In less than two months the Center for Life Insurance Disputes produced a $150,000 accidental death and dismemberment claim payment to our client from Hartford Life Insurance.
Getting an accidental death and dismemberment claim paid out may be one of our most challenging types of claims efforts. Accidental death insurance policies (also referred to as AD&D policies) are very specific about how a death qualifies for benefits, as well as the restrictions that can nullify the benefits. It’s important to review the policy and become educated on its features. Even when a death certificate lists the cause of death as accidental, the policy may not pay the claim due to restrictions.
By gathering all relevant documents and records, and working closely with the insurer’s claims department, we were able to effect payment for our client without unnecessary investigation or delay. From claim submission to claim payment, our client received his money in less than two months.
A feature of accidental death and dismemberment policies, which is different than a basic life insurance policy, is the dismemberment feature. Dismemberment is the permanent loss of certain body parts or functions, but does not result in the insured’s death. This feature of the policy, when triggered, effects the payment of claim benefits. Typical dismemberment features are; the loss of sight, loss of hearing, or the loss of an arm or leg. These loss-events trigger the dismemberment benefits of an accidental death and dismemberment insurance policy. The loss of the limb or bodily function must still be the result of a covered accident and the benefit is typically a percentage of the entire policy’s death benefit (50% is quite common).
All accidental death and dismemberment insurance claims are investigated by the insurer regardless of how old the policy is. Knowing the details of the investigation process allows the Center to anticipate how a claim will develop and carry out its own simultaneous claim investigation. In this instance, being able to work directly with Hartford Life Insurance Company was a significant advantage in attaining a fast claim payment.