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Types of Deaths Covered and Not Covered by Term Insurance

When it comes to securing the future of your loved ones or doing a proper financial planning, term insurance is one of the most popular options for the insurance seekers. With affordable premium rates, term life insurance plans provide financial protection to the family of the insured, in case of any eventuality. A lump sum death benefit is paid to the beneficiary, in case of demise of the insured during the policy tenure.

Even though term insurance plans are specifically designed to provide insurance coverage to the beneficiary of the insured person, there are certain excluded death events too. In this article, we are going to briefly discuss the types of deaths that are not covered & term insurance plan.

Natural Death or caused by Health-related Issues

The natural death or caused by health-related issues is covered by term life insurance plans. In case the policyholder dies due to any type of critical illness or medical condition, the beneficiary of the policy will get the sum assured as the death benefit.

Accidental Demise

Term plans also provide coverage in case of death of the insured due to an accident. Moreover, many term life plans come with an additional accidental death benefit riders under which extra sum assured is paid to the beneficiary of the policy along with the basic sum assured, in case of accidental demise of the insured person.

However, there are certain exceptions to this. The death of the insurance holder under the influence of alcohol or any type of drug while driving or due to involvement in any type of criminal activities leads to claim rejection. Moreover, life insurance plans also exclude the death of an individual due to involvement in adventure sports like skydiving, parachuting, rafting, bungee jumping, etc.

Death by Suicide

In case the insured commits suicide during the initial 12 months from the date of policy commencement, the beneficiary is eligible to receive 80% of the premium paid if the policy is a non-linked one. In case of linked plans, if the policyholder commits suicide during the initial 12 months from the date of policy commencement, the beneficiary of the policy receives 100% of the total premium paid. However, if the policyholder commits suicide after the completion of 1 year of policy, the benefits of the policy will be nullified and the policy will be terminated. There are certain life insurance companies that may or may not provide coverage for the suicidal death. Moreover, it is very important for insurance buyers to go through the terms and conditions of the policy and know the inclusions and exclusions of the policy before purchase it.

Self-Inflicted injuries

In case the death of the insured happens due to self-inflicted injuries or a hazardous activity, the claim made by the beneficiary will be rejected by the insurance company.

HIV/AIDS

The insurance company will not accept the claim if the death of the insured occurs due to any type of sexually transmitted diseases like HIV or AIDS.

Intoxication

If the policyholder dies due to overdose of drugs or alcohol, then the insurance company will not provide any death benefit to the beneficiary.

Homicide

In case the insured gets murdered by the beneficiary and the investigation reveals the involvement of the nominee in the crime, the insurance company will reject the claim. The claim request will be put on hold by the insurance company until the beneficiary gets the clearance.

Tsunami or Natural Calamity

Generally, the term insurance plan provides coverage to the family of the insured in case of a demise of the insured person due to tsunami or any other natural calamity like lightning, weather conditions, earthquake, etc. Subsequently, the beneficiary/ nominee of the policy receives the sum assured amount as a death benefit by the insurance company.

Claiming for more than two policies

If the beneficiary makes claims for two or more term insurance policies, then he/she should follow the steps as per the guidelines of Insurance Regulatory and Development Authority of India. In fact, the nominee should submit the details of existing term life insurance plan while purchasing a new one. The information of the policy should be provided in the proposals form. The nominee will have to present the insured’s death certificate to the insurance company. The new insurance company will verify the information with the existing insurer. After the verification is successfully completed, the beneficiary receives the claim.

The Bottom Line

Prior to purchasing a term life plan, it is very important for insurance buyers to go through the policy documentation. Having proper knowledge of both inclusions and exclusions of the policy can help the policyholder avail the coverage and prevent any type of discrepancy during the claim processing.

Written By: PolicyBazaar - Updated: 30 July 2020
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Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.
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