Life Insurance Lawyer Nebraska

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What are some reasons for a denial of a life insurance claim due to fraud?
Life insurance claims may be denied due to fraud if the insurance company discovers that the policyholder or beneficiary engaged in fraudulent activities. Here are some common examples of fraudulent activities that could lead to a denial of a life insurance claim:
  1. Misrepresenting information on the policy application - If the policyholder provided false information or failed to disclose important information on the policy application, the insurance company may deny the claim.

  2. Falsifying documents - If the beneficiary submitted fake documents or altered documents to support their claim, the insurance company may deny the claim.

  3. Concealing information about the cause of death - If the beneficiary or policyholder lied about the cause of death, the insurance company may deny the claim.

  4. Faking a death - If the beneficiary or policyholder faked their death, the insurance company would deny the claim.

  5. Misusing the policy - If the policyholder took out the policy with the intention of committing fraud, such as using the policy as part of a Ponzi scheme or to launder money, the insurance company would deny the claim.

If the insurance company suspects that fraud has been committed, it may launch an investigation into the claim. If the investigation finds evidence of fraud, the insurance company may deny the claim and potentially pursue legal action against the policyholder or beneficiary.

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Life Insurance Beneficiary Rules and Disputes Nebraska

2023-2024 Life Insurance Claims in Nebraska Recently Settled

  • Great Southern COVID-19 death $102,100.00
  • Aflac power of attorney change $37,000.00
  • Franklin Life coronavirus denial $45,000.00
  • Accidental Death & Dismemberment drugs $650,000.00
  • Landmark Life alcohol exclusion $36,000.00
  • AAA wrong age on application $11,000.00
  • Effortless lapse of policy rejection $50,000.00
  • USAA intoxication exclusion won $123,000.00
  • Nebraska mass shooting denial $206,000.00
  • Bankers Life cancer in medical records $44,000.00
  • AD&D denial due to oxycontin denied $98,000.00
  • North American Life chronic illness $25,000.00
  • American United material misrepresentation $330,000.00
  • United of Omaha material misrepresentation $250,000.00
  • Executive Life sickness excluded denial $75,000.00
  • Globe delay during contestable period $107,320.00
  • Prudential AD&D claim denied resolved $414,900.00
  • AARP lapse while in hospital $108,000.00
  • Kemper kept delaying and delaying $22,000.00
  • Denied SGLI claim change of beneficiary $402,332.00
  • Transamerica drunk driving death $283,000.00
  • Stonebridge felony denial exclusion $146,000.00
  • Nebraska denied life insurance claim $1,750,00000
  • Athene Life would not send check to client $55,000.00
  • Denied FEGLI employee claim won $88,000.00
  • Colonial interpleader lawsuit we won $522,000.00
  • Atlantic American stabbing death denial $67,400.00
  • Primerica prescription drug lawsuit $314,000.00
  • Denied life insurance claim Nebraska $638,000.00
  • Accidental Death and Dismemberment claim $52,900.00
  • SGLI beneficiary change resolution $400,000.00
  • RiverSource playing games with client $58,000.00
  • Genworth autoerotic asphyxiation $277,000.00
  • American Amicable wife and ex-wife $649,000.00
  • Nebraska divorce and life insurance $261,000.00
  • AIG accidental death and dismemberment $403,600.00

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Nebraska Life Insurance Law

We have come to know the life insurance industry inside and out. We can tell you, for example, that not all life insurance companies are out to exploit innocent policyholders or their beneficiaries. There are actually quite a few reputable life insurers out there that tend to honor valid claims made by beneficiaries.

Unfortunately, there are also some life insurance companies that take advantage of the power disparity between the company and the beneficiaries who are simply seeking the death payouts their loved ones intended for them.

How do they do this? Well, for one thing, they sell as many life insurance policies to as many people as possible. They then collect as steep premiums from those policyholders. Finally, when it comes time to pay death benefits, they come up with baseless justifications for denying completely valid claims. They do all this, of course, hoping that grieving beneficiaries won’t know that they have the right to contest those claim denials.

Every once in a while, we come across a case that illustrates the subversive maneuvers of these shady life insurance companies perfectly. This article discusses one such case.

The life insurance policy at issue

The case involved a gentleman named David. David was 54 years old and gainfully employed as a corrections officer. As part of his employment package, David received the option to purchase a life insurance policy. The insurance company also offered an accidental death rider for an additional premium.

David chose to purchase a $100,000 policy with a $300,000 accidental death rider. He named his adult daughter Maria as the sole beneficiary. The policy contained a two year contestability period. That means, among other things, that if David passed away within two years of the policy’s issuance, the insurance company could avoid payment if David’s cause of death came within a series of exclusions, including suicide.

The accidental death rider provided that the insurer would pay $300,000 above the policy payout if David’s death was “solely and exclusively caused by an accident and not the direct result of disease, infirmity, or any illegal activity on the part of the insured.” David was confident in purchasing the rider because he was a very healthy individual and, as a corrections officer, he was the antithesis of someone who would ever die while engaged in an illegal act.

David’s policy became effective on March 1, 2012 and he faithfully paid all of his premiums from that point forward.

Any reason to avoid paying a valid life insurance claim

On the evening of December 13, 2013, David was driving home from his job at the federal prison located some 30 miles from his house. It was a foggy night and, as usual, David had to navigate some winding, back country roads leading away from the prison. Unfortunately, David would never make it home that night.

In the early morning hours of December 14, David’s car was found crashed into a large oak tree. The force of the accident was so great that David’s small SUV was nearly unrecognizable. When emergency responders arrived, they declared David dead at the scene. A police department’s traffic forensics team was called to the crash site and officers performed a thorough investigation. David’s body was transported to the local coroner’s office for an autopsy.

The eventual police report revealed there were no brake marks on the roadway near the accident. That meant David’s vehicle hit the tree going full speed. Additionally, the autopsy report showed that David had suffered a small brain aneurysm at some time shortly before the accident. Nonetheless, the severe trauma to David’s body from the accident led the coroner to rule David’s official cause of death as “accidental death.”

Devastated by her father’s passing, yet also fearful of losing the financial support he had provided to her, Maria filed a claim with David’s life insurance company. She submitted all the required paperwork, which included a death certificate, the police report, and the coroner’s report. At the time, she had no reason to believe her claim would be denied.

Just weeks later, however, she received a outright denial letter in the mail. According to the insurer, it was denying the claim under David’s general policy on the grounds that he committed suicide within the first two years of the policy. According to the adjuster, the fact that no brake marks were found at the scene indicated that David intentionally rammed his car into the tree. The insurer also denied coverage the accidental death rider on two grounds: (1) David’s death was a suicide; and (2) even if it was not a suicide, his death was the result of his brain aneurysm and not a motor vehicle accident.

Luckily, Maria had a friend who was a lawyer specializing in the wrongful denial of life insurance claims. The lawyer took one look at Maria’s case and knew instantly that the insurer was simply trying to skirt its obligations. With Maria’s consent, the lawyer sued the insurance company for wrongful denial of claim.

Ultimately, the court agreed that the denial was wrongful. Taking all of the facts into consideration, the court found that David’s failure to brake may have resulted from the aneurysm, but that did not make that medical condition the “direct result” of David’s death. Additionally, the court noted that there was absolutely no evidence to suggest David was suicidal at any time prior to the crash. To the contrary, witnesses testified that he was a happy-go-lucky guy who never had a negative word to say about anything. In light of all this, the court awarded Maria the full $400,000 policy benefits, with interest.

Life Insurance Contestability Period Nebraska

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This case underscores the lengths shady insurance companies will go to in order to avoid claim payouts. If you believe you have received a wrongful life insurance claim denial, please call us today. We contest faulty denials every day and we would be happy to assist you in getting the benefit you deserve.