Understanding Your Rights as a Beneficiary: Massachusetts Employment-Based Life Insurance Policies Explained

Dealing with the loss of a loved one is one of the most difficult and emotionally challenging times in anyone’s life. If you are a beneficiary under an employment-based life insurance policy, you may be facing not only grief but also the complexities of navigating the insurance process. The confusion and worry about whether your claim will be processed correctly and timely are valid concerns. At Trief & Olk, we understand the overwhelming emotions and uncertainty you may be experiencing. If you require an attorney to help you with your employment-based life insurance case, we are here to provide you with the guidance and support you need during this challenging time. We are committed to helping you secure a fair and just outcome for your case.

What Is Employment-Based Life Insurance?

Employment-based life insurance is a benefit that many employers offer to their employees. It provides a life insurance policy as part of the employee’s benefits package, often at no cost to the employee or for a reduced premium compared to what they might pay for an individual policy. The beneficiary of this policy is typically a family member or other designated individual who will receive the life insurance payout in the event of the employee’s death.

These policies are often seen as a safety net for families in the event of a tragedy. However, understanding your rights as a beneficiary under these policies can be difficult, especially if you are unfamiliar with the process. It’s important to remember that, as a beneficiary, you are entitled to the benefits that the policy promises, and you have legal protections to ensure that the insurance company honors its obligations.

The Role of the Beneficiary

As the beneficiary of an employment-based life insurance policy, you have specific rights. These rights are designed to ensure that you are treated fairly and that you receive the benefits to which you are entitled. Beneficiaries typically have the right to receive the life insurance payout, provided that the claim is valid and the policyholder has met all the necessary requirements.

However, the process can be complicated by several factors, including policy disputes, denials, or delays in payment. For example, the insurance company may dispute the cause of death or argue that the policy was void due to a missed payment or other technicalities. In some cases, a company may even delay or deny payment for reasons that are not valid. It is during these times that having the assistance of a knowledgeable attorney can make all the difference.

Ted Treif (Partner)

Life insurance attorney since 1976

Barbara Olk (Retired)

Life insurance attorney since 1976

Eyal Dror (Associate)

Life Insurance Attorney since 2007

Common Issues Beneficiaries Face

Unfortunately, not all beneficiaries receive the benefits they are entitled to under employment-based life insurance policies. There are several reasons why insurance companies may delay or deny payment. One of the most common reasons is a dispute about the validity of the claim. For example, the insurance company may argue that the cause of death is not covered under the policy or that the policyholder did not meet certain requirements.

Other common issues include missed premium payments, discrepancies in the paperwork, or challenges related to the beneficiary designation. In some cases, insurance companies may attempt to take advantage of beneficiaries who are unfamiliar with the insurance policy terms. These situations can feel overwhelming and frustrating, but it’s important to know that you have the right to challenge these decisions and pursue the benefits that you deserve.

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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

Your Legal Rights as a Beneficiary

As a beneficiary of an employment-based life insurance policy in Massachusetts, you have legal rights that protect you from unfair practices by insurance companies. These rights are established by both state law and federal law, and they provide the legal framework for challenging any denials, delays, or disputes related to your claim.

Under Massachusetts law, insurance companies are required to act in good faith when processing claims. This means that they cannot deny or delay your claim without a valid reason. If you believe that your claim has been wrongfully denied or delayed, you have the right to appeal the decision. Additionally, you can take legal action against the insurance company to ensure that your claim is handled fairly and that you receive the full benefits to which you are entitled.

Federal laws, such as the Employee Retirement Income Security Act (ERISA), also play a role in protecting beneficiaries. ERISA sets certain standards for the administration of employment-based insurance policies and provides legal recourse if your rights under the policy are violated. ERISA requires that insurers follow a fair claims process and provide clear explanations for denials, ensuring that beneficiaries are not left in the dark about their rights and options.

What to Do If Your Claim Is Denied

If your claim for benefits under an employment-based life insurance policy is denied, it’s important to take immediate action. First, carefully review the denial letter to understand the reasons given for the rejection. Often, the letter will provide a clear explanation of why the claim was denied, and in some cases, it may outline the steps you can take to appeal the decision.

If the reason for the denial is unclear or you believe it is unjustified, contacting an attorney who is experienced in handling life insurance claims can help. An attorney can review the policy, the denial letter, and the circumstances surrounding the claim to determine whether the insurance company’s decision was legally valid. If there is a basis for appeal, your attorney can guide you through the process and represent your interests in negotiations or litigation.

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

How an Attorney Can Help You With Your Claim

Navigating the complexities of an employment-based life insurance claim can be difficult, especially when you are dealing with the loss of a loved one. An experienced attorney can provide valuable assistance by guiding you through the claims process, helping you understand your legal rights, and advocating on your behalf if your claim is denied or delayed.

At Trief & Olk, we understand the challenges you are facing and are committed to helping you secure the benefits you deserve. We have extensive experience handling life insurance claims, including those involving employment-based policies. Our team can assist you by reviewing your case, providing legal advice, and pursuing all available avenues to ensure that your claim is handled fairly and efficiently.

We understand the emotional strain that comes with dealing with insurance companies, and we are here to take that burden off your shoulders. Whether you are dealing with a delay, a denial, or other complications, we will work tirelessly to ensure that your rights are protected.

If you are a beneficiary under an employment-based life insurance policy and are facing difficulties with your claim, you do not have to go through this process alone. At Trief & Olk, we are here to help you understand your rights, guide you through the legal process, and fight for the benefits you deserve. We know how overwhelming it can be, but with our assistance, you can feel confident that your case will be handled with the care and attention it deserves.

Reach out to our office today to schedule a consultation. Let us help you navigate the complexities of your claim and work toward a successful resolution.