保险学4689263

PayingLifeInsurancePolicyProceedsChapterOutlineProcessinglifeinsuranceclaimsSpecialclaimsituationsProcessinglifeinsuranceclaimsClaimformproofoflossclaimexaminationprocesspaymentofpolicyprocessProcessinglifeinsuranceclaimsClaimforminsurancelawsinmoststatesintheunitedStatesmandatethatiftheinsurerrequirestheclaimanttocompleteaclaimform,thentheinsurermustprovideaclaimformtotheclaimantwithin15daysofarequestforaclaimform.ProcessinglifeinsuranceclaimsProofoflossProcessinglifeinsuranceclaimsClaimexaminationprocess1.Statusofpolicytheclaimexaminermustcheckthestatusofthepolicytoensurethatitisinforcewhentheinsureddied.2.identificationoftheinsuredtoconfirmthepersonwhodiedwasthepersoninsuredbythepolicy.Fraudulentclaimtheclaimantintentionallyattemptstocollectpolicyproceedsbyprovidingfalseinformationtotheinsurer.Processinglifeinsuranceclaims3.Verificationoftheloss4.verificationofpolicycoveragetheclaimexaminermustreviewthetermsoftheinsurancepolicytodeterminewhattypeofcoverageitprovides.5.identifyingtheproperpayeeProcessinglifeinsuranceclaimsCommondisasteriftheinsuredandthebeneficiarydieatthesametimeorundercircumstancethatmakeitimpossibletodeterminewhichofthemdiedfirst,thenpolicyproceedsarepayableasiftheinsuredsurvivedthebeneficiary.ProcessinglifeinsuranceclaimsExampleDuffyandhiswife,Ally,diedinanairplanecrashandtheevidencedidnotshoewhichofthemdiedfirst.Duffywasinsuredunderapolicythatheowned;AllywastheprimarybeneficiaryandDuffy’smotherwasthecontingentbeneficiary.Duffy‘smotherdiedseveralyearsbeforethecrash.ProcessinglifeinsuranceclaimsAnalysistheinsured,Duffy,isdeemedtohavesurvivedtheprimarybeneficiary,Ally.Thus,thepolicyproceedsarepayabletothecontingentbeneficiary,ifshesurvivedtheinsured.BecauseDuffy’smotherpre-deceasedhim,thepolicyproceedsarepayabletoDuffy’sestate.ProcessinglifeinsuranceclaimsShort-termsurvivorshipifthebeneficiarysurvivestheinsuredbyanylengthoftime-evenifonlyafewminute-therighttoreceivethepolicyproceedsgenerallyvestinthebeneficiarywhentheinsureddies.ProcessinglifeinsuranceclaimsConflictingclaimantsiftheinsurerpaystheproceedstooneclaimant,itcouldlaterberequiredtopaystheproceedsasecondtimeiftheotherclaimantinfacthadasuperiorclaimtotheproceeds.Interpleaderisaprocedureunderwhichaninsurancecompanythatcannotdeterminewhichclaimantisentitledtoreceivepolicyproceedsmaypaysuchproceedstoacourtandaskthecourttodecidetheproperrecipient.Processinglifeinsuranceclaims6.determiningtheamountofthedeathbenefitbasicdeathbenefitaccidentaldeathbenefitdeclaredbutunpaidpolicydividendsaccumulatedpolicydividendspaid-upadditionunearnedpremiumpaidinadvance.OutstandingpolicyloanpremiumdueandunpaidProcessinglifeinsuranceclaimsPaymentofpolicyproceedsSpecialclaimsituationsPolicycontestsaccidentaldeathbenefitclaimsdisappearanceoftheinsuredbeneficiarywrongfullykillstheinsuredSpecialclaimsituationsPolicycontestsSpecialclaimsituationsAccidentaldeathbenefitclaimsSpecialclaimsituationsDisappearanceoftheinsuredSpecialclaimsituationsBeneficiarywrongfullykillstheinsuredquestionsRecognizethegeneralrulestatedinU.S.Survivorshiplawsandexplainhowthatrulesisaffectifapolicycontainsacommondisasterclause.Recognizehowlawsdefineabeneficiarywrongfullykillstheinsured