Our life insurance lawyers in Ohio handle delayed and denied life insurance claims, AD&D claims, beneficiary disputes and Ohio interpleader lawsuits.
Conflicting terms in a life insurance policy can create uncertainty and disputes regarding the interpretation of the policy’s provisions. When conflicting terms are present, they could potentially lead to a denied life insurance claim. Here is a list of situations in which conflicting terms could cause a life insurance claim denial:
Beneficiary Designation Discrepancies: Conflicting beneficiary designations in different sections of the policy or in multiple policy documents can result in disputes over who is entitled to the death benefit.
Ambiguous Exclusions: When one part of the policy suggests that a specific cause of death is covered while another section implies it is excluded, ambiguity can lead to disagreements and claim denials.
Contradictory Policy Riders: Conflicts between the main policy terms and the terms of policy riders or endorsements attached to the policy can cause confusion about the extent of coverage or limitations.
Inconsistent Definitions: If the policy provides different definitions for the same term in various sections, it can lead to confusion about the meaning of key terms and their application.
Conflicting Statements About Contestability Period: Conflicting information regarding the duration and conditions of the contestability period can lead to disputes over the insurer’s ability to contest a claim.
Inconsistent Payment Requirements: Conflicting terms related to premium payments, grace periods, or other payment-related provisions can create confusion when it comes to the policy’s payment requirements.
Contradictory Terms Regarding Coverage Territory: Conflicting language about the geographic coverage territory of the policy can lead to disputes about whether a claim is valid when the death occurred in a disputed location.
Conflicting Terms About Policy Conversion: If the policy includes conflicting provisions about the ability to convert term insurance into permanent insurance, policyholders may be unsure about their rights and options.
Inconsistent Terms Regarding Policy Loans: Conflicting terms related to policy loans, including interest rates, repayment terms, and conditions, can create disputes when a policyholder seeks to borrow against the policy’s cash value.
Differing Terms for Waiver of Premium: If the policy includes conflicting provisions regarding the conditions for waiving premium payments due to disability or other qualifying events, disputes may arise over the applicability of the waiver.
Ambiguous Terms for Accelerated Death Benefits: Conflicting language regarding the eligibility criteria, payout amounts, or triggering events for accelerated death benefits can lead to disputes over the use of this feature.
Contradictory Terms for Dividend Options: If the policy offers dividend options but includes conflicting terms about how dividends are to be applied, disputes can arise regarding the chosen option.
Inconsistent Terms for Assignment or Collateral Assignment: Conflicting terms regarding the rights and limitations of policy assignments or collateral assignments can create confusion when these arrangements are in place.
Conflicting Provisions for Policy Loans and Surrender: When the policy includes inconsistent terms for policy loans and surrender options, policyholders may be uncertain about the consequences of each choice.
To prevent potential claim denials arising from conflicting terms, it’s crucial for policyholders to carefully review their life insurance policies