For more than 25 years, the Law Office of Mark Scherzer (located in New York City) has advocated on behalf of consumers, policyholders, and employees to secure their rights to health, life and disability insurance benefits. Our lawyers have experience with claims arising out of privately purchased insurance coverage — such as individual health insurance, disability income policies and disability-triggered business overhead expense policies — as well as employer-sponsored group insurance coverage — such as short-term-disability plans, long-term-disability plans, life insurance plans (and disability waiver of premium benefits), disability retirement, and medical benefit plans (including retiree health coverage, COBRA continuation coverage).
Our lawyers are well-versed in New York insurance law, which typically governs individual insurance policies purchased in New York, and in the Employee Retirement Income Security Act, or ERISA, the federal law that typically governs employee group benefit plans. They provide a wide variety of attorney services — including consultations, claim preparation, and claim denial appeals — with regard to life, health, and disability insurance coverage under both ERISA plans and individual insurance policies.
Many of our clients have illnesses or conditions that are serious, chronic, and/or disabling, such as multiple sclerosis (“MS”), heart disease, depression, degenerative spine disease, chronic fatigue syndrome (“CFS”), Lyme disease, chronic pain syndrome, Parkinson’s Disease, cancer and HIV/AIDS. Our lawyers help to obtain or keep appropriate coverage, to navigate the transition from employment to disability (or from disability back to work). Our attorneys are experienced advocates for the rights of claimants when insurers or employee benefit plans refuse to cover necessary treatments, deny disability benefits, or terminate long-standing disability claims. We routinely fight claim denials by filing ERISA internal appeals to challenged denied or terminated claims, pursuing New York external appeals to compel healthcare coverage, and commencing lawsuits, as necessary, to enforce the rights our clients.
Our lawyers have represented claimants with a broad range of occupations (including physicians, truck drivers, office managers, architects, stock brokers, film editors, attorneys, industrial and construction engineers, financial analysts, sales representatives, receptionists, computer/IT personnel, production managers, performing and visual artists and designers, and corporate executives) from a wide variety of employment settings. Not only do our attorneys provide guidance to employees facing the difficult choice of going out on short and long term disability, but also advise employees who are already out on disability leave about return-to-work issues, including the potential impact on their private or ERISA disability benefits, their COBRA continuation health insurance coverage, Medicare, and their Social Security disability benefits.
Our attorneys also represent and protect the common interests of our clients in a number of additional ways, by advocating with legislators and regulators for reforms in insurance law and policy; engaging in major test case litigation on behalf of public interest groups; and speaking at policy roundtables, bar training and education programs, and informational presentations to advocacy groups and their members.
Lawyer Mark Scherzer graduated from Yale Law School and trained at major New York law firms before devoting his professional life to enforcing the rights of the ill and disabled to insurance coverage and benefits. Lawyer A. Christopher Wieber graduated from Harvard Law School and also practiced at major New York law firms before joining Mr. Scherzer to advocate on behalf of those with disputed life, heath insurance and disability claims. When direct advocacy with insurance companies and employee benefit plans has failed, we have prosecuted lawsuits on behalf of our clients in both state and federal court.
Mark Scherzer Law :: Medical Claim Attorneys :: Long-Term Disability Lawyers
New York Attorneys (including Manhattan, Brooklyn, Staten Island, Queens and the Bronx)