Policy Lapse or Provider Error? What to Do When Insurers Blame You

A life insurance policy lapse is a situation that can bring significant financial and emotional distress, especially when you’re counting on the benefits in the event of a tragedy. While lapses are often blamed on the policyholder, it’s not always clear whether the error lies with the insurer or the individual. In many cases, insurance companies will claim that a lapse occurred because of missed payments, but the situation could be a result of errors on the provider’s end. Understanding how to handle this situation can help protect your family’s financial future, as well as ensure your policy remains active when you need it most.

What Causes Life Insurance Policy Lapses?  Policy Lapse or Provider Error? What to Do When Insurers Blame You

There are several reasons why life insurance policies lapse, and it’s essential to understand the cause before taking any action. One of the most common causes is missed premium payments. When a policyholder forgets to pay or is unable to meet the payment requirements, the policy can lapse. However, this isn’t always the fault of the policyholder. There are also times when insurers mishandle accounts, fail to send timely reminders, or even apply payments incorrectly, leading to unintended lapses. In some cases, a policyholder may also be unaware of the automatic deduction errors or adjustments that insurers make in their billing system. It’s crucial to understand the terms of your policy to avoid accidental lapses, but it’s equally important to recognize when a lapse may be due to an error on the provider’s part.

Steps to Take When Your Policy Lapses Due to an Insurer Error

Dealing with a life insurance policy lapse can feel overwhelming, especially when you are facing the uncertainty of whether it was your fault or the insurer’s. If you believe that the lapse was due to an error on the insurer’s part, it’s important to know the right steps to take.

Ted Trief (Partner)

Life insurance attorney since 1976

Barbara Olk (Retired)

Life insurance attorney since 1976

Eyal Dror (Associate)

Life Insurance Attorney since 2007


Review Your Policy Documents

Before you reach out to your insurance provider, take the time to carefully review all your policy documents. Look at the premium due dates, any grace periods for missed payments, and your payment history. If there were any changes to your payment terms or billing cycle, ensure you understand them. This will give you a clear understanding of your obligations and can help you identify any discrepancies when you contact the insurance company.

Contact the Insurance Provider

Once you have reviewed your documents, get in touch with your insurance provider to discuss the lapse. Be sure to ask for a clear explanation of why your policy lapsed and whether it was due to any mistakes on their end. If they claim the lapse was your fault, but you believe it was due to an error, ask for written proof of the missed payments and any other relevant details that can confirm or refute the insurer’s claim. If the provider acknowledges an error, ask if your policy can be reinstated. Many life insurance policies allow for reinstatement within a certain period, especially if the policyholder can provide proof of good health and pay the overdue premiums.

Request Reinstatement of Your Policy

If the insurance provider admits fault and confirms that your policy can be reinstated, they may require you to submit a written request or fill out a reinstatement application. If you missed premium payments, you may need to pay the outstanding balance, and in some cases, provide evidence that your health has not changed significantly since the policy lapsed. If the reinstatement is granted, make sure you get confirmation in writing that your policy is active again and that all benefits will be in place.

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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.”

- John Ramig

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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.”

- Kathleen Brown

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Trief & Olk is a superior law firm. Their attorneys and other legal professionals have a brilliant understanding of the law and the litigation process. They diligently perform their work in an efficient, strategic and cost-effective manner to ensure the best possible outcomes for their clients.

- Christopher Hughes


File a Formal Complaint

If your insurance provider refuses to acknowledge their error or denies your request for reinstatement, you may need to escalate the matter. In many states, the department of insurance oversees complaints about insurance companies. Filing a complaint with this department may help resolve the issue and ensure that your rights are protected. The department can investigate whether the insurer violated any regulations and can force the company to correct the mistake.

Seek Legal Help

In cases where the insurer refuses to resolve the issue or if they are denying your claim despite evidence of an error, it’s important to seek legal assistance. An experienced life insurance attorney can help you navigate the complexities of insurance law and work with the insurance company on your behalf. They can also file a lawsuit if necessary to challenge the insurer’s decision and secure the benefits you’re entitled to. At Trief & Olk, our attorneys specialize in handling life insurance disputes, including situations where policies lapse due to provider errors. If you are facing challenges with your insurer, don’t hesitate to contact us for a free consultation. We will help you understand your legal options and guide you through the process of seeking justice.

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


Preventing Future Policy Lapses

While dealing with a policy lapse can be stressful, it’s also an opportunity to learn how to prevent it from happening in the future. Here are some steps you can take to ensure that your policy remains active:

Set Up Automatic Payments

One of the most effective ways to prevent accidental lapses is to set up automatic payments for your life insurance premiums. This ensures that you don’t miss a payment, even if you’re busy or forget. Be sure to regularly check your bank account or payment method to ensure the payments are being processed.

Monitor Your Policy Regularly

Make it a habit to review your life insurance policy at least once a year. This allows you to check the premium amounts, ensure the terms are still accurate, and catch any potential errors before they lead to a lapse. If your insurer offers an online portal, use it to track your payments and policy status.

Communicate with Your Insurer

Stay in regular contact with your insurance provider, especially if there are any changes to your payment methods, billing cycle, or health status. This will help ensure that you are always in the loop and can address any issues promptly before they result in a policy lapse.

Why It’s Important to Take Action

If your life insurance policy lapses, the consequences can be severe. Without coverage, your loved ones may be left without the financial protection they need in the event of your passing. That’s why it’s crucial to take immediate action if you believe your policy has lapsed or been wrongly canceled. Whether the issue was due to your fault or an error on the insurer’s part, you have the right to fight for the coverage you’ve paid for. At Trief & Olk, we are committed to helping our clients resolve life insurance disputes and recover their rightful benefits. If you are facing challenges with your insurer, don’t wait—contact us today for a free consultation to discuss your case. We are here to ensure that your rights are protected and that your family’s financial future remains secure.

To learn more about this subject click here: Massachusetts Life Insurance: Can a Lapsed Policy Be Reinstated After Death?