Policy Basics

Claim

Fundamental terms that define how a life insurance policy works.

Definition

What Is Claim?

A life insurance claim is a formal request submitted by a beneficiary to the insurance carrier seeking payment of the death benefit following the insured's death. The claims process typically requires submission of the policy, a completed claim form, and a certified copy of the death certificate. Carriers generally have 30 days after receiving all required documentation to pay or deny a claim, and many pay within days of receiving complete paperwork. Claims may be investigated if the death occurs during the contestability period, involves exclusions such as suicide within the first two years, or if there is evidence of material misrepresentation on the application.

Nevada Context

Nevada law (NRS 687B.310) requires insurers to acknowledge claims within 10 working days and pay or deny within 30 days of receiving proof of loss. Interest accrues on delayed payments.

How It Affects You

Keep your policy documents in a secure, accessible location and ensure your beneficiaries know how to file a claim. A certified copy of the death certificate is typically the most important document.

Real-World Example

Claim in Practice

A Nevada widow files a claim 10 days after her husband's death; she submits the completed claim form, certified death certificate, and original policy; the carrier pays the illustrative $500,000 death benefit within three weeks.

Dollar amounts shown are illustrative. Actual amounts vary by carrier, applicant age, health status, and individual underwriting.

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