by Guest » Tue Oct 28, 2008 09:34 am
Hey friends, I'm about to sign for an auto policy, however, I'm come to know that the insurance companies preserve the right to deny your claim. Is this true? If so, then under what circumstances I may end up with a denied claim?
Posted: Wed Jun 03, 2009 02:58 am Post Subject:
Hello all,
Please advise your opinion on the following:
College student who was in same state as parents, now lives out of state due to training with a company. The company has initially stated that the now post-college student would be living in the new state for a few months and then likely transfered again to another state.
Meanwhile, student grad back in 2008, not enrolled into a grad school yet, but was still claimed as a dependent by her parents on 2008 taxes bc she was in school for over 6mo of the 2008 year.
Sorry for all the preamble, but girl is involved in accident. ins company finds her at fault, agrees to pay out claim on her car and who she hit. The girl and parents are debating on whether to pay out of pocket for her car and not file claim or to file claim and have ins pay...in doing so ins. co. sends out letter asking what they are doing with the car and have 10days to reply. In same letter, ins. co. asks about good-student discount letter.
That said, is ins. co. baiting family to know about full-time student status? apparently, the girl is under parents policy as a student. Technically, since she is not in grad school, is she and the family at risk because they have no current transcripts to turn in? would ins company still process claim or halt at this point and deny claim? renewal is not up until Nov of 2009, so would she still be eligible under the insurance until renewal or was she kicked off as soon as she grad?
This is very tricky bc with the relocating of the company, the family did not want to jump out to get new ins. since likely she could be relocated back to home state. If family process claim and seeks new insurance for the girl on her own, is that the smartest option??
Please help, professional opinion valued!
Posted: Wed Jun 03, 2009 10:26 am Post Subject:
Re: Paying the claim out of pocket or allowing the carrier to pay...You do understand that is for both vehicles damages right? In order for this to not be chargeable (thus a rate increase) you would have to pay the entire claim, both yours and their damages, and any injuries that might 'pop' up...or additional damage found after tear down of the vehicle...So if you are prepared to pay for all of it, that's fine just becareful...If the other party comes back mid-way thru their vehicle repair saying addl damages are found are you prepared to pay those as well..or do you have the knowledge required to know if there is additional damage, and it's related to this accident? Have they claimed injuries (yet?)...Alot to think about...most carriers will generate a rate increase if the at fault claim cost more than 400-600.00...which of course is all of them :roll: (pretty rare to have ANY collision damage that is less than this amount.
RE:
That said, is ins. co. baiting family to know about full-time student status?
Typcially carriers send these out randomly some every year, some every term...If your parents are getting a good student discount, then the carrier is within their right to make them prove this...at any time..s she and the family at risk because they have no current transcripts to turn in? would ins company still process claim or halt at this point and deny claim?
I doubt they could deny the claim..they could however request that the difference in premium be paid, before they will pay the claim..renewal is not up until Nov of 2009, so would she still be eligible under the insurance until renewal or was she kicked off as soon as she grad?
She should still be allowed to stay on the policy, you may have to pay that premium difference...and I suppose they could (if they so desire) non-renew the entire familys policys for 'fraud'...The claims dept, isn't asking for this information right? Didn't this come from underwriting? What has the claims rep said re: paying the claim?
If I were you I'd likely let my carrier handle this claim..get it over and done with...supply whatever you have in way of proof (send her last grades)...I'm not totally sure I'm getting the time line here...how long has she 'not' been a student? and is she going to be a student again? if so when?
Posted: Wed Jun 03, 2009 12:23 pm Post Subject:
the time line is:
-policy doesnt renew until Nov.2009
-not been a student for 9mo
-would be a student again asap, but most grad schools are asking for 1yr work exp. before she can enroll
Posted: Wed Jun 02, 2010 11:20 pm Post Subject: Claim for Insurance
I was in a car accident and the party took me to court to fight the case because she got the ticket. I won the case and the judge found her guilty for the accident. Now I get a call from my lawyer telling me that he was advised that her insurance will not pay nothing and he thinks that it is best for me to drop the case and I walk away with nothing. I advised that I would have to call him back on that. I feel that her insurance should pay because the judge found her guilty as charged and she did get the ticket.
Posted: Thu Jun 03, 2010 12:19 am Post Subject:
Angie, what's this attorney of yours giving you as THE reason her insurance won't pay your claims? There HAS to be a reason...what is it? Either they don't think the damage to your vehicle and body resulted from the accident, or her policy is no good..which one?
Posted: Sat Nov 09, 2013 07:01 pm Post Subject:
Is it fraudulent if an auto insurance company fails to pay out on a claim because the license was expired not suspended?
Posted: Sun Nov 10, 2013 01:25 am Post Subject:
It is not "fraudulent", but it is not lawful.
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