Must Know, Why Insurance Not Paid?

Have you ever had an insurance claim that is not paid? If so, of course, you definitely angry, upset and disappointed. But do not rush to blame the insurance company, first, see this article, and know what are the causes of insurance is not paid.

Yes, some of you may think that insurance can only give promises without proof. However, if you've ever prove it? If not, maybe you should take insurance first, then prove whether your insurance company is a broken promise or included good insurance.

The case of the broken promises of insurance companies should be seen case by case basis, not generalized. That is, not only because the insurance companies do not keep their promises, and you assume all insurance companies not true. Non-payment of insurance money by an insurance company could be for many reasons. for example, we take the case of life insurance. What are the causes of Life Insurance is not paid to the customer.

MISTAKE of CUSTOMER

Not all failures due to payment of claims by insurance companies. It could also be the cause is the customers themselves. Generally there are five mistakes that could lead to customers not paid insurance money:

1. Customer dishonesty.
   Before someone has a life insurance product, he first had to fill Letter Filing Insurance. In the Letter Filing Insurance are the questions that must be answered by a prospective customer, and from the answers that the insurance company will look at whether to provide life insurance protection to you or not.
   Well, when filling Letter Life Insurance Application is often a prospective customer does not give the right answer. For example, in its submission Insurance are questions about whether you have been treated in hospital in the last two years. If you answered no - but ever treated in hospital six months ago, for example - then in the event of death to you and the insurance company found out that the cause of death was due to an illness you've made ??your admission about six months ago,so do not expect the insurance company will pay the down payment they promised.
2. The exclusion by the insurance company to pay the sum assured.
   Sometimes Life insurance companies do not provide the benefits they were promised when turn out the cause of death was excluded (and the exception was written in the policy). Regarding exceptions, generally the insurance company sets the amount of the exemption varies. However, generally are:
   
   • Deaths due to suicide
   • Death due to that person committing a crime
   • Deaths due to AIDS
   • Death due to critical illness, where death occurs in the first year he was the insurance program of the relevant insurer
   • Death due to things that can not be avoided, such as war, natural disaster, or riot.
   Often the exceptions contained in the policy it is not read by the client, so that he felt aggrieved when the sum insured is not paid insurance. That's why, if you have the insurance policy, a time longer to read the articles contained in the policy.
3. Clients too long to make a claim
   Generally, insurance companies set limits for filing an insurance claim. usually, the time limits set is three months. while customers often make a claim outside the time limit, so the insurance company is difficult to fulfill.
   For example, your husband follow a life insurance program with you as his heir. if occur the death of your husband, then you can only get the promised insurance benefits if you are still filing claims within three months after the death. Otherwise, the insurance company may not want to provide the benefits they promised.
   Now, where you know the long time limit given by your insurance company to file a claim of death? You can read it on your insurance policy. After that, if it did occur later risk of death, immediately submit claims to the insurance company.
4. Terms incomplete when filing a claim
   Insurance companies usually ask a number of requirements when filing a claim if true there is risk of death in people who are covered. Requirements that are often not met or furnished by the heirs of the customer, so the insurance company would not directly pay their claims.
   Typically, the requirements requested by the insurance company if you want to make a claim of death are:
   
   • Death Certificate from the local area
   • Letter from Police Accident (if death occurs due to accident)
   • Statement from the hospital (if the death occurs in a hospital), where the letter was signed by the doctor the concerned
   • Fill in Claim Form issued by insurance companies
   • Photocopy of Heirs identity.
   So, if there is risk of death, do not forget to meet all the requirements demanded by the insurance company. not that hard, right?
5. Not-payment of premium by the customer within a specified time period
   It's obvious. If you do not pay premiums according to the specified time period, your insurance policy could become invalid. This means, you are no longer covered by insurance. This is what often happens. In the early days, customers pay premiums diligently, but at a certain moment, premiums are no longer paid, even up to a certain time limit.
   It's the same as if you use electricity and do not pay within a certain time limit, so your electricity at home threatened cut off by the power company . Therefore, make sure you know the rules of your premium payments. Do not let your insurance policy is not valid just because you forgot to pay your premiums on time.

FAULT OF INSURANCE COMPANY

Apart mistake from the customer, unpaid insurance money can also be caused by errors incurred by the insurance company. There are several actually, but only two are common:

1. Dishonesty Insurance Agent in Presenting its Insurance Products
   Your insurance agent dishonest in presenting its Life Insurance products. For example, when they met, he said that the insurance company will pay the down payment if the deaths caused by the Life Insurance critical illness, including when the risk occurs in the first year. In fact generally not the case.
   Indeed, not every insurance company has the same policy. So my advice, what you see in your insurance policy that is to be used as a reference, instead of what the said of insurance agent. Generally insurance companies provide some sort of a Money Back Guarantee if it turns out you are not satisfied with the provisions contained in the policy.
   You can return the policy, and the money will be returned. Of course, during the return policy that are within a certain time period set by the insurance company, which is usually 30 to 90 days. Then, whether all insurance agents can not be trusted? of course not, back to the man. Do not be because there is an agent that is not true, then you equate all insurance agencies in the world is not true. Once again, it all went back to their respective characters.
   Now, to prove whether a given presentations Insurance Agents right, you just match it with insurance policy issued. If the same, meaning your insurance agent is honest and trustworthy. If not, report him to his insurance company.
2. A Recalcitrant Company
   If you find that you have met all the requirements asked, be honest in filling out the insurance application letter, diligently paid premiums, submitting claim is still within the time specified, but the claim is still not paid, check again. It could be a recalcitrant company. Immediately report to the authorities if necessary.