Life Insurance Lawyer in Huntsville, AL
After a tragic loss, permanent and term life insurance serve as a safety net for individuals and families going through a difficult time. The same can be said of accidental death and dismemberment (AD&D) insurance. Insurance companies may promise assistance and relief for families in mourning, but these policies can get denied. When that happens, you need legal and emotional support.
Attorney Tom Sinclair can help grieving households who’ve been denied life insurance or AD&D benefits. We know what’s at stake, and we know how insurers operate. Our goal is to answer your question and get you the money you’re owed.
If your life insurance benefits have been denied, the team at the Sinclair Law Firm are prepared to fight for you. To request a free claim review with an experienced life insurance lawyer in Huntsville, AL, contact our law firm today.
Common Reasons Life Insurance Claims Get Denied in Alabama
Below are just a few reasons why life insurance claims get denied:
- Incorrect or Incomplete Information: The insurance company may claim that there are errors or the information submitted is not completed.
- Lapse in the Life Insurance Policy: If premiums were not paid, it may be grounds to deny the claim.
- The Insurance Policy Expired: For those with term life insurance, the insurer may claim that the death of a loved one occurred after the policy expired.
- Exclusions in the Life Insurance Policy: Certain high-risk or dangerous activities may be listed as an exclusion in the life insurance policy.
- Issues with the Contestability Period: If the death of a loved one occurs within the contestability period (often the first two years of the policy), insurers may deny the claim or delay payment.
- Disputes Over the Cause of Death: The insurance company may deny a claim if your loved one’s death was due to suicide, use of drugs or other illegal substances, or other kinds of criminal activity.
- Issues with Beneficiaries: There may be fights among multiple parties over a loved one’s life insurance policy. This has less to do with the insurer, but it can cause delays.
As soon as you receive that life insurance denial letter, it’s best to contact our Huntsville law office as soon as possible. Attorney Tom Sinclair can review your claim and help you build an appeal.
Alabama Insurance Bad Faith Claims and Policyholder Rights
When life insurance claims get denied, insurance companies often use the denial as a way to save money. Your claim may be valid, but the insurer refuses to pay. Sometimes insurers cut corners or make their own mistakes while investigating a claim, which results in a denial.
This may be considered an act of bad faith by the insurance company, and we can help you file a legal claim.
If you feel that your provider has acted dishonestly, unfairly, or fraudulently regarding your life insurance claim, Huntsville attorney Tom Sinclair is ready to hold the insurer accountable. Our law firm will seek to secure the full benefits that you were denied as well as damages for the financial losses and other difficulties you were put through.
Employer Group Life Insurance and ERISA Claims in Huntsville
Many people have a group life insurance policy provided through their employer. Others may have a separate individual life insurance policy they pay for outside of work.
If your loved one had group life insurance, get ready for some frustration in the appeals process. This is all due to the Employee Retirement Income Security Act of 1974, also known as ERISA. ERISA governs employer-provided benefits.
What Makes ERISA Life Insurance Appeals So Complicated?
ERISA life insurance claims create new challenges in the appeal process. Bad faith claims are no longer an option when your policy is governed by ERISA.
- Strict Deadlines: You usually only have 30 to 180 days to file an appeal for your denied life insurance benefits.
- The Administrative Appeals Process: You must exhaust the internal appeals process with the insurance company that denied your life insurance claim.
- No Juries in an ERISA Trial: If the appeal is not successful, your case goes before a federal judge. You do not get a jury of your peers, and no additional evidence is allowed during an ERISA trial.
- Difficult Legal Standards to Meet: The federal judge who reviews your appeal must consider a difficult legal standard in order to overturn the insurance company’s denial. Your case may be compelling, but it may not be enough for this tough legal standard.
For additional information on the headaches and hurdles families face, read our resource on how ERISA claims work. Huntsville life insurance attorney Tom Sinclair is ready to prepare you for and help you with the difficulties in the ERISA appeal process.
How Sinclair Law Firm Fights Unfair Life Insurance Denials
From the moment our firm starts advocating for you, we gather all necessary documentation and evidence to build an appeal. We understand the processes involved for ERISA and non-ERISA life insurance appeals, and we will guide you through it every step of the way.
If your appeal is not successful, the Sinclair Law Firm will help you with a bad faith claim or an ERISA trial. We will always keep you informed of your best interests and what to expect as your case progresses.
Why Huntsville Trusts Tom Sinclair with Life Insurance and AD&D Claims
Tom has built a strong reputation for legal excellence throughout Alabama. Here’s why locals in and around Madison County choose the Sinclair Law Firm for their life insurance and AD&D claims:
- We Know How Insurance Companies Work: Tom started his legal career representing insurance companies and automakers. He had a change of heart when he saw how the system treats working people. Tom now advocates for everyday Alabamians who deserve fairness, understanding, and respect.
- Insurance Companies Know Us By Name: We know that when insurance companies see Tom’s name, they flag those files. That pleases us to no end. They know that the Sinclair Law Firm fights hard to even the odds for working people in Huntsville and throughout Alabama.
- Free, No-Obligation Claim Reviews: Our law firm picks you up whenever the system lets you down. We offer free and completely confidential consultations so you can understand your situation and make an informed decision about your options. They might not care about your problems, but we do.
- We Work with You to Find a Fair Payment Plan: Losing a loved one can completely change your household finances. During your consultation, we can review your financial situation and figure out a fair and reasonable method to pay for our services. We just want to help you in whatever way we can.
Speak with a Huntsville Life Insurance Attorney Near You
Do not feel discouraged if your life insurance claim has been denied. Whenever the system lets you down, you can count on the Sinclair Law Firm to pick you up. We’ll give you straight answers during a difficult and uncertain time. For a free claim review with a proven life insurance lawyer in Huntsville, contact our Alabama law firm today.
Life Insurance Claim FAQs
Below are just a few common questions we’ve received from past clients. We can’t possibly answer all of your questions about life insurance benefits on this page. If you have a question about life insurance that was not answered here, contact our Huntsville law office to get the information you’re looking for.
What Should I Do If My Life Insurance Claim Is Denied in Huntsville, AL?
If your life insurance claim gets denied, you have options to appeal. Don’t assume that the denial letter is the final chapter of this story. Our Alabama law firm recommends taking these steps:
- Retain that denial letter or request a written explanation of why your claim was denied. Written correspondence about your denied claim should include the specific policy provision, exclusion, or condition that resulted in the denial; any supporting documents for the denial; and a deadline to request an appeal.
- Review your life insurance policy carefully.
- Speak with an Alabama life insurance attorney as soon as possible. A lawyer can clear up any misunderstandings and let you know the best steps to take next. You can also work with the attorney to prepare your appeal.
How Long Does an Insurance Company Have to Process or Deny a Claim in Alabama?
Under Alabama Administrative Code Rule 482-1-124-.04, the following practices and timeframes apply:
- The insurer must provide the necessary forms and instructions within 15 days of receiving notice of a claim.
- The insurer must start processing the claim within 15 days of receiving proof of loss.
- Upon receipt of proof of loss, the insurer must affirm or deny the claim or inform the claimant that the claim is under investigation within 60 days.
Can I Appeal an ERISA-Governed Employer Life Insurance Denial?
Yes, you can appeal a denial of life insurance benefits even if your policy is governed by ERISA. Keep in mind that ERISA complicates the appeals process. There are strict administrative deadlines and procedures you need to follow.
When you hire an ERISA life insurance attorney in Alabama, they can provide an overview of the ERISA appeal process and help you understand what steps you need to take next.
What Documents Should I Request After a Life Insurance Denial?
If your life insurance gets denied, you should retain or request the following documents:
- The written denial letter with specific information on why your life insurance claim was denied
- The complete claim file, including any documents that were generated during the insurance company’s investigation
- The life insurance policy and the Summary Plan Description (SPD) that was in effect at the date of death
- The plan document along with any amendments that could affect your coverage or eligibility
When you discuss your situation with an Alabama life insurance attorney, they can help you seek additional documentation to help with your appeal.