How to Dispute a Life Insurance Claim Denial

How to Dispute a Life Insurance Claim Denial

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Claims for insurance policies are sometimes denied because of fraud by the insured or the beneficiary, or material misrepresentation by the insured on the application form.  Material misrepresentation is defined as a statement that would have made the insurance company deny the application, at the time when the truth of the matter was disclosed.  Any omission of an important fact may also be considered as material misrepresentation.*  Other important factors that may be considered as omissions may deal with facts regarding age, health habits such as smoking or drinking, employment history, hobbies, income, and other existing policies. The bottom line that the insurance company lives by is that whether or not the omission had anything to do with the insurer’s death, the claim will not be paid. Claims may also be denied due to failure to pay.  If you are likewise not the beneficiary of the policy, or the death of your loved one is not covered under terms, then the company is not going to grant you payout as well.  Some insurance companies may go as far as denying youlaims for insurance policies are sometimes denied because of fraud by the insured or the beneficiary, or material misrepresentation by the insured on the application form.  Material misrepresentation is defined as a statement that would have made the insurance company deny the application, at the time when the truth of the matter was disclosed.  Any omission of an important fact may also be considered as material misrepresentation.*  Other important factors that may be considered as omissions may deal with facts regarding age, health habits such as smoking or drinking, employment history, hobbies, income, and other existing policies. The bottom line that the insurance company lives by is that whether or not the omission had anything to do with the insurer’s death, the claim will not be paid. Claims may also be denied due to failure to pay.  If you are likewise not the beneficiary of the policy, or the death of your loved one is not covered under terms, then the company is not going to grant you payout as well.  Some insurance companies may go as far as denying your policy based on corporate greed or fraud, and if this is the case, you can dispute the denial.