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Life Insurance: Claims Denial and Objection

26 Nisan 2026 Insurance Law 1 dk okuma 62 görüntülenme

Life insurance is an insurance that pays to the beneficiary upon the death of the insured.

Typical Reasons for Refusal

  • Pre-existing disease (input declaration is insufficient)
  • Suicide (usually 2 years waiting)
  • Dangerous activity (parachuting, diving, etc.)
  • During involvement in a crime death

Declaration Obligation

  • All diseases must be reported at the contract stage
  • Deliberate concealment: reason for contract cancellation
  • Not knowing is controversial (Supreme Court in favor of the insured)

Suicide Exception

  • Rule: 2-year waiting period
  • Suicide is also paid after 2 years
  • Burden of proof in the insurer

Beneficiary

  • Person(s) specified in the policy
  • Spouse, child, parents
  • Legal heirs if not specified

Supreme Court 11. HD

11. HD accepts that the insurer must prove the claim of "pre-existing disease" with concrete medical evidence, and that a mere claim is insufficient.

Periods

  • Notification: 30 days after death (according to the policy)
  • Lawsuit statute of limitations: 2 years/10 years

Insurance law lawyer recommended.

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