How do I appeal a decision if I’m denied TSGLI benefits?
Here are some steps you can take if you are denied TSGLI benefits.
First, be sure to look at the denial letter you received from your branch of service. Your letter will tell you if you should use the TSGLI Appeal Request Form. The VA will also inform you of how long you’ll have to submit your appeal.
Appeals need to contain the following information:
- Identifying information (e.g. name,, address, Social Security number)
- The reasons why you disagree with the determination
- Documentation in support of you claim ( e.g. Leave and Earning Statements showing deduction for SGLI premiums, SGLI election form)
- Written comments, documents, records, and any other information relating to your claim.
What Should You Appeal
Appeals can be made on many issues. Your appeal must be submitted to your appropriate branch of service. In addition to the information outlined above, additional documentation will be needed to help prove your claim. For example, medical records and Physical Evaluation Board Findings.
Some injuries are not covered by TSGLI and will most likely be denied. These include injuries that are the result of:
- Intentionally self-inflicted injuries or attempt to inflict such injury.
- Use of an illegal or controlled substance that was not administered or consumed on the advice of a medical doctor.
- Diagnostic procedures, preventive medical procedures such as inoculations, medical or surgical treatment for an illness or disease, or any complications arising from such procedures or treatment.
- A traumatic injury sustained while committing or attempting to commit a felony.
- A physical or mental illness or disease (not including illness or disease caused by a wound infection, a chemical, biological, or radiological weapon, or the accidental ingestion of a contaminated substance).
How To Get The Best Results
The Denials and Appeals Process of a TSGLI claim can be overwhelming with a lot of confusing red tape. Therefore, you will need good legal counsel and representation to obtain the best results. So contact Cameron Firm, PC at 800-861-7262 to learn more about how we can help you with every aspect of your TSGLI benefits claim, including denials and appeals.
Cameron Firm, PC. specializes in TSGLI cases and can take TSGLI cases from anywhere in the U.S.
Cameron Firm PC has certified Veteran Appeals Lawyers on staff who will fight with you to secure the benefits you deserve. We understand the sacrifices you have made.
This article is for educational and marketing purposes only. Consequently, it does not create an attorney-client relationship.