LAW OF LIFE INSURANCE
FRAUD
(Course Textbook Consists
of 155 pages)
The Law of Life Insurance Fraud course covers the important legal issues that affect the early recognition and investigation of suspicious life insurance claims. The insurance professional will learn how policy and statutory language is interpreted in the courts. Important topics such as misrepresentation and concealment are examined along with the meaning of incontestability and suicide exclusions. Which state statutes require that a misrepresentation in the policy application be causally related to the insured’s subsequent death in order for the insurer to be in a position to assert a defense? Which state courts have held that a misrepresentation about smoking habits is material to the risk? These are just some of the important issues discussed in Law of Life Insurance Fraud.
Throughout the text, examples and actual court cases are presented on such subjects as faked deaths, foreign deaths, infanticide, suicide and viatical settlements to illustrate how the legal issues relating to fraudulent life insurance claims have been handled by the courts.
The new course will be offered as a stand-alone only and not as part of any AEI property-casualty claims law programs. As with all AEI stand-alone courses, the fee will be $170. If you are solely involved in property-casualty claims, feel free to pass this information along to your colleagues on the life insurance side.
Course Index
Introduction to Life Insurance Claims Investigation1. The Life Insurance Policy
2. The Incontestability
Clause
The Origins of the Incontestability Clause
Understanding the Incontestability Clause
Incontestability and Fraud
3. Misrepresentation in Life Insurance Policy Applications
The Nature of Misrepresentations
Materiality
Pre-Existing Illness
Fraud and the Role of the Agent
4. Murder/Suicide
Investigative Approach to Suspected Murder/Suicide
Planned Death - Homicide
Planned Death - Infanticide
Planned Death - Suicide
5. Foreign Deaths/Faked Deaths
Fakes Deaths
Accidental Deaths - There is a Death but not as Reported
Viaticals: The New Face of Fraud in Life Insurance
Red Flags of Fraudulent Death Claims
Investigative Guidelines
FOR FURTHER INFORMATION OR COMMENTS:
mail to:
aei@aeiclaimslaw.com