FAQ
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Short answers to what families ask us most. For your own claim, the details matter, so please get in touch.
About Life Claim
How many life insurance cases has your team handled?
Our team of lawyers has reviewed more than 15,000 claims and handled more than 1,000 life insurance and AD&D cases to a final outcome, involving nearly every kind of issue imaginable.
Who will work on my claim?
Every case is staffed by at least one dedicated lawyer and one paralegal. Additional staff, including lawyers, will be assigned depending on the needs of your case, and we often collaborate with medical professionals and scientific consultants who work through the issues in your case together. You'll talk to the people actually working your case.
What makes Life Claim unique?
Our practice is dedicated solely to life insurance and AD&D claims. Many disputed claims turn on a medical or factual question: what an autopsy really shows, whether a toxicology number proves impairment, or whether a missed doctor visit had anything to do with the application. We leverage expertise in medicine, science, and insider perspectives because behind every claim is a family counting on us to get it right.
What kinds of claims do you handle?
Delayed and denied life insurance claims and accidental death and dismemberment (AD&D) claims, including group coverage through an employer and individual policies. We represent beneficiaries nationwide.
Are there any types of life insurance cases Life Claim doesn't handle?
Yes. We only handle cases where the insured has died or been seriously injured, or where the insured is terminally ill. For example, we do not handle cases where an insurance company is raising premiums for someone who is still living, where a policy lapsed for missed payments and the insured wants it reinstated, or where someone applied for a policy and was turned down.
Working with Life Claim
What does it cost?
Nothing up front. We work on a contingency fee, which means our fee comes only from money we recover for you. The terms are in a written agreement before we begin.
Do I need to live near your office?
No. We work with families across the country by phone, email and video.
Does contacting you make you my lawyer?
No. An attorney-client relationship begins only when we both sign an engagement agreement.
Delays
How long does a life insurance company have to pay a claim?
Many states set a deadline for paying a valid claim, often around 30 to 60 days after the insurer receives proof of death or due proof of loss. Some states also require the insurer to pay interest when payment is late, in addition to the death benefit, and the interest rates vary by state. Employer group plans governed by ERISA follow federal claim timelines instead of state deadlines.
What causes delays in life insurance claim decisions?
The most common reasons why life insurance claim decisions are delayed include: missing documents such as a final death certificate or police report, contestability investigations (where the insurance company reviews medical records in an effort to get out of paying the claim), suspicion of foul play concerning the insured's cause of death, beneficiary disputes, and understaffed or poorly managed claims departments.
Contestability
What is a contestability investigation?
A contestability investigation is a review conducted by a life insurance company when a death claim is filed within the policy's contestability period; this period is typically the first one or two years after the policy takes effect (depending on the state or policy). The investigation allows the insurer to thoroughly examine the original application for any material misrepresentations or omissions, such as undisclosed health conditions, smoking history, risky hobbies, or other factors that could have affected the policy's approval or premium rates. During the contestability investigation, the insurer reviews medical records, pharmacy records, and other documents to verify the accuracy of the information provided when the policy was purchased. The goal of the contestability investigation is to prevent sick individuals from rushing out and purchasing life insurance coverage after being diagnosed with a serious illness, or from buying life insurance with the intention of committing suicide shortly thereafter. Unfortunately, the insurance industry has weaponized this fraud prevention measure and turned it into a tool for getting out of paying valid claims, often citing inconsequential omissions on the application, such as a visit to an urgent care for a minor illness like the flu, as an excuse not to pay.
Do I have to assist the insurance company with its contestability investigation?
Not beyond what your policy requires. Most policies require proof of loss and reasonable cooperation, and the insurance company is entitled to retrieve medical data and records as part of its contestability investigation, so you will have to sign one or more forms authorizing the release of the insured's medical history. Oftentimes, though, insurance companies go further and demand that beneficiaries answer questions and provide the names of all medical providers the insured visited and all medications the insured took. The reason they are asking you these questions is to try to get out of paying your claim, and you don't have to help them build a denial. Therefore, talk to a lawyer before you sit for an interview, give a recorded statement, or answer a questionnaire, and certainly do not discuss your claim with the insurance company or its outside investigators without the assistance of counsel.
AD&D
What is an AD&D claim?
An Accidental Death & Dismemberment (AD&D) claim is a request for benefits if the insured dies or suffers certain types of injuries due to an accident. AD&D benefits are separate and distinct from regular life insurance benefits.
What qualifies as an "accident" under AD&D policies?
An accident is typically a sudden, unforeseen event causing injury or death, such as a car crash. It can also refer to a serious injury such as loss of limb or eyesight. However, just because someone dies or suffers a serious injury in an accident doesn’t mean insurance companies will automatically pay. AD&D policies often exclude deaths or injuries if other causes contribute to the accident. For example, if someone dies in a car crash but has alcohol in his or her system, insurers will typically deny those claims even though the death certificate refers to the manner of death as accidental.
Why was my AD&D claim denied?
There are many reasons why insurers deny AD&D claims. However, most denials follow a common theme: the insurance company will argue that the accident is excluded from coverage due to some contributing cause that made the accident happen. For example, if a person driving a car has a heart attack that results in a car crash, the insurance company will say that an underlying medical condition caused or contributed to the loss, relieving them of the liability to pay the claim. What you should know is that the insurance company is not always right, and there are ways to fight these claims.
Can I file my own AD&D claim?
Of course, but before you submit an AD&D claim on your own, we strongly encourage you to reach out to us, especially if you have concerns about the possibility of your claim being denied. If you do go it alone, be careful about what you say to the insurance company or what evidence you provide them, as they will use anything you say or give them against you to deny your claim. Sometimes, they will also tell you that you can expect to receive a check within a certain amount of time, before ever even reviewing your claim. They do this to lull you into letting your guard down and disclosing harmful information.
How long does it take to process an AD&D claim?
Processing of an AD&D claim typically takes 60–90 days, depending on the insurance company and case complexity. However, delays may occur if additional investigation or documentation is needed, such as toxicology results or an autopsy report, and some AD&D cases may take many months to be resolved.
Can I appeal a denied AD&D claim?
Yes, denied AD&D claims can almost always be appealed. However, it is critical to understand that the time frame for appealing a denial decision is often very short (usually 60–180 days depending on the insurance company). It is also important to understand what is required to successfully appeal a denied claim. Legal assistance is often necessary to help you navigate the appeal process, which is designed to benefit insurance companies rather than beneficiaries.
Do I need a lawyer for my AD&D appeal?
In our opinion, you absolutely need a lawyer to assist you with a denied AD&D claim. This is because denial letters from insurance companies are misleading in that they fail to explain the importance of filing a comprehensive appeal. Most denial letters state that if you disagree with the insurance company’s decision, you can file an appeal, but the letters do not explain that your failure to make an argument or provide evidence in the appeal can often prevent you from ever making that argument or presenting that evidence to a judge if you file a lawsuit. Claimants who are unaware of this fact frequently destroy any chances of winning their case in court by preparing and submitting a deficient appeal without the benefit of a lawyer who understands how to set you up to win your case in the event litigation is necessary.
Can AI write my AD&D appeal?
It can, but that would be a mistake based on our experience. While AI tools like ChatGPT can generate letters quickly, relying on AI without expert oversight carries serious risks. AI frequently invents false information, such as nonexistent case law, statutes, or policy interpretations. Submitting these in an appeal can weaken your claim or make errors fatal to your case. Also, AI doesn't understand the specific details of your claim, policy exclusions, or how to strategically rebut the insurer's denial reasons. It often produces generic, boilerplate text that fails to address key issues effectively. When we see AD&D appeals written by AI, we always find problems. The insurance companies can spot AI-written appeals, too, and they may give them less weight. An experienced attorney who handles these appeals will ensure arguments are tailored, evidence-based, and compliant. Therefore, we strongly encourage you to consult a qualified lawyer for your AD&D appeal before you consider writing an appeal using an AI tool.
Does AD&D cover suicide or self-inflicted injuries?
No, almost all AD&D policies exclude suicide, self-inflicted injuries, or deaths/injuries from risky activities like extreme sports or illegal acts. However, there are often questions about whether an injury or death was sustained intentionally or accidentally, such as when a gun fires while the owner is handling it.
What if the insurance company disputes the cause or manner of death?
Death certificates provide the cause and manner of death, and typically those items are not in dispute. But, sometimes those determinations are questionable, and you or the insurance company may disagree. For example, self-inflicted gunshot wounds are often ruled to be suicides, but sometimes they result from an accidental discharge. Complex cases like this require an experienced lawyer who can assess the evidence and determine whether a claim can successfully be challenged.
What are some common exclusions in AD&D policies?
AD&D policies usually exclude deaths resulting from certain activities or circumstances. These can include extreme sports, war or acts of terrorism, drug or alcohol use, certain types of dangerous hobbies, and deaths occurring while committing an illegal act. The specifics of these exclusions can vary, so always refer to your policy for details.
Can an AD&D claim be paid if alcohol was involved?
Sometimes. It depends on the policy wording and on whether the evidence shows that alcohol actually caused the accident.
General information, not legal advice.
