The post Top Reasons For Car Insurance Claim Denial appeared first on PW Lawyers.
]]>The idea is, you slowly pay for coverage so that when the time comes you need it, you can request for a good amount of money. It’s just like a bank wherein you deposit an amount slowly until the time you withdraw it in full. If you don’t pay on time, you will definitely get a poor credit history. If you don’t pay at all, you’ll be lucky to still have your insurance policy active. If you have been such a bad client, it is normal for you to get a claim denial. Insurance coverage requires money to spend. If you don’t give the funding beforehand through premiums, there’s really no other place for the company to get the finances from. At least they surely won’t take it from another person’s contribution.
In the case of car accidents, a lot of times the reason behind it is questioned by the insurance firm. This is normal because some policy holders enter into an accident on purpose just to get the money. If by any chance you are proven guilty of faking or causing the accident, expect to get a claim denial. If by any way you could have avoided such accident and this was proven true by the company, you can also get a claim denial. This is what is termed as preventable accident in Quebec.
This reason can be complicated. Imagine yourself fresh from the accident, wounded and incoherent. You will be interviewed by the officers and you will be providing information about what happened. The following day, you go to your insurance company to report the incident and ask for a claim. You get interviewed again. As part of the procedure, the police report will definitely be submitted as evidence including a copy of the testimony you gave to the officers. What if the information you said the night before and the day after doesn’t match?
This type of scenario is common among severe accidents that have caused major injuries to the policy holders. While this can still be corrected by proving the mental incapacity of the person during one of the interviews, it will still have to be taken to court for proper hearing. This type of situations gets even more complicated once you still get a medical claim denial. In order to avoid this, it is best to think very hardly about the events before giving out any kind of testimony.
This might sound a little similar to the above, but it’s based on the information you provide to the insurance company when you first get the insurance. A good example is when the insurer asks the purpose of the vehicle and you say its personal use. You will be made aware of typical mileage records for personal use vehicles. If your mileage obviously shows that you have been using the vehicle for commercial use, and you reported to the company otherwise, it is grounds for a claim denial.
Upon getting the insurance, you will be asked to disclose the possible people who will be driving the vehicle. This is to check if the car might be in more risk than usual especially if you have newbie drivers listed. If by some chance an unauthorized driver was the one driving the vehicle when the accident happened, you can get a medical insurance claim denial. This is a common occurrence among parents who lend their cars to their kids for a late night errand or function. Sadly, it is a valid reason for insurance companies to deny you benefits.
If you have taken the insurance with a valid license, but got a suspension recently, it is best to drive safely. It turns out that even a suspended driver’s license can be a reason for companies to make a claim denial. This is of course if during the time of the accident you have a suspended license and is driving the vehicle. The reason for the suspension does not weight very much on the case. What matters here is that you are not supposed to drive since you are under suspension but you managed to get into accident.
This is self-explanatory. Any use of the vehicle for any form of criminal activity will be punishable by law including a claim denial. You have proven yourself incapable of sound reasoning by involving yourself in a crime. This is a just reason for companies to deny your claim application and possibly revoke your insurance policy altogether.
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]]>The post Disability Denial Rationale: What It Means & How to Fight Denial of Insurance appeared first on PW Lawyers.
]]>Every denial of disability is represented by a denial letter sent to every applicant. Inside the letter is a rationale that contains the reasons why the company thinks your application should be denied. Every case is different so each letter should have minor differences in their content. What you need to do is read the contents properly and make your own interpretation.
If for some reason you think the denial is not right, you can approach disability denial lawyers for help. They can give you a second interpretation of the letter. You might find another understanding of the statements. If you still think you have been denied wrongly, you can ask the lawyer for assistance in fighting disability denial.
Here is a simple step-by-step guide on how to appeal a denied claim. Keep in mind that some states may require further steps within the following four. This is just a general summary of the basic processes.
When you make a complaint, you need to prove that you have the right to. Gather all the documents you have relating to your insurance claim including a copy of your insurance policy and the written correspondence between you and the insurance company. Of course, the denial letter is also important. Disability denials are all about your medical condition, so make sure you also have a copy of all medical records of all the medical institutions you’ve gone to. See to it that each of them can be proven valid and that all issuing parties can attest to their validity.
Most disability insurance policies are given to individuals as part of their employment. Thus, it is company-paid. In line with this, it means that you need to stay employed by the company if you want to receive benefits. What you need to do here is apply for a sick leave since you are disabled and cannot work. After which, ask your human resource officer how to process your disability insurance request. If your company is kind enough to assist you on this, the better. If they ask you to do it alone, you can ask your lawyer for held with disability denial appeal.
It is always good to have a back-up plan in case your first option fails. Look for other funding possibly from the government or private entities for your disability. Figure out other mediums of income for your condition.
It is good to be very convincing when you approach funding institutions. Disability denial rates by province can be easily searched online if you are looking for statistics. Knowledge of this can help in your discussion and proving your point. Make sure you have a template ready in explaining your situation and why you think you deserve the assistance.
No matter the disability denial reasons, you will be left without income for some time. The disability denial appeal process will require funding for your records, documents and other expenses. You need as much money as you can get. Figure out how much money you have in your bank, the assets you can liquidate, and other financial resources you have.
This serves as a back-up plan in case your appeal fails the second time. The appeal processing will also allow you to do long-term financial preparations like investing your money in the bank for growth in the following years. Your lawyer can help with disability denial case, but only you can settle the resources you need.
Once you have all the resources and documents in check, you can then decide a game plan with your lawyer. Once the contract is settled, you can go through your documents and see which ones need further evidence to fill the gaps. You can get additional evidence and updated doctorís diagnosis. Once the plan is settled, you can then execute the plan.
It is very important to trust your attorney. If you have doubts right at the start, find another one before entering into a contract. Do not make hasty decisions and never rush. There are set deadlines for submissions so as long as you are on time, you can take a break to think things through properly. You need to fully cooperate with your lawyer in order for your efforts to be more successful.
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]]>The post Aviva Insurance Denied My Claim: Common Issues and Expectations appeared first on PW Lawyers.
]]>One very unsatisfied client of the company had an RV that sunk. The damages included most of the body twisted up and damaged. Aviva outsourced the inspection to another company, which also outsourced it to another one. Both licensed inspectors deemed the truck beyond repair.
Using all the documentation provided by the adjuster, the factory service centre has given a quote of $180,000 to repair the RV. The service centre forwarded the owner to another unlicensed shop and there the quote of $30,000 was made. The only problem was that the car needed to travel across state with the damages it incurred.
Once proof that the car was reparable, Aviva Canada claims that an adjuster should look at it. The car then had to travel 300 miles more. However, no adjuster showed up and this lasted for almost a year of unanswered communication. A reply in the form of an offered amount less than the quote came, but no shop would accept the job. Another problem occurred when the company threatened the policy holder that he will lose all the rights to his policy if he did not accept the offered amount. The ombudsman was notified of the case but the policy holder was denied to even provide documents. The problem remains unsettled until today.
Of course, this is not the only mishap the company has committed. A number of cases that involved forced acceptance of offered amounts have resurfaced. Add to this their customer service quality which fails to be of help most of the time. If you’ve asked yourself, “why did Aviva deny my claim?” Try to find an official explanation. This will help in the future once you decide to take the case to court.
Another unfortunate policy holder had a denied insurance claim for a stolen car. The initial quote given by the company was much lower than what a brand new car of the same model would cost. Another request for reconsideration went back with a slightly higher quote, but still ways lower than the typical selling price of the vehicle. Since it was fairly new and in great condition, the Aviva insurance claim quote would have been much higher. During the correspondence, the rental company that provided the rental vehicle in replacement to the lost one reported that the payment was due back five days. A polite request was sent to the company only to result in a denial for the rental payment extension. Of course, there was no change in the second quotation and the owner was forced to accept it.
The main problem of being a policy holder and wanting to get Aviva insurance claims is the follow through. You go through the usual steps, only to be denied. If you have not approached a lawyer, you will find the following events overwhelming. Aviva Elite is a very large company. You can expect it to have a large influence in many states. It might seem absurd that something so big would refuse to let go of several thousand dollars, but companies strive by being 100% profit-geared.
One thing you will realize is that large companies will have large budgets for their legal support. Thus, if you submit a case or try to go against them, you can expect to go against top notch legal representatives. This is one factor you need to consider.
Second, the company may have ties with other insurance-geared organizations. When Aviva denies your claim, you know you will be facing off a giant organization. It pays to be cautious about which shops you go to.
Lastly, the size of the corporation is intimidating. It can weaken your resolve. It will also play a part in the decision of adjusters you ask help from. And many other people who might play a part in your case against the company. Thus, you really need to get a reliable ally that will not weaken their resolve even against an insurance giant. Find a lawyer who is willing to represent you and make sure to pay on a contingency basis. This way, you get a better guarantee that your legal counsel will do his best to win your case no matter what.
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]]>The post How to Claim Successfully for Long Term Disability appeared first on PW Lawyers.
]]>There are some cases wherein the insurance company does not approve a claim application immediately. There are a plethora of reasons for this, but they will always provide you with a denial letter detailing the cause of denial. If you find the reason unacceptable, that is when you call a long term disability attorney.
There are several things you need to take note of.
If a denial letter finds its way into your mailbox, make sure to read it well. Immediately after making sure you understand what their reasons are, decide whether you can accept this or not. If not, seek legal counsel immediately and get a second interpretation of the letter. Most initial consultations are free, so rest assured you won’t be paying anything immediately.
A long term disability attorney in Ontario will be able to help you through determining what steps to take to get your claim. Some illnesses can prove to be difficult to prove, such as those for long term disability mental illness Canada. This is due to the difficulty of finding concrete proof of the condition except for testimonies from psychologists and other mental health specialists. If you have a condition that can be easily proven by x-rays and blood tests, the better.
Definitely. You never know what can happen in the next couple of years. Whether it is a personal accident or a work accident, insurance helps financially to cover the costs. From the word itself, it gives you assurance of the future. This is most important if you have a mortgage to pay for many years to come. Once you fall ill, you won’t need to worry about where to find money to continue paying your bills. Your insurance company will cover that for you until you are able to work and earn again.
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]]>The post Long Term Disability Policy – How does it help me at work? appeared first on PW Lawyers.
]]>As an aside, if you have purchased a policy on your own such as Cigna long term disability policy (see https://www.cigna.com/appeals-and-grievances) you should get to know your concerns and the intimacies of the statement. Most of the time, individuals will not have other companies support their statements in case of a claim and you will have to do the legwork in case your policy will be activated to supply you with benefits.
Canadian employers should all have sick leave policies that come into effect when:
· An employee needs to recover from sudden illness
· An employee has sustained an accident or injury
· An employee needs to receive mental or psychological care or counseling
The length of your long term disability is going to effect when your company will require you to return to work. In most cases, a doctor’s note and sufficient medical records can override a call back to work. Your long term disability policy should start to provide you with basic income and benefits at this point. If your company long term disability policy discriminates against you in this regard, your rights under the Disability Discrimination Act of 1995 should be invoked. We advise you to speak to a lawyer immediately.
If you are a new employee, it is recommended to get affiliated with a company long term disability policy, such that you can invoke it when you are in need of support. Your long term disability insurance will be worth it when you can claim benefits such that you do not have to strain yourself.
It is hard to pinpoint how long a long term disability can be sustained. In some cases, injuries will be permanent – at which point the individual will have to make drastic changes to their lifestyle. Your long disability insurance policy will come into effect at this point. If you have any questions about coverage, you should call your insurance company. Their contract with you will ensure details are covered. Given the many options you have with your policies, you should become affiliated with the one that has best suited you – the one you hopefully chose at the onset.
In some cases, your disability may be denied outright. In effect, the company is not servicing you in a time of need, which can be held against them in court. If you feel that your welfare has not been taken into consideration, contact a long term disability lawyer to aid you. We can ensure your long term disability insurance policy is attended to in your time of need.
Company long term disability policies can be problematic because of the intense legalese. Some companies will provide their lawyer’s services to you for explaining. We recommend that if you feel the company is in the wrong and denying benefits payments to you, or holding payments back, that you retain us to help liaise with the in-house lawyer or insurance agent. Strictly speaking, lawyers and large companies can be very intimidating. However, you can easily get help understanding the content by asking a disability policy lawyer to explain.
Most of the time, it is less complicated than the above example. It might just be that your illness is not listed in the accepted conditions. Your coverage might just be limited to a certain degree, or something similar. In order to logically prove that you are qualified, you need a lot of expert opinion and evidence. A disability claim lawyer can assist you with finding the most compelling evidence to prove your point to the judge and jury.
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]]>The post Insurance Appeal Denied: Planning The Next Steps appeared first on PW Lawyers.
]]>Once you get the denied appeal letter, read through it and determine the reason for denial. Before this happens, most insurance companies contact the policy holder for concerns that can be easily corrected such as lacking documents and wrong entries. Which is why you can expect that the reason in the denial letter won’t be a simple misrepresentation of documents. You have to figure out if the company’s claims are true and that there is nothing you can do about it. But if you think you can still appeal denied health insurance claim, proceed to step two.
When you receive the letter, you will be emotionally affected. Gather your thoughts and decide whether you should leave it at that or complain to your insurance company. This is after you make sure you actually have enough grounds to make a complaint. If you know someone who can give a second opinion about your situation, do so. A lawyer would be a good choice. Show him the appeal denial of summary judgment. Once you know the facts, decide if you want to appeal denied insurance claim or not.
Who is the best lawyer? Someone with insurance case experience. Someone who has won cases against your insurance company or other similar companies. Someone who can handle your case immediately. And someone who will take your case even if the fee is not guaranteed.
To appeal denial is a complicated process in itself. Just making the initial appeal document will take hours of reviewing and backtracking the communications you’ve had with your insurance company. It will contain the grounds for the case, so it is a very detailed document presenting facts and supporting details of why you think you deserve to get a claim. To make a good case, you also need to have the best lawyer to back you up.
Once your appeal is received and reviewed in court, the trial period will then start. You will be busy together with your lawyer. He is the one most knowledgeable how to fight health insurance denial, so heed his word. If he tells you to take health examinations or interviews, do so. It will surely be related to the success of the case.
It is also important that you give as much time as you can for the trial. As the one with the least knowledge, spend time reading through related literature. It will help you understand the trial conversations so you can be more cooperative and attentive. There is more to an appeal for reconsideration than just knowing the health insurance claim denial reasons. It might also help for you to figure out how to appeal insurance claim denial without asking your lawyer yet. This will make it easier for him to explain to you when you have that particular conversation.
What you do in this step depends on the outcome of the case. Assuming you have won. You will then be contacting your insurance company for the payment. If you are receiving a lump sum, they should be able to hand it out to you within the given period prescribed by the court. If not, you will have to go after them.
After this, you also need to deal with the lawyer who has helped you get benefits from the company who was supposed to deny appeal. It is not an easy feat to do and the corresponding fee depends on how much you receive. Act in good graces and settle all the bills you have with your lawyer. Also, keep his contact information in case you need to chase your insurance company for delayed payments.
The entire process of getting denied by your insurance provider and then filing a case takes a lot of time. It also takes a toll on your emotions. It is advisable that you have someone to lean on in time of weakness because there will always be minor setbacks along the way. Just keep in mind not to be discouraged and give your full trust to your lawyer. He will do his best to win the case. Just give your full cooperation and respond to his communications as soon as possible.
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]]>The post Steps To Apply for Disability Benefits in Canada appeared first on PW Lawyers.
]]>Social Security Disability can be granted to someone with any or all of these:
First, you need to go to the social security website. This is where you apply for disability benefits online. You will find an Adult Disability Checklist which contains a detailed list of information you will need in order to complete your application and where to apply for disability benefits.
Second, secure a copy of the Disability Benefit Application form and make sure you fill out all the fields properly.
Third, fill out a medical release form to officially hand over your medical records to the administrating officer who will be in charge of your application.
In order to complete the application accurately, you need to have all the information ready. After you figure out the steps on how to apply for disability benefits, make sure you have the following data in official written form.
Since you are the beneficiary, you need to have identification documents. This will also be needed when you apply for disability benefits for a child. Information may include your name, place of birth, Social Security number, current address, birthplace, status, children’s information and bank details.
Disability benefits rely greatly on your medical condition. Apart from the typical medical records from your physician and hospital, you also might need to provide contact information of people who can attest to your condition. Make sure you have a detailed description of all your illnesses, a list of hospitalization and consultation dates, and other related information. This may include the medications you are taking, who prescribed them and for what illness they are for.
This is important if your insurance is provided by the company. You provide a copy of your employment contract, a record of your earnings in the most previous years, employer information, Social Security Statement, and possibly a work history complete with contact information of past employers.
How to apply disability benefits Ontario is the same in any other province if you submit legal documents. Basically, all valid legal documents that show all the information mentioned above will be required. Refer to the checklist in the website and make sure you secure all of them. If one is not available, see the alternatives.
Mailing documents to the Social Security Office must include your Social Security number. This is so they can be matched with the corresponding application upon receipt. Since your application is done online, it will arrive much earlier. Once your documents arrive in the office, the officers will have to backtrack days to look for your application record. The number makes it easier.
There are many advantages to online application. Apart from the convenience, it is a lot faster. Administrators also check applications quickly because files can be matched through one search. For applicants, you can save a draft of your application if ever you are unsure of the information and need to confirm it. Once you come back, you don’t have to fill out from scratch.
It is crucial that you fill out the forms correctly and clearly. Make sure that there is no room for a denial due to lack of documents or misrepresentation. If you ever get denied, you can ask disability lawyers Ontario for help. In the neighbouring province, you can seek assistance from disability lawyers Toronto. Just comply with the process and wait patiently for a response.
If you ever reach a point wherein you need to make an appeal for a denial, get a good lawyer to help. A legal representative is the best way to get the case filing organized and according to standards. Handling things personally will only cause a lot of confusion so ask a lawyer to skillfully guide you through the case period. Once a verdict is reached, you can then accept the outcome since you know you’ve done your best to try to win the case.
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]]>The post Steps to Appeal Long Term Disability Insurance Denial appeared first on PW Lawyers.
]]>It has been reported that over half of health-related insurance claims were rejected in 2016 throughout Canada. This presents a major concern for many policy holders because medical cases are sure to require immediate attention. If you don’t have funds for hospitalization and therapy, the life will be more in danger. A long term disability denial is a grave situation someone who is chronically ill can be in. However, you can still get another chance to get your benefits. It might sound complicated to say you will file a case. But, it doesn’t have to if you are well informed. The following are information you will surely need about what to do as a victim of denial of long term disability.
In order to make a convincing claim request, you need to have a lot of supporting medical evidence. You have to know what is already in your file so you can secure additional documents to support your claim. A long term disability insurance denial attorney can help you determine what type of documents to add and where to get them.
For disability insurance provided by the company, there might be complications when it comes to proving you are unable to work anymore. Secure your personnel file from your human resource officer to get an official job description of the signed contract with your employer. The description will be the basis for your proof to support the long term disability insurance appeal letter. Once you can firmly prove that you cannot perform the duties written in your employment contract, you will have a much stronger case.
It is good to note that all the request you make should be in writing. It will be an official part of the evidence, so it needs to clearly show who the people in correspondence are. The dates will also be a good basis for cross examination.
You have around 2 months to send a written appeal together with the supporting documents. A good appeal will contain your request, the medical evidence that refutes the claims of your insurance company and any other information that proves the denial is unreasonable. There may be a 45-day grace period for the administrator to respond to your request, with another 45 days extension if necessary. Be patient but keep yourself informed about anything related to appeal long term disability denials.
Not a lot of people know about long term disability benefits aside from it gives you money for medical bills when you get sick. Apart from knowing the coverage, you also need to know what rights you are entitled to as an LTD policy holder.
For instance, any individual can buy a policy personally from a private company. It is not a privilege that you can only get from your employer. If you want, you can have your own policy and pay for it independently.
When appealing long term disability termination, you might need additional documents. You have the right to access all medical information the company has of you throughout your subscription to their insurance. Even the Manulife LTD appeal process makes good use of medical documents. In relation to this, you can also choose which doctors to go to. It is not a decision by the insurance provider. You might need to have your choices approved, but you should still have the final say.
If your policy is provided by your employer, you have every right to make a claim. It cannot be a basis for a denied long term disability insurance. Even if the company is paying the premiums, the fact your name is listed as the beneficiary entitles you to the benefits.
Lastly, you have the right to appeal the company’s long term disability claim denial. It doesn’t mean that the company can simple deny your claim with a letter. You can question your decision and you can take it to court if they refuse to cooperate.
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]]>The post AIG Insurance Cut My Benefits: What To Do? appeared first on PW Lawyers.
]]>You might think AIG have a good reason in their letter. This still is not enough proof to justify their actions. You can approach an attorney to help you in determining a reasonable argument so you can request for a claim. Some people rely on their insurance benefits for living expenses, so a denied AIG workers comp claim can be painful.
In order to file for reconsideration, you need to submit a request in court. With the help of a lawyer, you can do this easily. However, you need to be wary about the processing time. There are deadlines and you need to abide with them.
Just like how fast you can get an AIG disability insurance quote, the initial response to your reconsideration request will arrive. It will instruct the next steps you should take. Leave the thinking to your attorney and focus more on what you can do to give him all the information he can use to make a solid argument your insurance company cannot deny.
Even for AIG short term disability claim, a lot of complicated processes are involved so a lawyer is highly necessary. Do not even think about representing yourself in court because you want to avoid paying the professional fee. At present, law firms have different payment schemes you can choose from to make the financial burden easier. After all, you wouldn’t be chasing after your benefits, if you had enough money to pay fees upfront.
There are many ways to find a reliable legal representative in the neighbourhood. The best way you have is to ask from acquaintances for recommendations. Nothing beats a good word of mouth recommendation. After which, you can start approaching law firms for possible available lawyers for insurance cases. You need to find one specifically experience in that area because there are a lot of terminology involved that might be interpreted wrongly by someone new to insurance.
You need to go through every viable candidate you can find. The more options you have, the more chances of getting the best one. You just need to be very strict with your requirements.
What matters most is that you make the selection as soon as possible. Once you have thoroughly checked into the backgrounds of your top 3-5 candidates, make a choice. There is a time limit for making a reconsideration appeal, so you need to be quick with the lawyer search. After which, you start going through the works so you can enjoy your insurance benefits when you win the case.
Understanding your insurance policy takes more than just reading through its pages. You need to understand the terms within the insurance context. You also have to be aware of certain rules all insurance providers abide to so you know the meaning behind some of the passages of the document. In order to get useful information, you can go to a reliable insurance website. Some of the information you can find there are:
Being informed is one of the key factors of having an insurance that is useful. Once you know what your monthly premiums are paying for, you can rest assured that the possible situations you enter into in the future are securely covered. If not, you know what to question about and how to deal with it.
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]]>The post ACE INA Cut My Benefits: A Beginner’s Guide to Denied Claim Compensation appeared first on PW Lawyers.
]]>When the time comes when you are in need and your insurance clearly covers your expenses, you can make a claim. However, it might lead to an ACE insurance claim denied. If you have received a denial letter, it means that the company has found a reason to reject your request.
There might also be instances wherein ACE INA stopped long term disability payments. If you have been a beneficiary for a while, this might come as a surprise. What you need to do first is to coordinate with your insurance provider and confirm the situation. Your payment might have just been overlooked. If they confirm that they have decided to stop the support, it is then that you should get an official letter containing the details of the decision.
Getting denied by your insurance company can be frustrating. Liability insurance ace for instance is a very important coverage you will definitely need when the situation arises. Since you have been paying honest premiums, it is natural to expect that you will receive the compensation you deserve. The best way to ensure that you have the best chance in getting the claim is to consult an insurance lawyer.
If ACE INA denied my claim, the first thing I’ll do is figure out my current situation. For instance, research should be done about why the claim is denied. Next, you need to figure out what options are available to possibly get the company to retract this decision. Afterwards, you need to figure out all the time limits, if any. Once all these are accurately listed down, you can then move on to finding a good lawyer to help you out.
Proximity to your location is also important because he needs to be present whenever you need their counsel. It is true that email and telephone conversations can replace personal human interactions. But, there are still discussions that are better done personally. Having a close lawyer will give you more chances to do this. Thus, many chances to study the case and prepare for the trials.
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