What to Do If Your Florida Life Insurance Claim Is Denied

Life insurance helps protect your family’s financial security after a loss. But what happens when the insurance company denies your claim? For many Floridians, receiving a denial letter can feel like a dead end. The good news is that a denied claim doesn’t have to be the final word. With the right approach, you can dispute the denial and secure the benefits you deserve. In this article, we’ll walk through common reasons for claim denials in Florida, what steps you should take, and how working with an experienced life insurance attorney can make a difference.

Common Reasons for Florida Life Insurance Claim Denials

1. Misrepresentation on the Application

One of the most frequently cited reasons for denial is alleged misrepresentation. This means the insurer believes that the policyholder provided incorrect or incomplete information on their application. Common examples include undisclosed medical conditions, tobacco use that wasn’t mentioned, or incorrect financial details. Florida law requires insurers to prove that these misrepresentations were material—that is, that they significantly influenced the insurer’s decision to issue the policy.

2. Policy Lapses Due to Missed Premiums

Life insurance policies must be kept active by paying regular premiums. If the policyholder missed one or more payments, the insurer may claim that the policy lapsed, making the claim invalid. In some cases, however, beneficiaries can argue that the lapse was caused by extenuating circumstances or that the insurer failed to provide proper notice before the policy was canceled.

3. Exclusions and Contestability Period Issues

Many policies contain exclusions for certain causes of death or conditions. For example, some policies may exclude coverage for deaths caused by suicide within a certain period. Additionally, during the contestability period (usually the first two years of the policy), insurers can deny claims for any inaccuracies on the application, even if the cause of death is unrelated. After this period, they must prove intentional fraud to deny the claim.

4. Delays That Lead to Denial

Sometimes, a claim isn’t outright denied but is delayed long enough that the beneficiary becomes financially strained. Insurers may claim they need more documentation, but prolonged delays can feel like a de facto denial. In Florida, beneficiaries have the right to challenge these delays and push for a timely payout.

Steps to Take If Your Claim Is Denied

1. Review the Denial Letter

The first step is to understand why the insurer denied the claim. Carefully read the denial letter to identify the specific reason. Is it due to an alleged misrepresentation, a policy lapse, or an exclusion? Knowing the insurer’s rationale can help you determine how to respond.

2. Gather Supporting Documentation

Collect all relevant documents, including the original policy, the application, medical records, proof of premium payments, and any correspondence with the insurer. These records can be crucial in challenging the denial.

3. Consult a Florida Life Insurance Attorney

An experienced life insurance attorney can analyze the insurer’s reasoning, identify weaknesses in their case, and develop a strategy for appeal. Attorneys understand Florida’s specific laws and can present a strong argument on your behalf. They can also handle communications with the insurer, giving you peace of mind during a stressful time.

4. File a Formal Appeal

If you have grounds to dispute the denial, you’ll need to submit a formal appeal. This typically involves writing a letter that addresses each point in the denial letter, presenting evidence to counter the insurer’s claims, and requesting a reevaluation of the decision. Your attorney can help craft a compelling appeal and ensure it’s submitted properly.

5. Consider Legal Action

If the appeal doesn’t resolve the issue, you may need to take the case to court. Filing a lawsuit against the insurer can pressure them to settle or force them to present their evidence before a judge. With an experienced Florida life insurance attorney by your side, you can be better equipped to navigate the litigation process and achieve a favorable outcome.

Why Working With an Attorney Can Make a Difference

Life insurance disputes can be complicated and emotionally taxing. Insurers have teams of adjusters and attorneys working to minimize payouts, and going up against them on your own can be daunting. That’s where a knowledgeable Florida life insurance lawyer can help.

At the Law Offices of Jason Turchin, we’ve successfully represented beneficiaries across Florida in disputes over denied or delayed life insurance claims. We understand the tactics insurers use and know how to counter them effectively. Whether it’s identifying errors in the denial letter, gathering additional evidence, or negotiating a settlement, we’re dedicated to helping you recover the benefits your loved one intended for you to have.

Don’t Let a Denial Be the Final Word

If your life insurance claim has been denied or delayed, it’s often important to act quickly. With the right support, you can challenge the denial and secure the benefits you’re entitled to. Contact the Law Offices of Jason Turchin today for a free consultation. We’re here to help you navigate this challenging process and achieve the resolution you deserve.