What happens if I'm denied life insurance? (2024)

If you’re denied life insurance, take comfort in the fact that you’re not alone—and that there are options.

People are typically denied life insurance because they fall into a high-risk category. This is often due to health challenges like diabetes, obesity or a previous diagnosis of serious disease.

There are also nonhealth reasons for being denied life insurance. They can include engaging in risky hobbies and behaviors like skydiving; having a history of DUIs or speeding tickets; having a dangerous job like roofing; having a criminal record or a less than ideal financial history; being a smoker; and failing a drug test.

No matter what the reason, here are some steps to take if you’re denied life insurance.

  • Contact your agent and/or the insurer. They can make sure a mistake wasn’t made on your application. They can also give you insight into why you were denied life insurance.
  • Confirm the results. If poor health is cited as the reason for the denial, check in with your physician to make sure there really is a cause for concern. If the reason for denial isn’t health related, double check to make sure the reason they cite is valid.
  • Consider appealing the decision. If you’re denied life insurance on the basis of incorrect or insufficient information, you have the right to appeal the decision. You’ll have the best chance of winning your appeal by submitting timely and complete information. This means having your doctor include as much up-to-date information in your medical file as possible and submitting the most recent and credible information about your personal history. This can include anything from your credit report to your driving record to updated information about your occupation.

Getting Coverage After Being Denied Life Insurance

If you’ve been denied coverage before and would still like to get life insurance, here’s what you can do.

  • Work with a licensed insurance agent. Many people are denied life insurance after trying to go it alone when seeking life insurance coverage. A licensed insurance agent who works with many insurers can help you apply to the ones that offer the best chances of approval. An agent can also help you with the application and the appeal process if you’re denied life insurance. What’s more, some agents even specialize in helping higher risk individuals get life insurance. Check out our agent locator to start the process today.
  • Apply with a different insurer. Every insurer has different criteria for life insurance approvals. Try applying for life insurance with a different insurer (or insurers) before giving up hope.
  • Look into a workplace life insurance plan. You might have luck gaining coverage through your employer’s group life insurance plan. It may not give you the coverage limit you want, but with life insurance, something is always better than nothing. Most group life insurance plans typically don’t require you to undergo a medical exam.
  • Try again later. Use a waiting period to get any health conditions under control, quit smoking, clean up your driving record and improve your finances. An insurer that sees progress in these areas is often more likely to offer you life insurance.
  • Consider a different life insurance policy. It bears repeating that even a small amount of life insurance is better than none at all. Here are some policies to consider if you’ve exhausted your options:
    • Simplified issue life insurance: With this option, you typically fill out a quick online life insurance application. A medical exam is not required, but you may be asked questions about your health. There’s typically a high approval rate, and you can often get instantaneous coverage. The downsides are that the coverage limit is often low and it often costs more, on a dollar-for-dollar basis, than traditional life insurance coverage.
    • Guaranteed issue life insurance: You can skip both the medical exam and the medical questionnaire with guaranteed life insurance. As its name implies, coverage is guaranteed for anyone who applies. However, there’s often a waiting period before a full payout would be made to your beneficiaries if you were to pass away. That waiting period can stretch as long as several years. You also won’t be able to access higher coverage limits and the coverage costs more, on a dollar-for-dollar basis, than traditional life insurance.

No matter where you are in the life insurance process, it’s always a good idea to get in touch with a licensed insurance agent. He or she can walk you through the entire process and help you pinpoint options if you’re denied life insurance. If you don’t have an agent or advisor to work with, check out ouragent locator. You can also work directly with an insurance company. Here arecompany partnersthat support our non-profit mission and can assist you in getting coverage directly or through one of their agents or advisors. The key is to start today.

What happens if I'm denied life insurance? (2024)

FAQs

What happens if I'm denied life insurance? ›

If you're denied life insurance on the basis of incorrect or insufficient information, you have the right to appeal the decision. You'll have the best chance of winning your appeal by submitting timely and complete information.

What happens if you get rejected for life insurance? ›

If your application for life insurance is denied, it means that the life insurance company you applied with isn't able to offer you coverage. But because each company uses its own guidelines to assess risk, you may still be able to get life insurance coverage with another insurer.

What to do if your life insurance claim is denied? ›

If your life insurance claim was denied, take the following actions immediately to start building your case:
  1. Call your insurance agent. Go through your records to find the name of the person who sold you the policy. ...
  2. Go up the ladder. ...
  3. Request a written explanation. ...
  4. Make an appeal. ...
  5. Get a lawyer.

What happens if you can't afford life insurance? ›

Cash out the policy.

This means that you can stop paying the premium and collect the available cash savings. You will no longer be covered by life insurance, but you will at least save some of the proceeds of the policy.

What happens when insurance is denied? ›

If an insurance company denies a request or claim for medical treatment, insureds have the right to appeal to the company and also to then ask the Department of Insurance to review the denial. These actions often succeed in obtaining needed medical treatment, so a denial by an insurer is not the final word.

Can you reapply for life insurance after being denied? ›

If you've been denied life insurance coverage and are considering your next steps, you have two primary options: reapplying with the same company or applying with a new insurance provider.

What disqualifies me for life insurance? ›

Here are a couple of factors that could lead to denial of coverage:
  • Pre-existing condition. ...
  • Alcoholism. ...
  • History of depression and suicide. ...
  • Risky activities. ...
  • Surviving and living longer. ...
  • Factors that can affect a survivor's eligibility. ...
  • Find Out If You Qualify for Life Insurance Coverage.

How often are life insurance claims denied? ›

Frequently asked questions

Insurance companies deny claims less than 1% of the time according to the American Council of Life Insurers. If the policyholder was honest on the application and paid their premiums on time, it's highly unlikely their beneficiary will have issues filing a claim.

What not to say when applying for life insurance? ›

LYING ABOUT DRUG USE OR TOBACCO & ALCOHOL USE

An applicant for life insurance must disclose lifestyle habits, good and bad, including use of alcohol or use of tobacco.

Do you need an autopsy for life insurance? ›

The autopsy report – the family will be required to submit the results of the autopsy report if the death happened during the contestability period. The insurance company will learn the actual cause of death in this report. The coroner's report – the coroner will investigate in the event of an accidental death.

At what age should you stop paying life insurance? ›

Life insurance is no longer needed for many people once they reach their 60s or 70s. At this point they retire, their kids have grown up, and they've paid off their mortgage and other debts. However, others prefer to keep life insurance later in life to leave an inheritance and to pay off final expenses.

What insurance company denies the most claims? ›

Claim denial rates by insurance company
CompanyClaim denials
UnitedHealthcare32%
Anthem23%
Aetna20%
CareSource20%
1 more row
Apr 24, 2024

Why am I being refused insurance? ›

Why might you have a problem getting insurance. Insurers decide the terms and conditions on which to offer insurance cover or whether to offer cover at all. You may have a problem getting insurance if you have a complex medical history, are elderly or have criminal convictions.

Why am I getting denied insurance? ›

Insurance companies frequently deny coverage if the applicant has a recent history of accidents, a series of minor traffic tickets or a serious infraction such as a DUI. These are strong indicators of a risky driver who may cause a car accident and submit a claim.

Why do life insurance claims get rejected? ›

Ans. Life insurance claims are rejected due to false information, the lapse of the policy, undisclosed medical history, un-updated nominee details, and hiding other existing policies.

Can you be denied life insurance for bad credit? ›

In some cases, having negative information on your credit report can cause an insurance company to deny your application for a policy outright, regardless of how healthy you are. If you're in the midst of bankruptcy proceeding, for instance, you might have a hard time getting an insurance company to offer you coverage.

Can you be denied life insurance because of mental illness? ›

Insurance companies realize that everyone needs life insurance, including those with mental health conditions. Fortunately, many of today's insurers are willing to offer you life insurance if your condition is well-managed.

Can you be denied life insurance if you are considered too risky? ›

If you're considered a high-risk applicant, you may get turned down for coverage by some companies. Others may offer you a type of policy with a low limit and a higher rate to offset their risk. In some cases, you may only qualify for a guaranteed issue life insurance with no medical exam.

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