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After The Contestability Period: Can My Life Insurance Claim Still Be Denied?

After the Contestability Period: Can My Life Insurance Claim Still be Denied?

Life insurance is a common financial tool designed to provide a safety net for the insured person’s loved ones in the event of their passing. While some life insurance claims are processed smoothly, claims are denied more frequently than one would expect, often leaving beneficiaries in distress. Understanding the reasons behind these denials, particularly after the contestability period, and knowing your legal rights can make all the difference in securing the benefits your family deserves.

The Contestability Period

Life insurance policies typically have a contestability period, usually the first two years after the policy is issued. During this time, insurers have the right to thoroughly investigate and contest any material misrepresentations or omissions made by the policyholder on the application. Suppose the insured passes away within this period. In that case, the insurer may scrutinize the information provided more closely and determine that the policy was void from its inception, thus invalidating any claim to benefits as well. 

Denials After Contestability Period

However, life insurance claim denials can still occur beyond the contestability period. Here are some common reasons why claims may be rejected and how an attorney can assist you:

1.         Policy Lapses and Non-Payment:

            If the policyholder failed to pay premiums and the policy lapsed, or if there were administrative errors in premium processing, the insurer might deny a claim. Legal guidance can help address these situations, exploring whether there were valid reasons for non-payment or if there were communication gaps with the insurance company.

2.         Exclusions and Limitations:

            Policies often contain exclusions or limitations on specific circumstances of death. Suppose the insurer denies a claim based on an exclusion. In that case, an attorney can evaluate the policy language to determine if the denial is legitimate or if it can be challenged based on contractual ambiguities.

3.         Insurance Fraud Investigations:

            Insurers may initiate investigations if they suspect insurance fraud as the basis for a claim. An attorney can assist in proving the legitimacy of the claim and protecting beneficiaries from unfounded accusations.

4.         Delayed Investigations:

Some insurers may unreasonably delay the claims investigation process, causing financial strain on beneficiaries. An attorney can advocate for a timely and fair claim assessment, ensuring that beneficiaries promptly receive the benefits they are entitled to.

Facing a denied life insurance claim after the contestability period can be emotionally and financially overwhelming. Seeking legal assistance is crucial in such situations, as an experienced attorney can help you understand your rights, challenge unjust denials, and navigate the complexities of the claims process. Life insurance is meant to provide peace of mind, and legal support ensures that loved ones receive the financial protection they deserve during challenging times. If you’re dealing with a denied life insurance claim, don’t hesitate to reach out to us for a free consultation. We’re here to guide you through the legal complexities and work towards a fair resolution for you and your family.

Taylor Gerchman

Taylor Gerchman is the founding Partner of Life Legal Services. From the beginning of her legal career, Taylor has focused solely on insurance litigation with an emphasis on group, whole or term life insurance claims, beneficiary disputes, and ERISA claim appeals. | Learn More About Taylor

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