Legal Question in Insurance Law in California

insurance claim help

My husband was approved for a life insurance policy 4 days before he died of a heart attack at the age of 46. The agent let me start a claim form, but I did not have the death certificate at that time. I do have the DC now, but cannot get a responce from the agent. I have called the ins co 3 times and have been promised a copy of the policy and a claim form and have never received any. What do I do?


Asked on 10/27/01, 2:43 am

3 Answers from Attorneys

Neil Newson Neil C. Newson & Associates

Re: insurance claim help

Your situation is not atypical of the usual insurance company response. You can count on needing an attorney's assistance. This will be followed by a rejection of the claim and your need to file suit. Find a good lawyer with experience suing insurance companies in your community.

Call or email me if I can be of furhter help.

Neil C. Newson

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Answered on 11/07/01, 10:10 am
J.Thomas Logan Logan Law Office

Re: insurance claim help

It sounds as though you need an attorney to help you. If the insurance policy was actually in force, the beneficiary is entitled to the benefits.

The insurance company has a legal duty to deal with you fairly and promptly, but they may need to be reminded of this. It may take only a telephone call or a letter from an attorney. If this is the case, you should not have to pay the attorney very much or give him a substantial portion of the recovery.

On the other hand, if the insurance company makes it difficult, the recovery could be much higher. An honest attorney will not take too much of your recovery.

Please feel free to get in touch with me at (626) 744-7780

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Answered on 11/06/01, 5:26 pm
Steven Murray Steven W. Murray, APC

Re: insurance claim help

Did the insurer issue a policy? Did you pay any part of the premium? If so, has the insurer refunded the money or does it still have same?

Approval for a policy is not necessarily the same as issuance of a policy. Are you sure the paperwork was ever turned into the insurer, or was it the agent who told you about the "approval?"

I think you should only deal with insurer in writing, and also with the agent. Get copies of everything you have -cancelled checks, applications, medical information, brochures, correspondence, business cards, etc.

I would obtain a complete copy of the agent's file if possible. An investigator can get your authorization and go to his office and copy it.

Something is not right, and it may not be as simple as you think, because I believe the insurer will claim there was no policy issued.

You may have an insurance agent malpractice case, and you should consider contacting an attorney who is familiar with insurance matters.

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Answered on 11/06/01, 8:02 pm


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