Articles Posted in Life Insurance

Grand Prairie lawyers need to understand the legal purpose for insurance so that they can better advise clients about their cases.

The purpose for insurance is to compensate for a loss. It is not a way of gambling. The United States Supreme Court said in 1866, that an insurable interest is necessary for the following reasons:

To prevent gambling To reduce intentional loss To enforce the principle of equity Bringing this topic closer to the present a 1998, Tyler Court of Appeals case is worth knowing. It is styled, Stillwagoner v. Travelers Ins. Co.

Fort Worth life insurance lawyers may already know some of this – but just in case, here goes.

Life insurance pays a stated amount of benefits to the beneficiary upon the insured person’s death. The beneficiary is usually relatives but can be business partners and creditors. Usually, the policy has a “face amount value”. This would be the value paid by the insurance company upon the death of the insured. There are policies wherein the face amount is a starting point from which the amount stated is increased. An example would be a policy that pays a “double indemnity” for accidental deaths. This means that whatever the fact amount of the policy reads, such as $100,000, then that face amount doubles to $200,000 if death occurs as the result of an accident.

“Term” insurance policies pay a fixed amount stated in the policy if death occurs during the term of the policy. This is usually a stated time of 10 or 20 years.

Fort Worth life insurance attorneys need to know about this case. It is an opinion issued by the U.S. 5th Circuit Court of Appeals in 2005. It is styled, Monumental Life Insurance Company v. Hayes Jenkins.

Here are some facts:

In November 2000, the insureds, husband and wife, purchased a house executing a mortgage note and an escrow agreement with the lender. Two months later the lender, by agreement with the insurer, mailed an unsolicited application for a mortgage life insurance policy underwritten by the insurer. All the enclosed materials promised a payoff of the mortgage balance up to $300,000 in the event of one of the insured’s death and emphasized a “no risk” 30 day trial period. The insureds promptly completed and mailed the application. The husband died four days after the policy became effective, but before the mortgage company issued the first month’s premium payment and the wife demanded that the proceeds of the mortgage life policy be applied to liquidate the remaining loan balance pursuant to the terms of the policy. The insurer refused and filed a declaratory judgment action seeking a ruling that at the time of the husband’s death the policy was not in force for failure by the insureds to pay the required premium. The wife counterclaimed against the insurer for breach of contract and violations of the Texas Insurance Code and DTPA. She also filed a third party complaint against the mortgage lender asserting claims for breach of the escrow agreement, negligence, and violations of the DTPA and Insurance Code. The district court granted the insurer and the lender’s motions for summary judgment, dismissing all of the wife’s counterclaims and third party claims and this appeal followed.

Dallas life insurance attorneys need to read and know this case. It is an opinion issued by the Texas Supreme Court in 1990. The style of the case is Koral Industries v. Security Connecticut Life Insurance Co.

Here are some of the facts:

Koral Industries sought a new life insurance policy for one of its key employees, Lewis Lindsey, in 1984. Lindsey did not disclose damaging medical history regarding treatment over the five years prior to his application, a history which included hospitalization in 1981, 1982, and 1983, and counseling and treatment for depression and excessive use of alcohol. A medical information agency had reported treatment for mental or nervous disorders from 1976-78, and Lindsey’s physician reported treatment for anxiety.

Dallas life insurance lawyers need to know this case. The case is styled Lilly Sharp v. Lincoln American Life Insurance Company. The opinion was issued by the Corpus Christi Court of Appeals in 1988.

This lawsuit was filed by Lilly Sharp after the death of her daughter.

Lincoln had denied the claim based on misrepresentations by the insured in the policy application. The trial judge ruled in favor of Lincoln and this appealed followed.

Fort Worth life insurance attorneys need to know this case. The case is styled Republic-Vanguard Life Insurance Company v. Beth Walters. It is a 1987, opinion from the 1st District Court of Appeals. Here is some background.

In 1981, the deceased, James Walters, applied to Republic for mortgage protection insurance. On his application, he stated he knew of no impairment to his health. Republic requested an examination by a registered nurse. He told her of various ailments, and that he had gained 50 pounds in the previous year “due to beer drinking,” that he had been wounded in Viet Nam.

When the nurse asked about impaired sight or hearing, mental illness, cancer, growth, rupture or syphilis, James said no. James provided names of his doctors and the hospital he had been in.

Fort Worth insurance attorneys need to keep up with what is going on in the insurance community. Reuters recently published an article titled “Insurance Industry Woes Hit Consumers.”

The article starts out telling us something obvious: Nobody wants to feel sorry for life insurance companies. They are just the annoying folk who make you think about death, cash your checks, and then give you grief if you ever have to file a claim, right?

But then gets serious and tells us: Don’t be so cynical. These are challenging times for the insurance industry. Company representatives meeting in Washington for the annual American Council of Life Insurers conference seemed downright gloomy, and if asked, were eager to tick off the troubles facing them.

Weatherford attorneys and those in Mineral Wells, Graford, Cool, Millsap, Springtown, Aledo, Azle, Willow Park, and other places in Parker and Palo Pinto Counties need to know the laws related to life insurance claims.

Almost all denials of life insurance policy claims based on the allegation of a misrepresentation in the application can be defeated. This one is one of the few that was not. Only an experience Insurance Law Attorney is going to be able to help draw the distinction.

The Corpus Christi Court of Appeals issued an opinion in 1988. The style of the case is, Lilly Sharp v. Lincoln American Life Insurance Company.

Weatherford insurance attorneys and those in Aledo, Azle, Springtown, Cool, Millsap, Willow Park, Hudson Oaks, and other places in Parker County need to know when to fight an insurance company.

A 1988, opinion issued by the Beaumont Court of Appeals styled, Massachusetts Indemnity v. Morrison, is a worth while read. Here is some relevant background.

Michael Morrison died when his car veered off the road and hit a tree. A handwritten note found at the scene appeared to be a suicide note.

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