Legal Question in Insurance Law in Maryland
Is a medical rider signed by a 17-year-old legally binding?
My 17-year-old daughter has been in my legal
custody since the time she was born and has had
no contact with her father. Her father was ordered
to provide medical insurance for her. When he
changed jobs the insurance changed and I filled
out medical records as part of the application
process for my daughter. Later, a
"Rider-Amendment to Policy/ Certificate" was
addressed to my daughter and signed and
returned to the insurance company by her. The
exclusion refers to jaw surgery which she has
been scheduled to have for two years. She has
since had the surgery. Is this exclusion, signed by
my 17-year-old daughter legally binding? Will I be
able to claim any insurance benefits for the jaw
surgery? The home office of the insurance
company is in Illinois, another address on their
stationary lists offices in Indiana, my daughter's
father is in Delaware (?maybe) and my daughter
and I are in Maryland.
1 Answer from Attorneys
Re: Is a medical rider signed by a 17-year-old legally binding?
Generally speaking, a minor does not have the capacity to enter into a legally binding contract. However, there is a generally accepted exception to that rule when the contract is for "necessaries". There is some question as to whether that doctrine would apply to these circumstances. Typically, the doctrine is intended to make sure that persons who provide goods and/or services to a minor get paid for them if the goods and/or services are basic necessities. Conceivably, the doctrine wouldn't apply to terms in a contract such as an exclusion in an insurance contract (which would not reasonably be understandble to a minor).
However, there's a bigger problem which is that the contract really isn't between your daughter and the insurance company, it's between the company and her father. The terms of the contract will cover provisions for pre-existing conditions. If there are exlusions for pre-existing conditions, they may properly exclude coverage. In that analysis, the form that you daughter completed was just a way of giving information to the insurance company. Minors are capable of conveying "information" consistent with their age and maturity. A 17 year old could be construed as sufficiently mature to have properly conveyed the information to the insurance carrier.
In order to make a definitive determination, you would need to get a copy of the insurance contract itself, plus the actual rider, and then have an attorney read them to see if there is any hole in this exclusion.
Lawrence R. Holzman, Esquire
Joseph, Greenwald & Laake, P.A.
6404 Ivy Lane, Suite 400
Greenbelt, MD 20770
(301) 220-2200
fax (301) 220-1214
Disclaimer: Please note that the posting of this response is not intended to constitute legal advice. You should contact an attorney to obtain information applicable to your situation. This posting is not confidential or privileged and does not create an attorney/client relationship.
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