We are happy to announce that we resolved a $400,000 denied life insurance claim.
What are 20 reasons for accidental death and dismemberment claim denials?
Accidental death and dismemberment (AD&D) insurance policies provide coverage in the event of a serious injury or death resulting from an accident. However, insurance companies may deny claims for various reasons. Here are 20 possible reasons for AD&D claim denials:
- The policyholder's death did not result from an accident
- The policyholder's injuries were not severe enough to qualify for benefits
- The policyholder had a pre-existing medical condition that contributed to their injuries
- The policyholder engaged in risky behavior or illegal activities at the time of the accident
- The policyholder was not covered under the policy at the time of the accident
- The policyholder did not disclose relevant medical history when applying for coverage
- The policyholder was under the influence of drugs or alcohol at the time of the accident
- The policyholder's injuries were self-inflicted or intentionally caused by someone else
- The policyholder did not seek medical treatment in a timely manner after the accident
- The policyholder's death or injuries were caused by a non-covered event, such as natural disasters or war
- The policyholder died while participating in a hazardous activity that was excluded from coverage
- The policyholder's death or injuries were caused by a mental or emotional disorder
- The policyholder died while committing a crime or participating in a riot
- The policyholder's injuries were caused by a medical procedure or treatment
- The policyholder died while serving in the military or as a first responder
- The policyholder's death or injuries were caused by a motor vehicle accident while the policyholder was not wearing a seatbelt
- The policyholder's injuries were caused by a sports-related activity that was excluded from coverage
- The policyholder's death or injuries were caused by an act of terrorism
- The policyholder's death or injuries were caused by exposure to a toxic substance
- The policyholder's death or injuries were caused by a criminal act committed by the policyholder.
It is important for policyholders to review their AD&D insurance policy carefully to understand the coverage and exclusions. Additionally, policyholders should provide accurate and complete information when applying for coverage and promptly report any accidents or injuries that may result in a claim. Our top life insurance lawyers will fight your denied claim and win!