Insurer Disclaims Life Insurance
Coverage
While in most cases insurance claims are paid promptly and with no difficulty, it can be upsetting and
financially stressful if the insurer disclaims life insurance coverage on your claim. In the event that your claim
is denied, it is essential to find out precisely what grounds the insurance company has for rejecting your request
for payment, and to retain legal counsel in order to protect your rights and interests. Attorneys who specialize in
life insurance claims can negotiate directly with the insurance company to obtain results and ensure that you get
the most favorable settlement possible. If negotiations fail to produce the desired result, your attorney can file
suit in civil court to force the insurance company to defend its decision and provide evidence for its claims.
Insurance companies are designed to make profit; they do this primarily by collecting premiums on their policies.
Because life insurance claims come directly out of the profit margin, many insurers are motivated to delay payment
or deny it altogether, thus achieving higher profits for their shareholders and financial backers. This tendency
creates an adversarial position between policyholders and insurance companies in many cases, since the rightful
claimant’s desire to receive their payment is at odds with the insurance company’s desire to make money. For
sizable policies, it can be cost-effective for the insurer to deny payment and wait for court proceedings which may
or may not be initiated against them; this allows them to avoid payment altogether in some cases, and to delay
payment in most others.
If your insurer disclaims life insurance coverage on the basis of material nondisclosure, nonpayment of
premiums, or for any other reason, it is prudent to obtain the services of an attorney who specializes in these
sorts of cases. Some insurance companies will offer a settlement immediately once you have demonstrated your
serious intent to pursue legal action against them; others will take their chances in legal proceedings and bring
their considerable financial advantage to bear in the courtroom. Regardless of which method your insurance company
chooses to pursue, the services of a competent life insurance attorney can ensure that you receive the best
possible resolution for your specific situation.
Last Modified: 19 December 2009
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