Filing a Claim FAQs | AARP Life Insurance from NYL (2024)

Learn more about life insurance products, managing your coverage andaccount, filing claims, and find answers to other common questions.

Filing a claim

You can begin filing a claim by reporting the death to our claims department, eitherby using our online notification form, or by contacting New York Life by phone or mail. Once we have received your notice of loss, your claim will be assigned to a claim inspector for processing.

The beneficiary should provide a fully completed claim form and certified death certificate. Click here to securely upload your documents.

You can securely upload documents here. The maximum total upload size is 25MB and we accept the following file document types: word, doc, docx, png, jpg, jpeg, bmp, gif, pdf, tiff.

In addition to providing a certified death certificate and completed claim form, alsoprovide a Report of Death of a US Citizen Abroad form, which may be obtainedfrom the US Embassy. You may also call the New York Life toll-free claims number,(800) 695-5165, to understand the requirements for settling a claim when theinsured’s death is in a foreign country.

Most funeral homes will provide the family of the deceased with several certifieddeath certificates. You can also contact the Vital Records Division in the state ofthe deceased for this document.

New York Life will issue a check to the beneficiary’s address provided on the claimform.

If the claim is incontestable, payments are usually mailed 7-10 business days afterNew York Life receives a completed claim form and death certificate. If the claim iscontestable, a claims review will be conducted and any benefit distribution payablewill be determined upon completion. New York Life reserves the right to determinewhether any insurance was inforce at the time of death, as well as the beneficiaryto whom proceeds may be payable.

Yes, if the claim is incontestable, and the beneficiary signs an assignment form(provided by the funeral home) authorizing us to direct payment of all or a portionof the proceeds to a funeral home, and that assignment is received prior to theclaim being settled.

Here’s some helpful consumer protection information regarding funeral homes thatyou might find helpful:

Federal Trade Commission - Planning a funeral? Know your rights(https://consumer.ftc.gov/consumer-alerts/2020/06/planning-funeral-know-your-rights)

Types of Claims

A claim is considered incontestable when the insured’s death occurs two years ormore after the insurance date or reinstatement date.

A claim is considered contestable when the insured’s death occurs within two yearsof the insurance date or reinstatement date. On contestable claims, the MedicalInformation and Authorization section of the claim form needs to be completed.

Policy Benefits

A customer service representative can help explain and guide you through the eligibility requirements and process. Please call (800) 695-5165 to get started.

Waiver of premium is a benefit that relieves the insured of their obligation to payfuture premiums once they have been confined to a qualified nursing home for 180consecutive days.

Do I need to continue paying my premiums?
Yes, the Contract states premiums must continue until the claim is approved.

How do I know if the facility is approved?
The facility must be licensed as a skilled nursing facility. Assisted Living andPersonal Care Homes are not eligible.

Can I apply if my policy is lapsed?
Yes, and we will determine eligibility based on the confinement dates and when thecoverage lapsed. Please note we will not approve this benefit if the policy lapsedprior to the admission date or during the 180 day waiting period.

Does the nursing home doctor have to complete section 2?
Section 2 must be completed by a treating physician.

Who receives the refund?
The refund is issued to the owner of the policy.

How do I apply for my Waiver of Premium Benefit?
Nursing Home Premium Waiver

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Filing a Claim FAQs | AARP Life Insurance from NYL (2024)

FAQs

How do you answer insurance claim questions? ›

As a rule of thumb, stick to the facts. You should never lie when filing or discussing a claim with any insurer, as doing so may compromise your claim and lead to serious legal trouble down the line. However, you should also protect your interests by only providing the information you are required to by law.

How long does it take New York Life to process a claim? ›

After we receive all requested information, a claim decision will be available within 10 business days. What happens if the claim is approved? under your policy, we will offer a free, interest-bearing account (NYL GBS Survivor Assurance Account) in the customer's or beneficiary's name.

On what grounds can a life insurance claim be denied? ›

Life insurance claims can be denied for a variety of reasons, but among those are (1) failure to disclose an important medical condition or other pertinent information (as discussed above); (2) the policyholder stopped paying life insurance premiums and the policy was lapsed; (3) the policyholder has outlived their ...

What information do you need to claim a life insurance policy? ›

File the Death Benefit Claim With the Life Insurance Company

In addition to a death certificate, you'll need the insured's policy number, date of birth, full name, date of death, the place they died, cause of death and your name as the beneficiary. That will start the insurer's internal review process.

What should you not say when making an insurance claim? ›

9 Things Not to Say to Your Insurer After an Accident
  1. It was my fault. This may be common knowledge for many, but it's worth reiterating that you should never admit fault. ...
  2. I think. ...
  3. I'm fine. ...
  4. Names. ...
  5. Recorded statements. ...
  6. Unnecessary details. ...
  7. We don't have an attorney. ...
  8. Yes, I accept your offer.

How do you answer a question with a claim? ›

A statement that respond to/answers the question using words from the question. Provide EVIDENCE to support your claim. The evidence should relate to the answer and include facts/text evidence that will convince someone that your claim is correct.

What voids a life insurance claim? ›

Life insurance covers death due to natural causes, illness, and accidents. However, the insurance company can deny paying out your death benefit in certain circ*mstances, such as if you lie on your application, engage in risky behaviors, or fail to pay your premiums.

What disqualifies life insurance payout? ›

Life insurance may not pay out if the policy expires, premiums aren't paid, or there are false statements on the application. Other reasons include death from illegal activities, suicide, or homicide, with insurers investigating claims thoroughly.

How do I fight a life insurance claim denial? ›

Contact the Life Insurance Company

If that is the case, you should contact the insurer and demand detailed reasons for the denial. Make sure you inquire about the appeal process as well. They should tell you if the policy allows it and what you need to know to file an appeal.

How long does it take to get money from a life insurance claim? ›

Life insurance companies usually pay out within 60 days of receiving a death claim filing. Beneficiaries must file a death claim and verify their identity before receiving payment. The benefit could be delayed or denied due to policy lapses, fraud, or certain causes of death.

What is the average life insurance payout after death? ›

The average life insurance payout in the U.S. is about $168,000, according to Aflac. However, the payout of your life insurance policy will depend on the face amount (death benefit) you choose and any money accelerated, borrowed against or withdrawn from the policy prior to the payout.

How long does it take for a beneficiary to receive money from life insurance? ›

With most insurance companies, claims are paid within 30 to 60 days after they receive the required documents, such as a copy of the death certificate, the beneficiary's current address, etc.

What not to say when talking to an insurance adjuster? ›

Do Not Hypothesize What Happened During the Accident. When describing an accident to an insurance adjuster, do not say anything beyond what you experienced directly. You do not want to speculate about what happened because you could accidentally blame yourself.

How do you answer a statement of claim? ›

(b) The answer to the statement of claim may include any counterclaims against the claimant, cross claims against other respondents, or third party claims, specifying all relevant facts and remedies requested, as well as any additional documents supporting such claim.

How do you write a response to a claim? ›

Be brief. Answer the allegations in the complaint with one or two sentences. Again remember that the statements you make in your answer can be used as admissions against you. Your response to the allegations in the complaint may admit part of the statement in the specific paragraph and deny part.

Should you answer insurance questions? ›

Stick to the facts and only provide the information requested. If the adjuster attempts to discover information about your work or salary or wants to know where you work, avoid answering these questions by just saying that you cannot confirm that at that time.

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