Denials of Life Insurance Claims

J.P. Gonzalez-Sirgo
Founder of J.P. Gonzalez-Sirgo, P.A.

Denials of Life Insurance Claims 

Life insurance companies frequently deny beneficiaries’ claims. And sadly, many claims are wrongfully denied. In fact, it seems like some life insurance companies deny claims as a matter of standard procedure and don’t investigate claims at all. Other claims may be improperly or insufficiently investigated and/or denied prematurely.

If you are a beneficiary of a life insurance policy and you believe your claim was wrongfully denied, it is advisable to seek the professional legal counsel, advice and guidance of an experienced life insurance claims attorney.

Beneficiaries Can Challenge a Life Insurance Company’s Denial

There are many reasons why life insurance claims are denied. While some denials may be valid, the fact is that many are not. Unfortunately, many denied claimants simply accept the life insurance company’s decision as final.  A beneficiary has the right to challenge the life insurance company’s denial.  Just because a life insurance company denies your claim, it does not necessarily mean that this will be or must be the final outcome.  However, it is difficult for a beneficiary to successfully challenge a life insurance company denial without experienced legal assistance.

Common Reasons Why Insurance Companies Deny Life Insurance Claims

Some of the reasons that insurance companies deny claims include, but are not limited to the following:

  1. The insured died within the first two years of the policy. During this two year "contestability period", the insurance company has a legal right to rescind the policy or deny a claim for certain reasons. Still, this does not mean that the insurance company's denial cannot be challenged under the right facts.
  2. The insurance company alleges that material misrepresentations were made in the application. Again, this may be challenged – there is often a big difference between a life insurance company’s allegation and the truth.
  3. Medical or health information was withheld or omitted in the application. Once again, just because the life insurance company alleges this, it is not necessarily so. 
  4. The policyholder failed to pay premiums, or paid late, or let the policy lapse. Life insurance companies have been known to receive payments and improperly delay deposits. Or the life insurance company may allege that they never received the payment, when in fact there are cancelled checks to prove otherwise.
  5. The insurance company alleges that the insured’s cause of death was suicide. Many alleged suicides were not suicides at all.  

You can reach Miami Insurance Claims Lawyer J.P. Gonzalez-Sirgo by dialing his direct number at (786) 272-5841, calling the main office at (305) 461-1095, or Toll Free at 1 (866) 71-CLAIM or email Attorney Gonzalez-Sirgo directly at [email protected].

Source

http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0600-0699/0627/Sections/0627.455.html 

http://www.floir.com/

http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0600-0699/0624/Sections/0624.155.html

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