Buying a term life insurance policy is one of the most responsible financial decisions you can make. It ensures your family remains financially protected even in your absence. However, what if the claim is denied when your family needs it most? Unfortunately, claim rejections do happen, and in India, this is more common than you might think. In this blog, we’ll explore the top 5 reasons why term insurance claims are rejected and how you can avoid these pitfalls. If you’re planning to secure your loved ones with term life insurance, this article is a must-read.

1. Non-Disclosure of Information

One of the most common reasons for claim rejection is the failure to disclose important information while purchasing the policy. This could include health conditions, smoking or drinking habits, or details about existing policies.

According to IRDAI data from 2023, nearly 24% of claim rejections in India were due to material non-disclosure. Even something as seemingly small as not mentioning a history of high blood pressure can lead to a rejected claim.

Remedy: Be completely honest when filling out the proposal form. It’s better to pay a slightly higher premium than risk leaving your family without financial support.

2. Policy Lapse Due to Non-Payment of Premiums

Another major reason for claim rejection is the lapse of the policy due to non-payment of premiums. If the policyholder fails to pay the premium even after the grace period, the policy becomes void.

Consider the case of Nitin from Jaipur. He bought a term life policy but missed his premium payments due to a job switch. When his family filed a claim, it was rejected as the policy had lapsed months ago.

Remedy: Use auto-debit options or set reminders to ensure timely premium payments. Opting for policies with flexible premium payment options from trusted providers like Kotak Life can help.

3. Misrepresentation of Age or Occupation

Providing incorrect details about your age or occupation can seriously impact your policy. Age and job type directly influence the risk assessment and premium calculation.

For instance, a policy bought under the assumption that the individual works a desk job may be rejected if they’re actually involved in hazardous fieldwork.

Remedy: Always provide accurate personal details. If you change your occupation after purchasing the policy, update your insurer accordingly.

4. Delay in Filing Claims

Timely submission of the claim along with necessary documents is crucial. Delay in intimation can raise red flags and lead to extensive scrutiny.

IRDAI guidelines recommend that claims should be intimated within 90 days of the death of the policyholder. Yet, many claims get delayed due to unawareness or paperwork issues.

Remedy: Educate your nominee about the claim process. Keep all policy documents in an easily accessible place. Kotak Life’s claims assistance makes this process smoother.

5. Exclusions Under the Policy

Each term life insurance policy has specific exclusions—scenarios under which the policy will not pay out. This could include death due to suicide within the first year, or involvement in illegal activities.

A report by the General Insurance Council in 2023 revealed that 18% of rejected claims were due to death falling under policy exclusions.

Remedy: Read your policy document thoroughly. Ask questions if any terms seem unclear. Understanding the exclusions can help your nominee be prepared and avoid surprises later.

Bonus Tip: Consider Return of Premium Options

If you’re concerned about not getting any returns on your investment, a term insurance return of premium plan could be a smart alternative. It offers life cover like a standard term policy but returns all your premiums if you survive the term.

This is especially useful for salaried individuals looking for both protection and value.

Conclusion: Proactive Today, Protected Tomorrow

Term life insurance is a crucial part of your financial safety net, but it’s important to do it right. By avoiding common mistakes like non-disclosure, missed premiums, and misrepresentation, you can significantly reduce the risk of claim rejection.

Start with a reliable term life insurance plan from Kotak Life and make sure you understand the fine print. Adding options like term insurance return of premium can further enhance the value of your investment. Prepare today so your family is protected tomorrow.

FAQs

1. What happens if I hide a medical condition while buying term insurance?

Hiding a medical condition can lead to claim rejection. Always disclose complete and accurate health information while purchasing the policy.

2. Can I revive a lapsed term life policy?

Yes, many insurers offer a revival period during which you can pay the pending premiums with interest. However, the claim may not be honored if death occurs during the lapse period.

3. What is a term insurance return of premium plan?

It’s a type of term plan where all the premiums paid are returned if the policyholder survives the policy term.

4. How can I ensure my claim isn’t rejected?

Be honest in disclosures, pay premiums on time, understand policy exclusions, and educate your nominee about the claims process.

5. How soon should a claim be filed after the policyholder’s death?

Claims should ideally be filed within 90 days, along with all necessary documents, to avoid unnecessary delays or rejection.