omg really?? I need to find my policy documents asap. I didn't realize they could cut me off completely!
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Nora Brooks
I'm a benefits counselor who works with disability cases daily. What you're describing is standard practice. Insurance companies require SSDI applications because: 1. It reduces their financial obligation through the offset 2. SSDI approval validates your disability status, which can support your long-term claim 3. After 24 months on SSDI, you qualify for Medicare, which further reduces their costs if they provide health benefits The attorney they're providing will handle all the paperwork, appeals if necessary, and represent you at hearings. While they do work with the insurance company, they're also incentivized to win your case. You can use your own attorney, but you'll still need to apply for SSDI and the offset will still apply. Review your policy carefully - there's likely language requiring you to apply for all available government benefits.
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Aurora St.Pierre
•Thank you so much for this detailed explanation. That makes more sense now. So even if I used my own attorney, I'd still have to pay back the insurance company? Is there any benefit to using my own lawyer then?
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Nora Brooks
Yes, you would still have to repay the insurance company either way. The benefit of using your own attorney would be having someone who works exclusively for you, but consider: 1. You'd be responsible for their fees (typically 25% of your backpay up to $7,000) 2. The insurance company's attorney is free to you 3. The insurance attorney has strong incentives to win your case quickly While their attorney does serve two masters, getting you approved for SSDI benefits both parties. Just be sure to provide them with all your medical records and follow their instructions carefully.
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Eli Wang
•This happened to my sister and she thought the whole thing was a scam at first! But its totally how these disability insurance companies operate. they make u apply for SSDI so they can pay u less money in the end. the system is rigged but u gotta play by their rules
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Cassandra Moon
If you're going to apply for SSDI, whether with their attorney or your own, you should know trying to reach Social Security to check on your application status can be a nightmare. I spent 3 weeks trying to get someone on the phone. Finally I found this service called Claimyr (claimyr.com) that got me through to a real person at SSA in under 20 minutes instead of waiting on hold for hours. They have a video showing how it works: https://youtu.be/Z-BRbJw3puU. Made the whole SSDI application process way less stressful when I could actually talk to someone about my questions.
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Aurora St.Pierre
•That's really good to know, thank you. I've heard the SSA phone lines are impossible. I'll bookmark that site for when I need it.
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Zane Hernandez
i think everyones missing a KEY point here - check if ur LTD is ERISA or not! if its thru ur employer its probably ERISA and they can basicaly do whatever they want. if its a private policy YOU bought urself, u might have more options. either way they can make u apply for SSDI but the contract terms might be different for repayment.
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Grace Johnson
•This is actually an important distinction. ERISA policies (employer-provided) have different legal protections than individually purchased policies. But in either case, the offset provision for SSDI is pretty standard across the industry.
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Genevieve Cavalier
My husband went through this exact situation 3 years ago with Prudential. He signed their papers, they assigned a lawyer, and he got approved for SSDI on the first try (which is rare!). When his backpay came in (about $17k), we had to pay back Prudential. It felt unfair but was in the policy contract. One thing to watch for - make sure they calculate your ongoing benefits correctly after SSDI kicks in. They made errors in my husband's case and we had to fight to get it fixed.
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Aurora St.Pierre
•That's really helpful to hear someone else's experience. What kind of errors did they make with the calculation? I want to know what to watch out for.
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Genevieve Cavalier
They calculated his SSDI amount incorrectly (used the wrong dollar amount) which made his LTD payment too low. Then they didn't account for the fact that his dependent also received a small SSDI benefit, which shouldn't have affected his LTD but they counted it anyway. We had to send multiple letters and make many calls to get it fixed. Keep ALL paperwork from SSA showing exact benefit amounts, and double-check their math!
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Aurora St.Pierre
•Thank you for the warning! I'll definitely keep careful records of everything. Really appreciate everyone's help with understanding this process.
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