Rescinding an Insurance Policy

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 What Does It Mean to Rescind an Insurance Policy?

Insurance companies may rescind policies if policyholders lie or omit information on applications. This can leave policyholders without coverage and facing legal challenges.

An insurance policy is a contract in which one party agrees to indemnify another against a predefined classification of risks in exchange for a premium. Depending on the agreement, the insurer may pledge to financially shield the insured from the loss, damage, or liability stemming from some occurrence. An insurance contract will almost invariably restrict the amount of financial protection possible.

Almost everyone has an insurance policy, whether it’s vehicle coverage, health coverage, or other insurance, but how much do we comprehend about our policies and what they cover? Some aspects of insurance policies are universal, such as the declarations section specifying who is insured, the risks or property covered, the amount of coverage, and other formal information.

But regardless of the kind of insurance product, they all take the form of a legally binding contract. It’s essential to have the proper coverage and avoid paying for something you may not need.

Companies specialize in many various kinds of insurance. Although some insurance, like car insurance, is required by law, others are optional. It is essential to get familiar with the options to safeguard yourself from liability, even if the insurance is optional.

In their actions to cut costs, insurance companies are increasingly likely to revoke your policy when you file a claim – rather than pay out – particularly if the coverage is for a large sum. Rescission of insurance policy is an approach by insurance companies that has become a significant problem for consumers, particularly in health, life, disability, and malpractice insurance.

Although the insurer who cancels, under those circumstances, must refund the premiums paid over the policy’s lifetime, the consumer is left without insurance and will find that it’s more challenging to get a new policy.

Although a policy is a contract, an insurance company can lawfully revoke the policy if it finds that a policyholder lied or failed to disclose relevant information before the agreement was signed.

Rescission of insurance policy can occur for nondisclosure of a driving violation on an auto insurance policy, a medical condition on a health, life, or disability policy, or pending litigation on a malpractice insurance policy.

Insurers are supposed to “underwrite” or investigate policies at the time of the application to decide if the consumer is qualified. But in practice, most insurers had approved policies and accepted policyholders’ premiums – and checked medical and other records only when a claim was filed. This technique is called “post-claims underwriting.”

Now, the insurer is more likely to go back and look for any defect in the original application and contract so it can cancel the policy. It can search through confidential materials such as computerized data and various medical records to support the rescission of an insurance policy. The policyholder gave the insurer consent to do this when they signed the application.

By studying these records, an insurer may learn about conditions or medical treatments you disclosed to your physicians or attorneys but did not mention on your insurance policy application.

If an insurance policy is rescinded, instead of canceled or terminated, it will be as if the contract between the policyholder and the insurance company was never made. Instead of canceling the policy midway, the policyholder will go back and begin from the start, as if they never had the policy. This means the policyholder should get back any premiums they expended to the insurance company. By disparity, when a policy is canceled, the only money refunded is for the remaining amount of the term.

Rescission is generally done by the insurance company and involves:

  • Giving notice of the rescission to the insured
  • Repayment of any premiums

When Can an Insurance Company Rescind a Policy?

Typically, an insurance company can only perform a recission of coverage claim if the policyholder:

  • Lied in applying for your insurance coverage
  • Concealed information when applying for insurance coverage
  • Made an error in applying for coverage that greatly impacts the company’s position
  • Made a dishonest claim for benefits

Most states require a rescission notice from the insurance company providing the policyholder with written notice of cancellation at least 30 days before rescission of a coverage claim. The policy contract identifies why the insurer can perform a rescission of a coverage claim and the time frame and manner in which it can do it.

If your policy has been rescinded, the insurance company must send you a notice describing the reasons for the rescission. If they fail to do so, you can and should demand a letter properly explaining the grounds for the rescission. It is also important to get a qualified insurance denial lawyer in your corner as soon as feasible to start constructing your defense and your response. If you have obtained a rescission notice, it is essential to understand your rights.

A policy cannot be rescinded if, for instance:

  • The alleged misconception is trivial or immaterial (such as a mistake in an applicant’s contact information or a negligible condition such as one report of high blood pressure)
  • The applicant did not know about a latent medical condition
  • The applicant did not comprehend the significance of an insufficient response

Can I Rescind My Insurance Policy?

Although a policy is a contract, an insurance company can lawfully cancel the policy if it finds that a policyholder lied or failed to disclose pertinent information before the agreement was signed. Though the insurer most commonly does rescission of a policy, this remedy is also open to policyholders.

However, rescission by the policyholder is infrequent and will typically only be permitted where the insurance company misled or fraudulently influenced the policyholder into choosing a particular policy.

Don’t misrepresent facts on insurance applications. For example, if you smoke, don’t claim you’re a nonsmoker to qualify for a lower premium. An insurance company can rescind your life or health insurance policy even if the reason you’re filing a claim has nothing to do with smoking.

In self-defense, make sure your agent pens down your answers. In an oversight or controversy, agents usually side with the insurer. Telling the insurance company, “I told the agent when we met that I had high blood pressure,” is not a robust defense since it will only pit your word against his/hers. If you failed to disclose a substantial condition, such as chronic back pain, your insurer might send you a rider excluding coverage for the issue.

Should I Contact an Attorney?

If your policy is canceled and you think the foundations for the rescission are baseless, battle to keep your insurance. If your insurance policy has been wrongly rescinded, or your health, life, or disability insurance claim has been unreasonably denied, fight for the coverage you are owed.

Insurance policies can be highly complex and challenging to navigate on your own. If you want to rescind an insurance policy or believe that your insurance policy has been canceled unlawfully, an insurance lawyer experienced in dealing with insurance companies will be able to fight for your rights.

You can use LegalMatch to find the best insurance lawyers in your area. There is no fee to schedule a consultation, and your information will always be kept confidential. Do not try to fight an insurance company on your own. Take the first steps towards resolving your insurance law issue by hiring an experienced attorney on LegalMatch today.

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