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.