What Does it Mean if My Waiver of Life Insurance Premium Has Been Denied?
Author: Attorney Gregory Dell
Insurance companies often deny Waiver of Life Insurance Premium requests caused by a disability due to the any occupation definition of disability. If your waiver of premium request has been denied is essential to take immediate action.
Disability attorneys Stephen Jessup and Gregory Dell have created a video in which they discuss Waiver of Life Insurance Premium benefits, what to do if your Waiver of Life Insurance Premium claim is denied, and how these claims and benefits relate to your claim for short or long term disability benefits. It is important to take action immediately as most insurance companies only give you thirty days from the date of denial to stat paying for your life insurance. You can get the money back if you win the appeal. Often Waiver of Life Insurance Premium claims are handled in a different part of the disability insurance company, separate from your short or long term disability claim. However, if you receive notice that your Waiver of Life Insurance Premium claim is being reviewed (which often happens if the definition of disability changes from “own occupation” to “any occupation”), this should set off a red flag for you that your disability claim is likely also being reviewed for a change in definition.
The disability policy and life insurance policy typically have different definitions of disability. However, if the Waiver of Life Insurance Premium department discovers information that can be used to determine you are no longer disabled and eligible for benefits, it is highly probable that the disability department will also be given this information to use to challenge or deny your disability claim. If your Waiver of Life Insurance Premium claim is denied, you must file an appeal under ERISA, if ERISA is applicable. However, you should continue to pay the premium yourself so that, if the denial if overturned on appeal, you will be able to keep the Life Insurance policy and the out-of-pocket payments will be returned to you. Please feel free to contact any of our disability attorneys for a free consultation to discuss your denial of a waiver of life insurance premium.