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Archive for the ‘Policy Reviews’ Category

Readers may recall several of Lindanee’s posts which claimed, “insurance companies do not tell the truth.” Not only do claims handlers  mis-communicate  information, but policy provisions are also misquoted to insureds creating wrong impressions of how the review process works. Although the end result of misguiding claimants is the same, it’s a toss-up whether claims handlers misquote policy provisions deliberately, [...]

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There are many different versions, or writings, of the “definition of disability” in insurance policies. By and large most of the definitions define disability as the “inability to perform the material and substantial duties of your regular (or own) occupation.”  However, there are other definitions of disability which include ” cannot perform the material and [...]

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As a former Unum trained contract specialist I frequently audit disability policies underwritten by all major disability insurers and explain the provisions to those who need to know. Recently, I had the opportunity of reviewing two Unum policies. One was a conversion “Certificate” policy and the other was an IDI policy containing newly written provision additions which, [...]

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Over the years DCS has managed many claims for individuals with Berksire/Guardian policies. About five years ago I was also asked by an attorney to be an expert in a case and had an opportunity to review the company’s claims manual. Although its manual reads like a lesson in identifying “red flags” and “investigating malingerers”, the company prides [...]

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Aren’t television ads great? For several years now the quack, quack of Aflac has been selling disability income replacement policies to prospective insureds promising a failsafe system to disability protection. Well, let’s see what Alac has to offer. An Aflac 24-month STD policy can be purchased for around $120 per month. That’s a pretty high premium for benefits lasting for [...]

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