Waiver of Life Insurance Premiums or Extension of Death benefits are sometimes provided in connection with group Life Insurance benefits. They are usually associated with a pending claim for Short Term Disability or Long Term Disability benefits. Basically, when a person is medically disabled from work, there is a provision in the Plan Documents or life insurance policy whereby the premiums for the continuation of the life insurance are waived during the pendency of a total disability. The standard or definition used for determining “total disability” is usually very similar to that of determining disability for Short Term or Long Term Disability benefits. However, the wording may not be exactly the same so a careful review of the policy and the language found therein is necessary.
It is not unusual for both Long Term Disability and Waiver of Premiums benefits to be denied at or shortly near the same time. The appeal for one will usually suffice for the other but it must be made clear in the appeal letter that it is intended for both. The appeal letter needs to reference both claim numbers and must be sent to the address indicated for each. The body of the letter should make specific reference that it is intended to be an appeal of both denials.
Such claims are routinely handled by the offices of Herbert M. Hill, P.A. However, you should keep in mind that the foregoing is not intended as legal advice applicable to any individual person’s unique legal situation. Its sole purpose is to give a general idea of the existing status of the law as it applies to the point of law addressed above. You cannot rely on the foregoing as legal advice. You cannot make legal decisions based on its contents. If you have questions arising out of this point of law, you should contact an attorney who routinely handles claims involving policies of disability insurance. The law offices of Herbert M. Hill, P.A. would welcome the opportunity to discuss your case with you, at no charge. You can contact me at 407-839-0005 or at hmh@herbertmhill.com.
If you would like, after discussing your case, we can set a conference. That conference would be free of charge and you would be under no obligation to hire me nor would you feel any pressure from me to do so.
Herbert M. Hill, P.A. is a law firm located in Orlando, Florida with a practice extending throughout the state of Florida and the southeastern part of the United States, including Georgia and Alabama. Areas of practice include disability and employee benefit claims of all sorts. The firm handles any claims arising under the Employee Retirement Income Security Act (known and referred to as “ERISA”) for disability benefits, medical benefits, retirement benefits of any sort, including pension, 401k, termination agreements or the like as well as claims arising under private disability policies.
