Our life insurance lawyers in Montana handle delayed and denied life insurance claims, AD&D claims, beneficiary disputes and Montana interpleader lawsuits.
A doctor visit for a health issue that isn’t diagnosed yet may not necessarily be a direct basis for a denied life insurance claim on its own. Life insurance underwriting typically involves evaluating the applicant’s health and medical history to assess the risk. However, there are scenarios in which a doctor visit for an undiagnosed health issue could indirectly impact a life insurance claim:
Misrepresentation or Omission: During the application process, the life insurance company typically asks applicants about their medical history and any recent doctor visits. If the applicant fails to disclose the visit or provides incomplete or inaccurate information, it could lead to a denied claim if the undisclosed health issue becomes a contributing factor to their death.
Pending Medical Tests or Investigations: If an applicant is in the process of undergoing medical tests or investigations for an undiagnosed health issue at the time of application, the insurance company may delay the underwriting process until the results are available. In some cases, they may postpone or deny coverage until the issue is fully evaluated.
Post-Claim Investigation: After the insured individual passes away, the insurance company may investigate the cause of death, especially if it occurs within the policy’s contestability period (typically the first one or two years). If the cause of death is related to a health issue that was not disclosed during the application process or was under investigation at that time, it could lead to a claim denial.
It’s essential for applicants to provide accurate and complete information during the application process and to disclose any recent doctor visits, even if a specific diagnosis has not yet been made. Failing to do so can lead to complications during the underwriting process and potential issues if the undisclosed health issue becomes a factor in a future claim. Additionally, the specifics of how life insurance companies handle such situations may vary depending on the policy and the insurer’s policies and practices.