What Causes of Death are not Covered by Life Insurance?

The death of a loved one is hard to take and while a life insurance payout can ease the burden and allow you to continue leaving comfortably, it won’t take the grief or the heartbreak away. What’s more, if that life insurance policy refuses to payout, it can make the situation even worse, adding more stress, anxiety, anger, and frustration to an already emotional period.

But why would a life insurance claim be refused; what are the causes of death that may cause your life insurance coverage to become null and void? If you or a loved one has a life policy, this article could provide some essential information as we look at the reasons a death claim may be refused.

What Causes of Death are Not Covered?

The extent of your life insurance coverage will depend on your specific policy and this is something you should check when filing your life insurance application. Speak with your insurance agent, ask questions, and always do your due diligence so that you know what you’re buying into and what sort of deaths it will provide cover for.

Life insurance policies have something known as a contestability period, which typically lasts for 1 to 2 years and begins as soon as the policy starts. If the policyholder dies during this time, they will investigate and contest the death. 

This is generally true whether her you die of a heart attack, cancer or suicide. However, if this period has passed, they may only contest the death if it results from one of the following.

Suicide

Suicide is a contentious issue where life insurance is concerned. On the one hand, it’s a very serious issue and one that’s often the result of mental health problems, so there are those who believe it is deserving of the same respect as any other illness. 

On the other hand, the life insurance companies are concerned that allowing such coverage will encourage desperate people to kill themselves so their loved ones will be financially secure.

It’s a touchy subject, and that’s why many companies refuse to go anywhere near it. Some will outright refuse to pay out for suicide, but the majority have a suicide clause, whereby they only payout if the death occurs after a specific period of time.

If it occurs before this time, they may return the premiums or pay nothing at all. And if they have reason to believe that the policyholder took their own life just for financial gain, they will almost certainly investigate and may refuse to pay.

Dangerous Hobbies and Driving

If you die in a car accident and it is deemed that you were driving drunk, your policy may not payout. Car accident deaths are common, and this is a cause of death that policies do generally cover, but only when you weren’t doing something illegal or driving recklessly.

Deaths from extreme activities like bungee jumping or skydiving may be questioned, especially if these hobbies were not reported during the application. 

Illegal Acts

Your claim can be denied if you are committing an illegal act at the time of your death. This can include everything from being chased by the police to trespassing. A benefit may also be refused if you die for an intentional drug overdose using non-prescription drugs. 

Smoking or Pre-existing Health Issue

Honesty is key, and if you lie during the application or “forget” to tell them about your smoking status or pre-existing medical conditions, they may refuse to payout. It doesn’t matter if they performed a medical exam or not; the onus is not on them to spot your lie, it’s on you not to tell it in the first place.

This is one of the most common reasons for an insurance contract to be declared void, as applicants go in search of the cheapest premiums they can get and do everything they can to bring those costs down. They may also believe they will get away with their lies, either because they will give up smoking in a few months or years or because they will die from something other than their preexisting condition.

But lying in this manner is risky. You have to ask yourself whether it’s worth paying $100 a month for a valid policy that will payout without issue or $50 for a policy that will likely be refused and will cause endless stress for your beneficiaries.

War

Life insurance benefits generally don’t extend to the battlefield. If you’re a solider on the front line, your risk of death increases significantly, and many insurance policies won’t cover you for this. This is true even if you’re not in active duty at the time you take out the policy. More importantly, it also applies to correspondents and journalists.

You don’t invalidate your policy by going to a war-torn country and reporting, but if you die resulting from that trip, your policy will not payout.

Dismemberment

Your life insurance policy likely won’t pay for dismemberment or critical illness, but there are additional policies and add-ons that will provide cover. You can get these alongside permanent life insurance and term life insurance to provide you with more cover and peace of mind. 

They will come at a significant extra cost, but unlike traditional life insurance, they will payout when you are still alive and may make life easier after experiencing a tragic accident or serious illness.

We recommend focusing on getting life insurance first, securing the amount of coverage you need from a permanent or term life policy, and only then seeing if there is room in your budget for these additional options.

How Often Do Life Insurance Policies Payout?

We have recommended life insurance many times at PocketYourDollars and will continue to do so. We often state that it is essential if you have dependents and want to ensure they’re cared for when you die. But as much as we recommend it and as simple as the process of applying often is, there is one simple fact that we often overlook:

Life insurance companies rarely payout.

It’s a stat you may have seen elsewhere and it’s 100% true. However, contrary to what you might have heard or assumed; this is not the result of a refusal to pay the death benefit when the policyholder passes away. Sure, this accounts for some of those non-payments, but for the most part, it’s down to one of the following:

The Policyholder Survives the Term

The majority of life insurance policies are set to fixed terms, such as 10, 20 or 30 years. If anything happens during this period of time, your loved ones collect your death benefit, but if you survive, the policy ends, no money is paid out, and if you want another policy you will need to pay a larger sum.

The Policyholder Accepts the Cash Value

Whole life insurance policies are like investments crossed with life insurance. Your loved ones get a death benefit if you die, but it also accrues interest and can be cashed out. When this happens, the insurer collects, you get a sum of money, and it feels like a win-win, but in reality, the insurer has just dodged a bullet.

The Policyholder Stops Making Payments

As soon as you stop making your premium payments, you lose cover and you run the risk of your policy being canceled. This is true for pretty much any type of policy and it happens regardless of the policy term. 

Unlike a credit card company, which may chase you for payments, a life insurance company will place the burden of responsibility on you. After all, a creditor loses money when you don’t pay, whereas a life insurance company comes out on top.

This often happens when individuals take out substantial life insurance policies at a young age, only to suffer drastically changing circumstances. Imagine, for instance, that you’re 20-years-old and you buy a house with your spouse-to-be, with a view to settling down and starting a family. You assume that you’ll need it for a long time, so you take out a 30-year-term.

But 10 years down the line, your spouse leaves you, the family you wanted didn’t happen, and you’re all alone with no dependents, and with growing debts, bills, and obligations. At that point, life insurance becomes a burden, so you may stop making payments, thus allowing the insurance company to profit from 10 years of insurance premiums.

Summary: It’s Not That Cut-Throat

You don’t have to look far to find consumers who feel they have been wronged by life insurance companies, consumers who will expend a great deal of time and effort into calling out these companies for their perceived wrongdoings. But they often exaggerate the situation due to their extreme anger and this creates unrealistic anxieties and expectations.

The truth is, while there are people who have been genuinely wronged, they are in the extreme minority. The vast majority of family members who were refused a death benefit were let down by the policyholder and by the lies they told on their policy.

Policyholders lie about their weight, smoking status, and medical conditions, and when caught up in this lie, they often claim they made an honest mistake. But the truth is, most life insurance companies will overlook simple mistakes and only really care when it’s obvious that the policyholder lied. 

And let’s be honest, it doesn’t matter how forgetful you are, you’re not going to forget that you’re a chain smoker, alcoholic, drug user, extreme sports fan or that you recently had a medical crisis!

If the policy was filed honestly, you shouldn’t have an issue when you collect, even if it’s still in the contestability period. As discussed above, life insurance companies stack the dice in their favor. They use statistics and probability to carefully set the premiums and benefits, and they rely on policyholders forgetting to pay and outliving the term. They don’t need to “rob” you in order to make a profit. So, be honest when applying and you won’t have anything to fear.

What Causes of Death are not Covered by Life Insurance? is a post from Pocket Your Dollars.

Source: pocketyourdollars.com

Life Insurance Myths Debunked

Misconceptions and misunderstandings have perpetuated a number of life insurance myths over the years and prevented consumers from getting the cover they need. They see life insurance as something that it’s not, believing it to be out of their reach because of their lifestyle and their budget, or believing that it’s something it’s not.

If you have dependents, want them to live comfortably, and don’t have assets or funds to give them, you need life insurance coverage. And if you have been avoiding life insurance because of something you’ve been told or something you believe, it’s time to dispel those beliefs and get to the truth of the matter.

Myth 1: Life Insurance Premiums are Expensive

One of the most common myths concerning life insurance products is that they are too expensive. It only makes sense, to the uninitiated at least. After all, if they’re promising a death benefit of $200,000 over a twenty-year period, it stands to reason that they would seek to claim at least 25% of that balance to guarantee a profit.

In fact, a recent study found that consumers who had never purchased life insurance overestimated the premium costs by between 400% and 500%. That’s a massive difference.

If you’re in your 20s or 30s and are relatively healthy, you can get 20-year term insurance for less than $20 a month, and if anything happens during that term your beneficiaries will get $200,000. Life insurance companies can afford to offer such huge payouts and low premiums because the chances of a young person dying during that term are very slim.

Assuming you’re paying $20 a month for a 20-year term life insurance policy, this means you’re paying $4,800 over the term, or 2.4% of the total payout. However, the odds of a 20-year-old woman dying during this time are 1.42%, and these odds drop significantly if you remove smoking, drinking, risk-taking, and pre-existing conditions from the equation.

In other words, while it seems like a huge sum and a huge discrepancy, it still falls in favor of the life insurance company.

It’s a similar story for a 30-year-old. The odds of dying during the term are higher, but only just, as they are still less than 3%, leading to higher premiums but a great rate overall.

The older you get, the greater your risks become, but insurance companies want your money. They need you to sign on the dotted line, so they will continue to offer competitive prices. 

Keep this in mind the next time you purchase life insurance and are suspicious of the significant amount of coverage provided in relation to the cost.

Myth 2: It’s All About Money

Financial protection is important. You need a coverage amount that will cover the needs of your loved ones while also securing low premiums to make life easier for you. However, the generosity and cost of life insurance are the only factors to consider.

It’s important to consider the financial rating of the insurance company, which is acquired using a system such as A.M. Best and Moody’s. These ratings are used to determine the financial strength of a company, which is key, because you’re relying on them being around for many years to come and being rich enough to pay your death benefit when you die.

Myth 3: It’s All About the Death Benefit

While term life insurance policies are solely about the death benefit, which is paid upon the policyholder’s death, there are other options available. Whole life or permanent life insurance policies work like savings accounts as well as life insurance policies. They accumulate a cash value over the duration of the policy and the policyholder can cash this sum at any point.

If they do so, they will lose the potential death benefit and the policy will cease to exist, but it’s a good option to have if you ever find yourself in dire need of funds.

Myth 4: Insurers Find an Excuse Not to Pay

There was a time when pretty much all life insurance policies were reviewed upon the policyholder’s death. Thankfully, this changed with the introduction of a contestability period, which begins at the start of the policy and typically runs for up to 2 years.

If anything happens during this time, the policy can and will be reviewed and if any suspicions are raised, it will be contested. However, if this period passes, there is little the insurer can do. More importantly, if the policyholder was honest during the application process and the type of death is covered, the payout will be made.

The truth is that the vast majority of policies do not payout, but this is because the policies expire, the cash value is accepted, or the policyholder outlives the term. For policies that actually result in a death, the majority do payout. 

And why wouldn’t they? A life insurance company can expect to turn a profit via the underwriting process. It doesn’t need to use underhanded tactics or rob your loved ones of a payout to stay in the black.

Myth 5: My Dependents Will Survive Without Me

According to LIMRA, a research organization devoted to the insurance and financial sector, most Americans either have no coverage or not enough coverage. In both cases, they may assume their families will survive without a payout or that a small payout will be enough. There is some logic to this belief as it often comes after they perform a quick calculation, but that calculation is flawed.

Let’s imagine, for instance, that you’re a 35-year man with two children aged 5 and 7 and a 35-year-old wife. You earn $40,000 a year and your wife earns the same. You have a $150,000 house and a $100,000 mortgage.

After doing some quick calculations, you may assume that your wife’s salary will be enough to keep her going and ensure your children are looked after until they are old enough to care for themselves. You don’t have any debt to worry about and the only issue is the house, so you settle on a relatively small death benefit of $100,000.

But you’re making a lot of potentially dangerous assumptions here. Firstly, anything could happen between now and your death. On the one hand, you could comfortably pay off the mortgage, but on the other hand, inflation could rise to a point where $100,000 is a fraction of what it once was, and debts could accumulate. 

Your wife could also lose her job, and if that doesn’t happen when you’re alive and can get more cover, it might happen when you die, and she’s so overcome by grief and the stress of raising two children that she’s forced to give it up.

And then you have to think about your children. What if they want a college education? Can your wife afford that on her own? And what about your funeral or your children’s weddings? What happens if one of them falls ill and incurs huge medical expenses? 

$100,000 is a lot of money to receive as a lump sum, and if you only think in terms of lump sums you may never escape that mindset. But it’s not a single sum designed to be spent freely and enjoyed. It’s a sum designed to last your loved ones for many years and to ensure they are covered for most worst-case scenarios.

By the same token, you shouldn’t assume that your loved ones will survive without you just because you’re not the breadwinner or you have paid off your mortgage. Things can turn ugly very quickly. It only takes a few unexpected bills for things to go south, at which point that house could fall victim to an equity loan, a second mortgage, and eventually be owned by the bank when your loved ones fall behind.

Myth 6: Premiums are Tax Deductible

The premiums of an individual policy are not tax-deductible. However, there are exceptions if the individual is self-employed and using the coverage for asset protection. It’s also worth noting that the death benefit is completely tax free.

Myth 7: You Can’t Get Insurance Above a Certain Age

The older you are, the harder it is to get the financial protection that life insurance can provide. But it’s not impossible, just a little bit more expensive. Your insurance needs increase as you get older and life insurance companies have recognized this. They provide short-term policies specifically tailored to seniors. 

Known as Seniors Life Insurance or Final Expense Insurance, these policies provide a low lump sum payout, often less than $50,000, that can be used to pay for a funeral or to clear debts. You can even pay it directly to the funeral home and arrange your own funeral. 

You may also still qualify for a term life insurance policy. Of course, traditional whole life insurance policies are out of the question, and if you have a health condition you may be refused even a short term policy, but don’t give up before you do your research and check your options. 

This is something that most insurance agents will be happy to help you with.

Myth 8: Young People Don’t Need Life Insurance

Life insurance provides you with peace of mind. It aims to provide cover during a difficult time and ensures that your loved ones have financial support when dealing with your death. If you have dependents, then it doesn’t really matter how old you are. It’s true that you will probably outlive the term if you are young and healthy, but no one knows what’s around the corner.

Death is a certainty; the only question is when, not if. By not purchasing life insurance when you have dependents, you’re rolling the dice and placing their future at risk.

The younger you are, the cheaper the premiums will be and the less of an impact they will have on your finances. What’s more, you can also opt for whole life insurance, locking a rate in early and avoiding the inevitable regrets when you’re 60, don’t have any cover and are being quoted astronomical premiums.

Myth 9: You Won’t Qualify if you are in Bad Health

If you have been diagnosed with a terminal disease, it’s unlikely that any insurer would cover you. However, if you have survived a serious disease or have a pre-existing medical condition, you may still qualify.

It’s all about risk, and if the insurer determines you’re more likely to survive the term than not, they will offer you a policy based on those probabilities. The less healthy they consider you to be, the more premiums you will pay and the lower your death benefit will be. But you can still get a worthwhile policy and it might be a lot cheaper than you think.

Myth 10: If You Have Money, You Don’t Need Insurance

If you have assets to leave your heirs, a life insurance policy is not as important as it might be for a stay at home parent or a low-income couple. However, it still has its uses. 

For instance, many high-income households have a lot of debt, and while the assets can typically cover this debt, it will eat into the estate. There are also estate taxes and legal fees to consider, all of which can significantly reduce the value of the estate.

In this case, a short term policy can provide some additional coverage and ensure that those extra costs are covered.

Myth 11: The Money is Lost if there are no Beneficiaries

If you die with no beneficiaries, the money will likely go to your estate, at which point the probate process will begin. If you have a will, this process will be relatively quick and painless, and your designated heirs will get what they are owed. 

If not, things could get messy and the process will be slow. What’s more, if you have any debts, your creditors will take what they are owed from your estate, including your death benefit.

Adding a beneficiary will prevent all of this, but don’t expect the insurer to contact your beneficiary and let them know. They expect the beneficiary to come to them. It’s important, therefore, to assign at least one (and preferably more) beneficiary and to make sure they know of the existence of the policy.

Summary: Life Insurance Myths Debunked

Now that we’ve debunked the myths concerning life insurance, it’s time for you to get out there and get the cover you need. The type of life insurance you need, and the amount of death benefit you will receive, all depends on your personal circumstances and health. 

This is a subject we have discussed at length here at PocketYourDollars.com, so check out our other guides on the subject.

Life Insurance Myths Debunked is a post from Pocket Your Dollars.

Source: pocketyourdollars.com

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Ssi Income Limits Chart SSI-Related Programs – Financial Eligibility standards: july 201 6 INCOME LIMIT ASSET LIMIT DIVERSION/MAINTENANCE NEED STANDARD Program and Type of

A disabled woman died after having all her teeth removed by a dentist at an NHS trust criticised … people with a learning disability can access good quality dental care as soon as they need it, …

Sep 14, 2011  · I need to have all my teeth pulled and dentures, I need a dentist thatll help me. And take payments. I dont have any – Answered by a verified Dentist

Beverly Hills Periodontics & Dental Implant Center … that unhealthy gums and teeth have long been associated with areas of health that would seem to be well removed from the teeth and gums. …

Ssi Income Limits Chart

SSI-Related Programs – Financial Eligibility standards: july 201 6 INCOME LIMIT ASSET LIMIT DIVERSION/MAINTENANCE NEED STANDARD Program and Type of Coverage Individual Couple Individual Couple Child Allocation : $367 (difference between Couple and Singl e …

What is the Income Limit to qualify for SSI? However, lenders usually limit your monthly mortgage payment to 28 percent of your monthly income — which means that if the …

Diamond State Health Plan Long Term Care (Diamond State Health Plan Plus) health options provides you and your family with high quality health care

DEEMING ELIGIBILITY GUIDELINES. The Deeming Eligibility Chart for Children below gives the highest amount of gross monthly income for this year (before taxes are withheld) that a parent(s) can earn or receive and still have a child qualify for SSI.

Retirees who receive very little other income, either from retirement plan payouts or other … below the combined income …

If you are 50 or over there is a catch-up provision that allows you to contribute an extra $6,000 for a total limit of … …

supplemental security income (ssi) general INFORMATION SSI MONTHLY FEDERAL BENEFIT RATES (FBRs) AND LIVING ARRANGEMENTS . See the charts below to determine the maximum SSI benefit you can get in the following living arrangements if:. your State does not add to the SSI monthly FBR; and you have no countable income.

Mortgage Company Verifying Occupancy 6, 2005–occupancy … ssn 0.6 False verification of mortgage 0.6 identity theft 0.6 Note: Some claim files contain more than

Mortgage Company Verifying Occupancy

6, 2005–occupancy … ssn 0.6 False verification of mortgage 0.6 Identity theft 0.6 Note: Some claim files contain more than one type of fraud. About The Prieston Group The Prieston Group is a …

What is MORTGAGE FRAUD? What does MORTGAGE FRAUD mean? MORTGAGE FRAUD meaning & explanation What Does It Mean When Your mortgage company hires a Field Inspector? If you’re struggling financially and having trouble paying your mortgage, you may find a field inspector knocking on your door. These inspectors verify that a home remains occupied after its owners miss a mortgage payment.

Representative Payee Application Form Caloptima Providers List Medicare Part D Open Enrollment Dates … that people on Medicare will be able to choose among

Discuss your mortgage questions in community forum and get know-how of the mortgage basics from our experts. … Company Loan Type APR … Learn from other’s experiences | How banks verify the occupancy of a house? How banks verify the occupancy of a …

A mortgage broker will discuss the financing terms for a secondary residence with the borrower; however, it’s unlikely that a mortgage broker will verify the borrower’s occupancy of the property …

I’m curious what the experiences other investors have had when it comes to banks verifying owner occupancy. I have a friend who said that they never I’m curious what the experiences other investors have had when it comes to banks verifying owner occupancy. I have a friend who said that they never

To find out, MortgageOrb recently interviewed Greg Holmes, managing partner at Credit Plus Inc., a third-party verifications company serving the mortgage industry. Q: Would you say that the recent …

Diamond State Health Plan Long Term Care (Diamond State Health Plan Plus) health options provides you and your family with high quality health care

Mike Branson, CEO of All Reverse Mortgage, said he thinks occupancy issues are alarmingly … according to the company. “The property inspection vendor is going to knock on the door and attempt to …

Mar 22, 2010  · Someone came out today and gave us a slip over paper saying they were there from Bank of America to verify occupancy. Does that mean we‘ve entered foreclosure review and a sherriff sale is being set? Does that mean we’re now responsible for costs …

Diamond State Health Plan

Long Term Care (Diamond State Health Plan Plus) health options provides you and your family with high quality health care coverage and access to the doctors and hospitals you need. Individuals who qualify for Long Term Services and Support (LTSS) must now select a managed care plan and Health Options provides the high quality health care you need.

caloptima providers list Medicare Part D Open Enrollment Dates … that people on Medicare will be able to choose among 24 medicare advantage

Diamond State Health Plan – Plus (DSHP – Plus) The Division of Medicaid and Medical Assistance (DMMA) in partnership with the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) is developing an integrated long-term care initiative named the Diamond State Health Plan – Plus (DSHP-Plus).

… from more than 41,000 plan sponsors between the 2016-2017 plan years, data analyst Eric Ryles, our colleague at ALM’s …

US Healthcare System Explained The Diamond State Health Plan (DSHP) is a mandatory Medicaid managed care program operating under an 1115 waiver from CMS. Diamond State Health Plan covers approximately eighty percent (83%) of Delaware’s Medicaid population.

Ssa Rep Payee Forms Caloptima Providers List Medicare Part D Open Enrollment Dates … that people on Medicare will be able to choose among
Representative Payee Application Form Caloptima Providers List Medicare Part D Open Enrollment Dates … that people on Medicare will be able to choose among

Gavin Newsom’s administration Friday reversed course on his plan to … to public health activities in these counties," Vivek …

Table of Contents. Diamond State Health Plan – Plus (DSHP-Plus) is a new managed long-term care program for Delaware Medicaid. This program is intended to provide a full suite of services to low income, elderly state residents, including nursing home care, assisted living, and a variety of home and community supports that assist frail…

Wheeling — The Health Plan was awarded the Five-Diamond Employer award by the West Virginia Chamber … THP seeks to set an example for what other companies across the state can do to keep employees …

Highmark Blue Cross Blue Shield Delaware is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield companies. Highmark Blue Cross blue shield delaware serves the State of Delaware. We are committed to providing outstanding services to our applicants and members.