Insurance Claim Disputes

Disability Insurance Claims

  • Disability insurance offers “peace of mind” by reducing future stress and anxiety.
  • It comes in two forms: individual policies for direct policyholders and group policies for employees via employers.
  • Policies cover short-term (up to six months) or long-term disability, with Employment Insurance Sickness Benefits available for up to fifteen weeks if short-term coverage is absent.

Life Insurance Claims

  • Life insurance policies pay a lump sum to a beneficiary upon the policyholder’s death.
  • Denial of death benefits can occur if the policyholder is alleged to have provided false information on their application, especially regarding medical history.
  • The insurance company must prove the misrepresentation was material to deny benefits.
  • Under the Ontario Insurance Act, policies over two years old become incontestable, requiring the insurer to prove fraud for denial based on misrepresentation.

Homeowner Insurance Claims

  • Making a home insurance claim can be frustrating and complex.
  • Home damage can result from fire, flooding, storms, vandalism, theft, or burglary.
  • The claims process often involves confusing terms and unfair loss limitations by insurers.
  • Proper documentation, loss evaluation, and potential litigation are crucial steps.
  • An experienced lawyer can ensure fair compensation and favorable policy interpretation.
  • Free, confidential consultations are available for evaluating home or cottage insurance claims.
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