Reasons for Life Insurance Claim Rejection or Cancelation

Death is imminent, but the effect can be minimised by careful preparation and understanding. Most individuals in their families are the only breadwinners. Their untimely and unexpected death would be harmful to the people who count on them. Responsible people look for a decent life insurance policy and live a peaceful life, with financial protection for their families if anything happens to them.

But even the best of the effort comes to none. It is not rare for insurance providers to deny a false life insurance claim. Insurance applications can be denied for a number of reasons, recognising that they might help to prevent common errors.

Common Reasons for Life Insurance Claim Rejection or Cancelation

Let's address the general grounds for denying life insurance claims:

• False Information

The insurance sector is working on trust and proper disclosure. Concealing details, even if it may seem insignificant, may contribute to the refusal of an accusation. People also conceal their smoking and drinking habits when applying for, for example, a term insurance contract. It can lower the insurance premium, but if the family wants insurance as much as possible, the claim is rejected.Even leaving out information like age, height, and weight could cause complications later. As insurance is obtained by intermediaries, brokers or bank executives fill out the application and can mistakenly enter inaccurate information without cross-checking. Some people also quote an exaggerated income in order to get a larger percentage of promised benefits.

• Premium Payment

Buying an adequate life insurance coverage is just the start and the premium can still be charged on a daily basis. A life insurance programme is only active if the payments are charged on schedule. If you fail to pay a premium, the policy can expire and the insurer may refuse a default policy claim. Often people mistakenly fail to pay their premium on time, insurers usually remind them through emails and messages.Insurance providers also extend a grace period of 30 days in most cases. When the scheme lapses, all the payments charged go to waste and there is no hope of getting them back.

• Details of Nominee

The candidate appointed by the policyholder shall enjoy all insurance benefits. An insurance provider can deny a claim if the particulars of the nominee have not been filled out or have not been revised. People usually buy life insurance while they're young and name their parents as candidates.When they get older, they struggle to correct the particulars of the nominee, and if the parents are not present when the argument occurs, they will be denied. To stop denial, keep the candidate information up to date and keep an eye on the insurer's communications.

• Violation of Law

If the policyholder dies as a result of a violation of the law or a crime, the insurance provider can deny the claim.

• Death Outside India

If the insured wishes to settle overseas, the insurance provider should be told as a condition of the insurance agreement that the policyholder must report his or her current resident country for settlement. Term insurance policies are valid even though you change your country

• Adventure Sports

Death arising from participating in adventurous activities such as bungee jumping, skydiving or other adventure sports such as powerboat sailing, timed motor-sport, etc. is also not protected. Death during auto racing or cycle racing will also contribute to zero payouts.

• Avoiding Medical Test

Insurance is a risky sector, and risk insurers rely on careful evaluation to reduce the risk. Insurers review any medical information the applicant has provided in order to get a better picture of the harm. Most organisations perform medical checks, particularly in the case of high age or high risk coverage. If you fail to take the exams, your application will be denied by the insurer citing a pre-existing condition.It is still prudent to go to diagnostic examinations as if all pre-existing conditions are protected by the exam.

• Death By Natural Calamity

Deaths related to natural disasters such as hurricanes, flooding or tsunamis are not protected by basic insurance policies. However, you can opt the add-on policies to compensate for those natural disasters.

Takeaway

One should not be afraid of the denial of claims in terms of insurance, particularly if you have provided the insurer with correct details. Often, know that term insurance gives more than just financial protection to your loved ones when you retire. You will expand the reach of the programme with incentives for passengers such as serious condition coverage, refund of insurance coverage, accidental death coverage, and more.Now that you know what can lead to a denial of payment, you need to keep vigilant and review your insurance records thoroughly. It will mean that the life insurance claim process will run seamlessly in the event of a need occurs.

Also read 

How Do I File a Life Insurance Claim?

Documents Required for Life Insurance Claim

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.