Life Insurance Lapse in Massachusetts: Can Beneficiaries Still Pursue a Claim?

When it comes to life insurance policies, beneficiaries are often left in a state of uncertainty, particularly when the policyholder passes away and the policy has lapsed. A lapse in life insurance can occur for a variety of reasons, most commonly due to non-payment of premiums. In Massachusetts, as in many other states, the question arises: Can beneficiaries still make a claim on a lapsed life insurance policy? This question is not only critical but also complex, as the answer depends on various factors including the specific circumstances of the lapse and the laws governing life insurance in Massachusetts.

Understanding Life Insurance Lapses

A life insurance policy lapse occurs when the policyholder fails to pay the required premiums within the grace period provided by the insurance company. The grace period is typically around 30 days, though it can vary depending on the policy terms. Once the grace period expires without payment, the policy is considered lapsed, meaning that it is no longer in force. When a policy lapses, the insurance company is generally no longer obligated to pay the death benefit to the beneficiaries upon the policyholder’s death. However, the situation can be more nuanced, especially in the state of Massachusetts.

The Impact of a Lapse on Beneficiaries

For beneficiaries, the lapse of a life insurance policy can be devastating. They may have relied on the expected payout to cover funeral expenses, debts, or other financial obligations left by the deceased. When a policy lapses, the beneficiaries may feel as though they are left with no recourse. However, this is not always the case in Massachusetts. While a lapsed policy generally means that the insurance company is not required to pay the death benefit, there are certain exceptions and legal avenues that beneficiaries may explore to make a claim even after a lapse has occurred.

Ted Treif (Partner)

Life insurance attorney since 1976

Barbara Olk (Retired)

Life insurance attorney since 1976

Eyal Dror (Associate)

Life Insurance Attorney since 2007

Legal Protections for Beneficiaries in Massachusetts

Massachusetts has specific regulations that may provide some protection for beneficiaries of lapsed life insurance policies. One such protection is the requirement that insurance companies must provide adequate notice to the policyholder before a policy can lapse. This means that the insurer must send a written notice to the policyholder, informing them of the impending lapse due to non-payment and providing details on how to prevent the lapse by making the required payment. If the insurance company fails to provide this notice, the lapse may be considered invalid, and the beneficiaries may still be entitled to the death benefit.

Another important aspect of Massachusetts law is the possibility of reinstating a lapsed life insurance policy. If the policyholder dies shortly after the lapse, the beneficiaries may have grounds to argue that the policy should be reinstated, especially if there were extenuating circumstances that led to the non-payment of premiums. For example, if the policyholder was incapacitated or otherwise unable to make the payment due to reasons beyond their control, the court may consider reinstating the policy. This is particularly relevant if the beneficiaries can prove that the policyholder intended to keep the policy in force but was unable to do so due to unforeseen circumstances.

The Role of Insurers in Policy Lapses

Insurance companies are required to follow strict regulations when it comes to lapsing a policy. They must provide clear and timely communication to the policyholder, offering them every opportunity to keep the policy active. This includes sending reminders about upcoming payments, offering alternative payment arrangements, and providing a clear explanation of the consequences of a lapse. In some cases, insurance companies may offer an automatic premium loan provision, which allows the policyholder to borrow against the cash value of the policy to cover missed premiums, thus preventing a lapse.

However, not all insurance companies may adhere to these regulations as diligently as they should. If an insurance company fails to fulfill its obligations in notifying the policyholder of an impending lapse, or if they engage in unfair practices that lead to the lapse, the beneficiaries may have grounds to challenge the lapse. Massachusetts law provides avenues for beneficiaries to dispute a lapse that occurred under questionable circumstances, potentially leading to the reinstatement of the policy or payment of the death benefit.

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We contacted Trief & Olk to help us with a life insurance issue and Shelly Friedland was the attorney assigned to our case. Before Shelly took our case she explained to us that the likelihood of our success without going to court was possible but not likely. Unfortunately we did not get the outcome we had hoped for but it was our decision to not move forward and have our case litigated. Shelly is very knowledgeable and was very straight-forward in her assessment of our case as we moved forward. She was very patient and thorough in answering our questions. She always responded in a timely manner and listened to our concerns. We would certainly recommend Shelly and would use her firm again in the future.”

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If there is any possibility of winning your life insurance case – this is the place to do it for you. They are efficient, honest and will achieve the best possible outcome.

Shelly Friedland worked on my case where a life insurance policy had lapsed and was even a few days beyond the grace period. Farmers had rejected my claim twice and was unwilling to take a second look. Shelly was able to get them to pay the entire claim without going to court, and the full amount was deposited in my account within a couple months. Highest recommendation.”

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Making a Claim After a Policy Lapse

If you are a beneficiary of a life insurance policy in Massachusetts that has lapsed, you may still have the ability to make a claim, depending on the specific circumstances surrounding the lapse. The first step is to carefully review the policy terms and the communications between the insurance company and the policyholder. If there is evidence that the insurance company failed to provide proper notice of the impending lapse, or if there were extenuating circumstances that prevented the policyholder from making the payment, you may have grounds to challenge the lapse.

In some cases, beneficiaries may be able to negotiate with the insurance company directly, presenting evidence that supports their claim for the death benefit despite the lapse. This could include medical records, proof of incapacitation, or other documentation that shows why the policyholder was unable to keep the policy in force. If the insurance company is unwilling to cooperate, beneficiaries may need to pursue legal action to enforce their rights under Massachusetts law.

The Importance of Legal Assistance

Navigating the complexities of life insurance law in Massachusetts can be challenging, especially when dealing with a lapsed policy. The laws and regulations governing life insurance are intricate, and the process of making a claim after a lapse can be fraught with obstacles. For this reason, it is crucial for beneficiaries to seek legal assistance from a law firm with experience in life insurance disputes.

A knowledgeable attorney can help beneficiaries understand their rights and explore all possible avenues for making a claim on a lapsed life insurance policy. This includes investigating the circumstances of the lapse, negotiating with the insurance company, and, if necessary, pursuing legal action to secure the death benefit. Without professional legal guidance, beneficiaries may find it difficult to navigate the legal complexities and may risk losing out on the benefits they are entitled to.

Life Insurance Denial Statistics

20%

The annual average number of life insurance claims denied.

$50 Million

The yearly average dollar amount of claims denied by life insurance companies.

.2%

The number of claims appealed annually by consumers.

Massachusetts Life Insurance Laws and Court Precedents

Massachusetts has a long history of court cases that have addressed the issue of life insurance lapses and the rights of beneficiaries. The outcomes of these cases have helped to shape the current legal landscape and provide guidance for future disputes. Courts in Massachusetts have generally taken a fair and balanced approach, recognizing the importance of protecting the rights of beneficiaries while also upholding the contractual obligations of insurance companies.

In some cases, courts have ruled in favor of beneficiaries when it was determined that the insurance company did not follow proper procedures in lapsing the policy. This includes instances where the company failed to provide adequate notice or engaged in deceptive practices that led to the lapse. These precedents can be invaluable in helping beneficiaries make a successful claim, even in cases where the policy has technically lapsed.

Practical Steps for Beneficiaries

If you are a beneficiary of a life insurance policy that has lapsed, there are several practical steps you can take to protect your rights and pursue a claim. Start by gathering all relevant documentation, including the original policy, payment records, and any correspondence between the insurance company and the policyholder. This information will be essential in building your case and demonstrating why the lapse should not prevent you from receiving the death benefit.

Next, consider consulting with a lawyer who has experience in life insurance disputes. An attorney can provide valuable insight into the legal options available to you and help you navigate the complexities of Massachusetts life insurance law. They can also represent you in negotiations with the insurance company or in court if necessary, ensuring that your rights are fully protected.

Settlements & Verdicts

$3 Million Policy

William Penn Life Insurance

$1.2 Million Policy

Primerica

$1.5 Million Policy

Metropolitan Life Insurance Company

$1 Million Policy

Protective Life Insurance

$675,000 Settlement

Confidential Settlement

$4.3 Million Policy

State Farm, Primerica, Farmers, BrightHouse

While a life insurance policy lapse in Massachusetts can complicate the process of claiming a death benefit, it does not necessarily mean that beneficiaries are without options. The laws in Massachusetts provide certain protections and avenues for beneficiaries to challenge a lapse, especially in cases where the insurance company failed to follow proper procedures or where there were extenuating circumstances that led to the non-payment of premiums.

If you find yourself in a situation where you are a beneficiary of a lapsed life insurance policy, it is important to take action promptly. Gather all relevant documents, seek legal advice, and explore all possible options for making a claim. By doing so, you may be able to secure the death benefit that you are entitled to, despite the lapse in the policy.

For those in need of legal assistance in navigating the complexities of a lapsed life insurance policy, the law firm of Trief & Olk is here to help. Our experienced team of attorneys can provide the guidance and representation you need to protect your rights and pursue your claim. Contact Trief & Olk today to discuss your case and explore your legal options.