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A central Indiana
employer with 100 employees, filed a disability claim on behalf of one
of their members. Unfortunately, at the onset of the claim, the
company's disability insurance was through one company and the
company's life insurance was through another, so there was no automatic
filing of a waiver of premium claim with the life insurance plan.
Subsequent to the onset of the disability the life insurance carrier
changed. Nearly a
year and half later, the disabled employee died and it was discovered
that the waiver of premium claim had not been filed. As a result, his
family learned that no life insurance benefits would be due to them and
they set about making financial arrangements for the final expenses out
of their own pocket.
The Account Manager with Apex solicited
information from both the in force life insurance carrier and the prior
life insurance carrier, and appealed to the prior life insurance
carrier to review a posthumous waiver of premium claim based in part on
the disability claim filed and approved through another insurance
carrier.
Nearly a year after the employee's death, the
employee was determined to have been disabled under the prior life
insurance plan, qualifying for a waiver of premium, and as such the
family was able to file a life insurance claim for the full benefit
due, $20,000."
