Add Comment Question: I am a doctor. Sometimes I have patients asking me to write a letter for them to support a change the employer needs to make to accommodate a disability. At times, the employer refuses to pay for the letter. By law, who is responsible for the payment? the employer, the insurance company covering the short-term or long-term disability or the patient himself or herself? Answer: The patient is responsible for paying for the letter. Your Comment * Your Email * Your Name * Your City Note, your name, city and email is not displayed on the website. It is used to notify you that we have approved your comment.