• 7 Ways to Avoid Life Insurance Claim Rejection

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    More often than not, getting claims honoured by life insurance companies is an uphill battle. There are so many clauses, conditions and exceptions in insurance policies today that people are expected to fall ill by contracting a specific disease under specific conditions at a specific time in the day and inform the insurer at a specific time through a specific channel, and only if you’re under a specific insurance plan. Failure to meet any of these conditions would result in no insurance benefit being paid out, and the company being legally allowed to tell your dependants to take a hike.

    Most often, insurers rely on legal loopholes and clauses in their policy documents to avoid making payments of sums assured, but a surprisingly large number of times, the fault and blame belongs to the customers themselves.

    Here are seven things you as a customer can do to ensure that you always get paid what’s due to you by your life insurance provider.

    1. Don’t conceal information.

      Literally any bit of information you don’t (or forget to) tell the life insurance company which can have an impact on your health, or result in any medical condition that requires hospitalization or the payment of death benefit is considered as “concealment of information”. Any disease or ailment requiring you to make a life insurance claim will be tracked back and traced to anything in your application form that indicates that this disease or ailment was a possibility. Any pre-existing disease or condition or smoking/drinking habits or anything that can be linked as being a cause to your hospitalization or death will be investigated and, if you haven’t told the company about it, sum assured and other benefits will not be given to you or your dependants. Your premiums are decided on this information, so be clear and open while furnishing it. If there is nothing that you’ve concealed, there’s nothing that can be held against you and the insurer will have to pay your sum assured.

    2. Pay your premiums on time.

      Insurers will only settle claims on active insurance policies. There are an astonishing number of people who do not understand that delaying premium payments result in lapsed policies. Once your policy lapses, you are no longer covered and all your premiums paid that far will be rendered useless. The premiums will neither be returned to you nor will they have any legal validity to ensure that you or your dependants get your sum assured or death benefit from the company. In some cases, delaying your payments could also lead to penalty charges and reinstatement charges. Also, if you have a clean track history of making premium payments, the insurer will have one less point to haggle over when it comes time for a settlement.

    3. Update nominee information.

      Your named nominee is the person who will receive any and all benefits that come out of your insurance policy, when the time comes. If you’re single, naming your parents as nominees would be the sensible way to go. Once you’re married, name your spouse and children. Whatever your present relationship status is, always keep a nominee named so that some benefit will go to some dependant of yours somewhere. Nominees are generally those whose livelihoods are directly dependant on you being alive and well.

    4. Don’t delay in filing insurance claims.

      It may be the last thing on your mind in a medical emergency, but a quick call to your insurance company could spell the difference between having or losing insurance cover. It’s a good idea to give a trusted friend, colleague or relative your emergency insurance information to call and intimate the insurance company in case you are unable to do so yourself. Basically, the life insurance company needs to be kept posted about the events for which they will be held financially liable later. The sooner you intimate the company about whatever has happened that requires medical attention, the easier your claim processing will be. Insurers also consider delays in intimation of hospitalization as indicators of potential fraud. Timely intimation can also keep you clear of this accusation.

    5. Fill out your insurance application form yourself.

      Do not trust that well dressed, constantly smiling, and question-avoiding insurance agent with the responsibility of filling out your forms. Insurers decide your premium payment amount, overall coverage, and even some exclusions based on what’s filled out in your forms. Merely telling the insurance agent everything about your medical history will not qualify him to understand and explain on the form the more difficult intricacies of your medical history. You will need to take the time out of your day and get your records in order and truthfully fill out all the details in the forms by yourself. No one knows you better than you, and you need to make sure the insurance provider knows, too. Withholding tobacco and alcohol consumption habits will be a problem if the reason you’re hospitalized can be traced back to alcohol or tobacco consumption. Agents fill forms fast to meet sales targets, and couldn’t care less what becomes of you in the future. Is that a person you want to trust with potentially huge amounts of money that could become due to your dependants in their most dire times of need?

    6. Accept medical examinations.

      Insurance companies sponsor your medical tests and examinations to get a better understanding of your medical condition. The more they know, the less they can say was withheld as a reason to avoid giving you your sum assured that’s due. These tests may also help you detect diseases early, and treat them accordingly. This is most common for health insurance policies, but can be important for life insurance policies also, giving the hospitals and life insurance companies a good idea of your present health condition, to see where it may go in the future.

    7. Thoroughly scrutinize the policy document:

      One of the primary reasons the policy document even exists is to release the company from any legal and financial liability that could arise out of signing a contract with you. If you contract an illness, randomly drop dead, or require an insurance claim because of any of the reasons in the “exceptions” list, you can say goodbye to your hopes of receiving any kind of benefit from the insurance company. Clauses such as the exceptions list that indemnifies the insurer from any kind of liability towards you exist all over your policy document. It is important to diligently and thoroughly dissect your policy document to ensure that none of the clauses mentioned therein are a possibility. And if they are, you can probably re-negotiate your policy document with your insurer. If your insurer doesn’t budge on clauses and conditions, there is no shortage of insurance companies out there that would love to have you as a customer. It is important to note that most insurers will not budge on exceptions, but may allow wiggle room on certain conditions.

    Keep yourself informed and abreast of all developments with your insurer. Keep yourself informed about the details in your policy document. Stay diligent and well informed about the conditions under which you will be eligible for a claim. Life insurance is not just a tax saving tool, it’s a serious financial product which, if used correctly, can be a saving grace for your family and dependants.

    7 Ways to Avoid Life Insurance Claim Rejection Reviews

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    • Future Generali Life Life Insurance
      "Good policy to hold"
      0.5 4.0/5 "Great!"
      I took accidental cover from Future Generali, they are providing all the benefits and the product is good. For normal accident also I can claim from them. Yearly I make the premium around Rs. 2900 for the tenure of one year. Total sum assured value of Rs. 15 lakhs. For disability they provides good coverage.
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      , mumbai
      Reviewed on Feb 21, 2018
    • LIC Life Insurance
      "Good service"
      0.5 5.0/5 "Blown Away!"
      I have taken a Life Insurance with LIC.The premium amount is 13800 in a year.The policy coverage is three lakhs,I make direct payments at the branch.I have no claim experience,its been nine years since i have taken this policy.The policy is for 15 years.
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      , hyderabad
      Reviewed on Feb 16, 2018
    • LIC Life Insurance
      "Good service"
      0.5 3.0/5 "Satisfactory"
      I have taken Life Insurance with LIC,the premium amount is 14,000 per annum.The total policy is 20 years.I make online payments,i have no claim experience so far.The policy coverage amount is two lakhs.The customer service is good they respond on time.
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      , chennai
      Reviewed on Feb 15, 2018
    • LIC Life Insurance
      "Good service"
      0.5 5.0/5 "Blown Away!"
      I have taken Life Insurance with LIC,i pay a premium amount of 7,000.The plan name is Education policy, the policy is for 20 years.I get a sum assured of 3.50 lakhs.I have no claim experience with them.I make payments by cash,agent comes collects it from my place.
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      , jaipur
      Reviewed on Feb 15, 2018
    • LIC Life Insurance
      "Excellent service "
      0.5 5.0/5 "Blown Away!"
      I have taken LIC policy,the plan name is money back policy.I pay my premkum paymnt is 1565 paid quarterly.I have no claim experience with them.The policy coverage amount is one lakhs.The policy is for 15 years.The customer service is good respond on time.
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      , ahmedabad
      Reviewed on Feb 15, 2018
    • LIC Life Insurance
      "Best service"
      0.5 4.0/5 "Great!"
      I have taken Life Insurance with LIC,the premium amount is 10,000 per annum ,the plan name is money back policy.The total policy is till 2021.I make cash payments,i have no claim experience so far.The policy coverage amount is 2.50 lakhs.
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      , bangalore
      Reviewed on Feb 15, 2018
    • LIC Life Insurance
      "Good service"
      0.5 5.0/5 "Blown Away!"
      I have taken Life Insurance with LIC,the policy is for 20 years,this was taekn 10 years ago.The premium amount is paid quarterly of 5000.The agents are very prompt and they respond on time make payment to them directly from place.I have no claim experience till date.
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      , kanpur
      Reviewed on Feb 14, 2018
    • LIC Life Insurance
      "Trusted policy "
      0.5 5.0/5 "Blown Away!"
      I have taken Life Insurance with LIC,i pay a premium amount of 36,000 including the family members.The plan name is jeevan anand,the policy is for 20 years.I get a sum assured of three lakhs for an individual.I have no claim experience with them.
      Was this review helpful? 0
      , chennai
      Reviewed on Feb 13, 2018
    • LIC Life Insurance
      "Very Good"
      0.5 5.0/5 "Blown Away!"
      Having a life insurance policy with LIFE INSURANCE CORPORATION OF INDIA. There plan benefits are really very good. I am paying a premium of rs 6,000. The pl;an is for 25 years.The policy coverage and payment options were very good with LIFE INSURANCE CORPORATION OF INDIA. Customer service is very good and claim.
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      , chennai
      Reviewed on Feb 10, 2018
    • LIC Life Insurance
      "Good insurance"
      0.5 5.0/5 "Blown Away!"
      I have been holding LIfe Insurance iwth LIC for last one year.The premium amount is 519 every months through an ECS payment.The total policy is for 20 years and i have no claim experience with the bank.I bet a policy coverage amount of three lakhs.
      Was this review helpful? 0
      , jaipur
      Reviewed on Feb 10, 2018
    • LIC Life Insurance
      "Very Good"
      0.5 5.0/5 "Blown Away!"
      Owning a life insurance policy with LIFE INSURANCE CORPORATION OF INDIA. There plan benefits are really very good. The policy coverage and payment options were very good with LIFE INSURANCE CORPORATION OF INDIA. Customer service is very good and claim.
      Was this review helpful? 0
      , faridabad
      Reviewed on Feb 08, 2018
    • Aegon Life Life Insurance
      "Best"
      0.5 4.0/5 "Great!"
      I do have life insurance policy with the Aegon life insurance company. I feel that they are good too. I have not experienced their claims till now. Plan benefits are fine one with the Aegon life insurance company and everything is good one with them till now.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Feb 07, 2018
    • PNB Metlife Life Insurance
      "Good Protection for Family"
      0.5 5.0/5 "Blown Away!"
      PNB Met life is good, the premium is okay and they gave me good coverage . But I haven't check about the claim settle ratio. I have chosen the sum assured value of Rs. 1.5 crore it has max maturity age upto 99 age. My total premium amount around Rs. 30,000 per annum. Which includes Rs. 7000 for critical illness for heart attack and cancer and Rs. 3000 for the accidental cover with Rs. 15 lakhs of coverage.
      Was this review helpful? 0
      , mumbai
      Reviewed on Feb 06, 2018
    • HDFC Life Life Insurance
      "Best insurance policy"
      0.5 5.0/5 "Blown Away!"
      I have taken life Insurance with HDFC Life.The premium amount is 35,000 per annum.This policy is taken 5years back.The total policy is for seven years.i get good policy coverage amount.The plan name is sampoorna samridhi,i have no claim experience with them.
      Was this review helpful? 0
      , hyderabad
      Reviewed on Feb 02, 2018
    • LIC Life Insurance
      "Best insurance policy"
      0.5 5.0/5 "Blown Away!"
      I have taken a Life Insurance with LIC.I pay a premium amount of 1720 in year,the policy is taken one year back.I have no claim experience,The policy is for 17 years.I make payments through online as its very comfortable to make,I would say its a best to have a policy.
      Was this review helpful? 0
      , chennai
      Reviewed on Feb 02, 2018
    • LIC Life Insurance
      "Good service"
      0.5 5.0/5 "Blown Away!"
      I have taken Life Insurance with LIC.I have been holding this policy since 2000.The plan name is money back.The premium amount is 2600,the policy is for 20 years.I have claim experience for three tomes its good i had a huge amount at last.
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      , chennai
      Reviewed on Jan 22, 2018
    • Max Life Insurance
      "Good"
      0.5 3.0/5 "Satisfactory"
      I am having the life insurance policy with the MAX life insurance company and the customer service is pretty good one too. I have not faced any such claims with them. Coverage value is good too with the MAX life insurance company when compared with their market competitors.
      Was this review helpful? 0
      , kolkata
      Reviewed on Jan 18, 2018
    • LIC Life Insurance
      "Good service"
      0.5 5.0/5 "Blown Away!"
      I have taken Life I insurance with LIC.The premium amount is 4000 paid annually.I have no claim experience with them.I have been holding the policy 10 years.The policy is for 20 years.The plan name is jeevan anand.I pay my premium through online.
      Was this review helpful? 0
      , mumbai
      Reviewed on Jan 13, 2018
    • LIC Life Insurance
      "Best service"
      0.5 5.0/5 "Blown Away!"
      I have taken a Life Insurance with LIC.The premium amount is 500 paid very month,i get policy coverage amount of three lakhs.The policy is for 15years.I have been holding the policy for 10 years.I have no claim experience with them.
      Was this review helpful? 0
      , new delhi
      Reviewed on Jan 12, 2018
    • LIC Life Insurance
      "Good policy"
      0.5 5.0/5 "Blown Away!"
      I am holding the policy for long 17 years .I hold multiple policies.I pay a premium amount of one lakh per annum.The policy coverage amount is 25 lakhs.The policy id for 30 years.I pay the premkum amount through online.I have no claim experience with theme till now.
      Was this review helpful? 0
      , bangalore
      Reviewed on Jan 11, 2018
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