Insurance

Denials 

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Are You Facing an Unfair Insurance Denial?


Your Coverage Matters. Let Us Help You Enforce It. 

Dealing with an insurance company denial can be a deeply frustrating and emotionally draining experience. When you purchase insurance, whether for your health, disability, life, or long-term care, you do so with the belief that you’ll be protected during life’s most vulnerable moments. But when that safety net is unexpectedly pulled away, it can leave you scrambling for answers, medical care, and financial stability. At DL Law Group, we stand beside policyholders across San Francisco and the greater Bay Area who their insurers have let down. With over three decades of experience, we provide the skilled legal support and aggressive advocacy necessary to overturn unfair claim denials and delays. 

 

Our Accomplished Team of Attorneys 

With over 80 years of combined legal experience, the attorneys at DL Law Group have successfully represented thousands of individuals and families who have faced wrongful insurance claim denials. Our team is deeply knowledgeable in both state and federal insurance laws, including ERISA, the California Insurance Code, the Mental Health Parity Act, and the rules governing bad faith insurance practices. We've taken on some of the largest insurance companies in the country, securing millions of dollars in recoveries for our clients. Whether the denial is due to a misunderstanding of the policy, intentional bad faith, or a tactic to wear you down, our lawyers are here to hold insurers accountable and fight for the benefits you were promised. 

 

Understanding Insurance Company Denials 

It’s essential to acknowledge that insurance companies are profit-driven entities. Their incentive is often to minimize payouts, rather than to ensure you receive the care or compensation you’re owed. As a result, they may use various strategies to deny or delay your claim, including: 

  • Arguing that your treatment or service is not “medically necessary” 
  • Claiming the procedure or medication is “experimental” or “off-label” 
  • Citing policy exclusions or technicalities buried in the fine print 
  • Misinterpreting your policy in their favor 
  • Demanding excessive documentation or conflicting medical opinions 
  • Delaying communication to run out the clock on appeals 

 

These tactics can be especially harmful when dealing with severe medical conditions, disabilities, or the aftermath of a loved one’s death. A denial can mean postponed treatment, missed bills, or the inability to care for yourself or your family. 

 

At DL Law Group, we are familiar with these tactics inside and out. Our attorneys are skilled at navigating insurance red tape, challenging unfair denials, and compelling carriers to fulfill their obligations under the law. 

 

Real Help for Real People: Why Clients Trust Us 

When you work with us, you’re not just another case file. We know you are a person with genuine concerns and urgent needs, and we treat you accordingly. Our clients benefit from: 


  • Direct access to experienced attorneys who will personally manage your case 
  • Detailed policy analysis to understand your coverage and insurer responsibilities 
  • Skilled handling of appeals, administrative hearings, and court filings 
  • A compassionate, client-centered approach during a difficult time in your life 

 

We’ve successfully handled claims against major insurers, including Blue Cross Blue Shield, UNUM Provident, Cigna, Prudential, Aetna, and MetLife, among others. No matter how complex or how powerful the opposition, we will not back down from the fight for justice. 

 

Denied Doesn’t Mean Defeated: What to Do Next 

Receiving a denial letter is not the end, it’s the beginning of your legal rights. Do not give up. Insurance companies are counting on you to walk away. Instead, take these critical next steps: 


  1. Do not appeal the decision alone. Many policies allow only one administrative appeal, and the information submitted becomes the official record if the case proceeds to litigation. 
  2. Gather all relevant documents, including your insurance policy, denial letter, correspondence with the insurer, and medical records. 
  3. Contact us as soon as possible. Timing is crucial, and a well-crafted legal strategy is essential. A well-prepared appeal or complaint can significantly improve your chances of success. 

 

At DL Law Group, we offer complimentary consultations and are prepared to review your case promptly. We’ll evaluate your claim denial, explain your rights, and outline a plan of action based on your specific situation. 

 

We Handle Claims on a Contingency Fee Basis 

You shouldn’t have to worry about legal fees when your financial and physical well-being are already on the line. That’s why we handle insurance denial cases on a contingency fee basis. You don’t pay us unless we win or settle your case. It’s that simple. We’re here to level the playing field, not add to your burdens. 

 

Your Well-Being Is Our Priority 

At DL Law Group, we understand how personal, emotional, and urgent an insurance denial can be. We take these cases seriously because we know the stakes involved. 

 

Our office is conveniently located in San Francisco, just minutes from the courthouses and accessible by public transportation. We proudly serve clients throughout the Bay Area, including Oakland, Berkeley, San Jose, Daly City, San Mateo, and beyond. Whether your claim involves health, life, disability, ERISA, or long-term care insurance, we’re here to provide knowledgeable, compassionate legal counsel every step of the way. 

 

If your insurance claim has been denied, don’t face the battle alone. Contact us today by calling 415-678-5050  or reaching out online. Your first consultation is entirely free, and it may be the most critical step toward securing the benefits you’ve earned. 

  • Why do insurance companies deny claims?

    Insurance companies may deny claims for various reasons, including alleged service exclusions, experimental treatments, or perceived medical unnecessary. Their primary aim is often to maximize profits.

  • What steps should I take if my insurance claim is denied?

    If your insurance claim is denied, it's important to consult with experienced attorneys. We can assess your specific situation and help you understand if you have a valid case for challenging the denial.

  • How can your legal team assist me with an insurance claim denial?

    Our attorneys have in-depth knowledge of insurance and consumer protection laws, allowing us to effectively challenge insurance company denials and work toward securing your deserved coverage.

  • Are there specific laws that protect policyholders from unfair insurance denials?

    Yes, several laws and regulations protect policyholders from unjust insurance denials. These may vary by jurisdiction, but our legal team can guide you through the relevant laws in your area.

  • Can my insurance policy be rescinded after a claim is denied?

    While rescission, or post-claims underwriting, can be a tactic used by insurance companies, it may be illegal in certain regions, including California. Our attorneys can help you navigate the legality of such actions.

  • How does the Mental Health Parity Act affect insurance claim denials?

    The Mental Health Parity Act plays a significant role in ensuring equitable coverage for both medical and mental health treatments. Our attorneys are well-versed in addressing issues related to this act.

  • Is it expensive to hire an attorney for help with insurance company denials?

    We operate on a contingency fee basis, which means you only pay when we secure results for you. This approach ensures that financial burdens don't deter you from seeking legal assistance.

  • Can I sue my insurance company for emotional distress in a bad faith claim?

    Yes, if the court determines bad faith, you may be eligible for various damages, including emotional distress and attorney fees.

  • What if I've been struggling with multiple insurance claim denials over time?

    If you've encountered a series of insurance claim denials, our attorneys have the experience to handle complex cases. We'll help you address each denial and work to secure the coverage you deserve.

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  • Why do insurance companies deny claims?

    Insurance companies may deny claims for various reasons, including alleged service exclusions, experimental treatments, or perceived medical unnecessary. Their primary aim is often to maximize profits.

  • What steps should I take if my insurance claim is denied?

    If your insurance claim is denied, it's important to consult with experienced attorneys. We can assess your specific situation and help you understand if you have a valid case for challenging the denial.

  • How can your legal team assist me with an insurance claim denial?

    Our attorneys have in-depth knowledge of insurance and consumer protection laws, allowing us to effectively challenge insurance company denials and work toward securing your deserved coverage.

  • Are there specific laws that protect policyholders from unfair insurance denials?

    Yes, several laws and regulations protect policyholders from unjust insurance denials. These may vary by jurisdiction, but our legal team can guide you through the relevant laws in your area.

  • Can my insurance policy be rescinded after a claim is denied?

    While rescission, or post-claims underwriting, can be a tactic used by insurance companies, it may be illegal in certain regions, including California. Our attorneys can help you navigate the legality of such actions.

  • How does the Mental Health Parity Act affect insurance claim denials?

    The Mental Health Parity Act plays a significant role in ensuring equitable coverage for both medical and mental health treatments. Our attorneys are well-versed in addressing issues related to this act.

  • Is it expensive to hire an attorney for help with insurance company denials?

    We operate on a contingency fee basis, which means you only pay when we secure results for you. This approach ensures that financial burdens don't deter you from seeking legal assistance.

  • Can I sue my insurance company for emotional distress in a bad faith claim?

    Yes, if the court determines bad faith, you may be eligible for various damages, including emotional distress and attorney fees.

  • What if I've been struggling with multiple insurance claim denials over time?

    If you've encountered a series of insurance claim denials, our attorneys have the experience to handle complex cases. We'll help you address each denial and work to secure the coverage you deserve.

CLIENT TESTIMONIALS

Why Choose DL Law Group?


At DL Law Group, we understand that when your insurance claim is wrongfully denied, it’s more than just a legal issue, it’s personal. Below are the key benefits we offer our clients because you deserve more than just representation. You deserve a legal team that listens, stands up to powerful insurance companies, and puts your needs first every step of the way. 


Leaders in Insurance Law 

We’ve built a strong reputation as experts in handling complex insurance bad faith cases and serving as trusted ERISA advocates. With a deep understanding of evolving insurance laws and years of focused experience, we deliver results that set us apart in the legal community. 


Powerful Resources 

We are aware of the tactics insurance companies employ to delay or deny valid claims. DL Law Group brings the legal firepower, experienced staff, and financial strength needed to level the playing field. 


Trusted Reputation 

We are well-respected throughout the legal and insurance communities. Judges, opposing counsel, and insurance carriers recognize our name and know we don’t back down. 


Client-Centered Advocacy 

Our clients often tell us we made a lasting difference in their lives. At DL Law Group, we combine legal excellence with genuine compassion. When we take your case, it’s because we believe in it. You can count on us to fight relentlessly for the justice you deserve. 


Leaders in Insurance Law 

We’ve built a strong reputation as experts in handling complex insurance bad faith cases and serving as trusted ERISA advocates. With a deep understanding of evolving insurance laws and years of focused experience, we deliver results that set us apart in the legal community. 


Client-Centered Advocacy 

Our clients often tell us we made a lasting difference in their lives. At DL Law Group, we combine legal excellence with genuine compassion. When we take your case, it’s because we believe in it. You can count on us to fight relentlessly for the justice you deserve. 


Trusted Reputation 

We are well-respected throughout the legal and insurance communities. Judges, opposing counsel, and insurance carriers recognize our name and know we don’t back down. 


Powerful Resources 

We are aware of the tactics insurance companies employ to delay or deny valid claims. DL Law Group brings the legal firepower, experienced staff, and financial strength needed to level the playing field. 

Don’t Let a Denial Stand Between You and the Care You Need.

Insurance companies often deny valid claims, hoping you’ll give up. At DL Law Group, we step in when insurers act in bad faith, delay payments, or refuse the coverage you deserve. Contact us today to discuss your situation and learn how we can assist you in fighting back.

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