No matter where you go, or who you sign up with, life insurance can be way trickier than you actually think. Whereas you’re supposed to feel like you’re covered and safe if things go awry, it can come about that you may not actually have your beneficiaries covered, and now you are at a loss at what to do.
Situations like these occur almost every day. This is made even more prominent when working with a TSGLI policy. This type of policy has to deal specifically with members of the armed forces, who are currently working and enlisted. This can be in many different groups, with the army, air force, or navy, depending on what they want covered.
Although it seems like a strong policy to have, it can come with quite a few problems, as the situations and events leading up to the incident may not be covered by the TSGLI policy requirements and stipulations. As such, there can be many reasons as to why a TSGLI claim can be denied, resulting in you being out a settlement that could potentially help the family through a tough time.
Some of the Reasons
The reasons that can cause a denial in a TSGLI case can vary, depending on the payout and the person it is placed on. Many insurance companies only see the cases and people affected as another wallet and paycheck. As such, they will attempt to work in their own interests, instead of the affected members.
Because of this, there are quite a few ways that they will not agree to a claim. Some reasons for a denial can be:
- Eligibility date. This has to deal with when the policy was enacted, and when the accident occurs. If the period in question is too short, a delay may be in order to ascertain whether or not the death was an accident, or if the death had some intentional reasoning behind it.
- Incorrect descriptions. As the paperwork is being filled out, it is extremely important that the information put into the paperwork is correct. Things such as daily activities, job requirements, and other such things must all be properly written down. If not, it can be considered attempting to deceive the insurance company, which can be grounds for denial.
- Injury misclassification. Since the TSGLI policies and claims revolve around a severe injury, it is important to properly write down what kind of injury occurred. If it is not identified, or if it is found to be inflated for the sake of the insurance claim, it can be completely denied on the spot, and resulting in the claim not even being negotiable.
Now, what can be considered to be an accepted injury? There can be quite a few, but the ones that do stand out are:
- Amputations of a limb
- Loss of a sense
- Deep Psychological Trauma
These are just a few of the accepted injuries that will usually get through in a claim. Unfortunately, they must still be vetted, as the extent of the injury is the primary concern. As such, make sure to check with your insurance company, in detail, to make sure you know what is covered in the policy.
Our life insurance lawyers will help you with your denied life insurance claim, and get you the full amount to which you are entitled.