Lawyer Guide: How to get Denied premium life insurance in USA?

Lawyer Guide: How to get Denied premium life insurance in USA? – A permanent life insurance policy is a fantastic way to secure your family’s financial future while you are still alive. The majority of people must first determine how much coverage they require before purchasing life insurance. But what if your application for life insurance is rejected and you are left without coverage? With this guide, you’ll get the skinny.


1. Application Misrepresentation

You will be required to complete a number of lengthy forms by the insurance provider as part of your application for life insurance. These forms will ask you questions about your general health, risk factors like drinking and smoking, and hazardous pastimes like scuba diving and heli-skiing.

The insurance provider uses these elements to calculate the applicant’s mortality risk. The insurer will base its decisions regarding whether or not to insure you, the benefit amount that will be made available to you, and the amount of your monthly premium payment on the assessment of your specific risk factors.

It’s crucial to fill out your life insurance application completely and honestly. Don’t guess an answer if you don’t know it; instead, make sure your response is accurate. Ask the bank representative or insurance salesperson for clarification if you don’t understand the question. To avoid any misunderstandings, confirm your comprehension in writing. You must disclose everything to the insurance provider in accordance with British Columbia law. The insurance company may refuse to pay your beneficiary’s life insurance benefit after you pass away if you provide any of the necessary information falsely.

There is currently legislation in British Columbia that states that a policy is “incontestable” if it has been in effect for more than two years. This means that even if there was a material misrepresentation on the application form, the insurer would still be responsible for paying. However, the insurer would be permitted to withhold payment if they could show that the responses were provided fraudulently. In those situations, disputes frequently center on what constitutes “fraud” legally.

2. Disqualifying Terms

The terms of the life insurance policy will outline the situations in which benefits won’t be paid. Several instances include:

suicide death In some cases, policies specify that benefits won’t be paid if the suicide occurs within a specific time frame (typically the first two years of coverage). In order to prevent people from buying policies while they are considering suicide and want to ensure the financial security of loved ones, Even when suicide is the cause of death, it is not always obvious. When there was a disagreement over whether a fatal gunshot wound was intentional or unintentional, we have defended beneficiaries in those cases. In another case, it was disputed whether a drug overdose was intentional or unintentional.

Death resulting from criminal activity: Most policies don’t cover situations where someone died while committing a crime. Criminal acts can include things like operating a motor vehicle at extremely high speeds, using excessive amounts of alcohol or illegal drugs, stealing things, etc. Once more, it is important to look into any allegations of criminal behavior because there might be extenuating circumstances that make the behavior exempt from the exclusionary language.

This exclusion is meant to prevent claims for deaths of civilians resulting from armed conflict or acts of war.

These phrases are frequently vaguely worded and open to interpretation. As a result, it is crucial for a lawyer to review the denial if an insurer is relying on a contractual exclusion.

3. Inadvertent Premium Payments

You must continue to pay the monthly premium in order to keep your life insurance policy in effect. You risk losing your coverage and any associated payments if you don’t make your payments on time.

Understanding the various grace periods that may be included in your policy is crucial. The grace periods change depending on the insurance provider, the type of policy, and the local law. The law in British Columbia allows for a 30-day “grace period” during which you can pay a past-due life insurance premium.

Beneficiaries occasionally file life insurance claims that are ultimately rejected because they are unaware that their loved one stopped making premium payments. Due to the non-payment of premiums, the insurance companies reject such claims because the policy would not have been in effect at the time of the policyholder’s death. As a result, it’s critical that you maintain your regular premium payments to maintain your insurance coverage. 7001

4. Term life insurance that has expired

An insurance plan known as term life insurance expires after a certain age (usually 65). No life insurance benefits are payable in the event of your death after the term has passed. You might be able to apply for a policy renewal for a subsequent term at a higher cost or change the policy to permanent protection once the term has ended.

It is crucial to keep in mind that at the end of the policy term, your insurer may decide not to renew the coverage. If you want to convert or renew your term life insurance, be sure to read the policy terms carefully or speak with your insurance broker to make sure you are aware of the deadlines.

What should you do if your life insurance application is denied?

1. Examine your case.

You now understand why your application for life insurance was rejected. Regardless of your feelings toward the explanation, it’s time to review your case. Verify the accuracy of the details first and foremost. Although it doesn’t often, insurers occasionally make mistakes.

You are the best person to understand your situation, so carefully go over everything. Making an appeal to the insurer should be your next step if you discover that any of the information is inaccurate.

Ensure that the insurance provider has the most recent information from your medical file by asking your doctor to do so. You can also challenge non-medical grounds, like an outdated financial history or false information about your occupation and interests.

2. Change your way of life.

Insurance companies will occasionally push back the date on which they review your application, typically by six to twelve months. You can improve your health or stop smoking during that time to get approved.

3. Look into alternative life insurance options.

Even if a life insurance company views you as high-risk, you might be able to get covered by final expense life insurance, which comes with less coverage but costs more.

4. Inquire about group life insurance with your employer.

You are entitled to a small amount of group life insurance, which is a common component of employee benefits packages, even if you have a serious medical condition or a risky hobby.

5. Talking is beneficial, so consult an authority

Speak with a professional who can provide you with more details on purchasing a policy. Agents for life insurance may be in the best position to offer advice because they are familiar with the ins and outs of the underwriting procedure and how everything functions.

They can assist you with your next step, whether it’s switching to a term policy or attempting to get permanent life insurance with a lower level of coverage. They can examine your application for red flags and possibly point you in the direction of an insurer who will provide you with coverage.

In the majority of cases, getting a life insurance quote online is acceptable—in fact, it’s frequently the best option because it will save you both time and money. But if your application for a policy has been denied, speaking with an expert might be able to point you in the direction of options that are suitable for your situation.

6. Take into account different laws

It is worthwhile to look into alternative forms of coverage even if you don’t speak to anyone. The best choice is permanent life insurance because it gives your loved ones a death benefit and enables you to accumulate wealth tax-free while you’re still alive. Additionally, your premiums remain constant for the duration of the policy.

However, it’s not the only kind of life insurance available. You won’t receive the same great benefits from term life insurance as you would from a permanent policy, but you will still receive a death benefit for a predetermined period of time, and your premiums will remain the same during the term (though they increase should you wish to renew when your initial policy expires).


You might even be able to obtain a permanent policy, albeit with a different insurer or for less coverage. In essence, having a policy in place is preferable to having none at all, which leads us nicely into the next section.

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