What does it mean if a life insurance claim is contestable?
A contestable claim is a life insurance policy that is less than two years old when the insured dies (based on the policy issue date or reinstatement date). When this type of a claim is filed, we make sure that the information on the application was true and correct when the policy was issued. This is an industry standard and a rule that all life insurance companies must follow. Assuming a policyholder supplied accurate information on the application, there should be nothing to worry about.
Why does the life insurance claim review and gathering medical records take so long?
The reason it can take so long is that we need certain information like the insured’s medical records. You can help us move things along by contacting medical providers directly and asking them to send us the information about the insured. In some cases, they may require you to fill out an additional authorization form specific to their office.
Can I submit completed life insurance claims forms electronically?
For your security, we currently only accept completed claims forms through the mail or fax. If you'd like to overnight your forms to us, you made do so at 777 Research Dr, Lincoln, NE 68521.
If there are multiple beneficiaries listed on the life insurance policy, how will they get paid?
Each beneficiary needs to submit an individual claim kit that includes all necessary paperwork. We’ll pay each beneficiary their proceeds separately as we receive the required claim documents from each of them.
How do I obtain copies of a death certificate?
There are two different ways to do this. The first way is to contact the funeral home who provided the services. The second way is to order copies yourself. You can contact the state or local health department in the state or county that the individual resided in at the time of death.
Who are Claims Bureau and Release Point?
They are medical retrieval companies that we use to help us in obtaining the information needed to review your life insurance claim.
What is the Next of Kin Affidavit and why do you need it?
Many times, medical facilities and providers need verification that the individual signing the HIPAA has the authority to do so on behalf of the deceased. Once you have completed the affidavit, we will send it to the medical provider(s) to allow them to release the records.
Who is the insured’s next of kin?
The next of kin is the legally married spouse followed by children. Some providers may require the informant on the death certificate sign the affidavit.
What is the process for a Foreign Death claim?
Our team will send you a claim packet within 3-5 business days which will include a claim form and a foreign death questionnaire. We will need a death certificate, HIPAA documentation, information about the death of the American citizen abroad and a passport, airline ticket or green card from you.
What is the process for my claim if it is contestable?
If your claim is contestable, our team will send you a claim packet within 3 to 5 business days which will include:
- Claim form
- HIPAA – Authorization for Release of Medical Information
- Supplemental Contestable claim form
- Next of Kin Affidavit
You will need to return these completed documents along with a certified death certificate. Once these items are received, we will be able to begin our review process which will include collecting information concerning the insured's medical history prior to the application date. Information may need to be obtained from multiple medical providers. Some may even require you to provide additional information to release their medical records. These additional requirements may include:
- Completing the facility's own authorization form
- Next of Kin Affidavit
- Copy of your photo ID
- Estate documentation
Each medical providers timeframe on submitting medical records to Lumico varies. We will continue to follow up with the facilities regularly until the information is received. However, you may be able to help expedite obtaining the medical records by contacting the medical office directly and request they forward the medical records to Lumico. Once we have received all requested medical records, we will finish the review process.
What is the process if my claim is non-contestable?
Our team will send you a claim packet within 3-5 business days which will include a claim form. You will need to return this completed form along with a certified death certificate. Once all claim requirements are received, we will make a decision within 10 business days, if not sooner.
What do I do if the primary beneficiary is deceased?
If the primary beneficiary is deceased, we will require a copy of the death certificate.
- If the primary beneficiary died prior to the insured, any benefits payable will be paid to the remaining primary beneficiary(ies). If there are no other primary beneficiaries, then any benefits payable will be paid to the contingent beneficiary.
- If the primary beneficiary died after the insured, the benefits are payable to the Estate of the Beneficiary.
What do I do if the beneficiary is a minor?
If the beneficiary is a minor, we will require evidence of court appointed guardianship of the Minor's Estate.
What do I do if the beneficiary is an estate or a trust?
If the beneficiary is the Estate of the insured, we will require evidence of the court approved legal representative over the Estate. Please provide the Tax ID number of the Estate of the insured.
If the beneficiary is a trust, we will require a copy of the trust agreement and any amendments, including the signature page. Please note the Trustee Certification section of the claim form will also need to be completed by all trustees. Please use the trust's name when completing the claimant information section of the claim form and provide the Tax ID number of the trust.
What do I do if the beneficiary's name has changed?
If the beneficiary has had a change in name, we will need a copy of the applicable marriage license, divorce decree or similar legal documents.