What is a Life Waiver of Premium benefit?

A "Life Waiver of Premium" benefit - also called an "LWOP" benefit- is a provision that is commonly included in life insurance policies which waives the premiums normally required to maintain life insurance coverage for insureds who are disabled.

This benefit is extremely important to a disabled person because often based on her medical history, she will be unable to obtain life insurance coverage elsewhere in the free market. She also may not be able to return to work and obtain group term life insurance coverage through an employer.

Each life insurance policy that has an LWOP benefit will define "disabled". The insured needs to meet this definition to qualify to have her life insurance premiums waived. Usually the standard for being disabled is very high - for example, being unable to work in any job for any wages.

If you make a claim for LWOP benefits and the claim is denied, or if you were receiving an LWOP benefit and your benefit is terminated, if your claim is governed by ERISA you have the right to appeal that decision. Even if your claim is not governed by ERISA, your life insurance contract may allow you to appeal that decision to the insurer. You may want to hire an attorney to help with that appeal.

Contact the Law Office of Katherine L. MacKinnon for more information!

Life insurance beneficiary forms - common mistakes

Filling out the beneficiary form for your life insurance can be more tricky than you think. There are several common mistakes, including:

• Naming a minor child without designating how the money should be distributed. Money cannot be given directly to a minor child. It needs to be placed in a trust account or special account for minors such as an UTMA or UGMA account.

• Forgetting to update the beneficiary form. An insurance policy is a contract, and the money will generally be distributed how your beneficiary form says it should be done. If you have your wife as your beneficiary, and get divorced but forget to change the beneficiary designation, usually the proceeds will go to your ex-wife.

• Only naming one beneficiary. If you only name one beneficiary, and that person predeceases you, there will be no beneficiary. Make sure to name at least one secondary beneficiary.

The problems caused by a mistake on a beneficiary form will not impact you, but will greatly impact those you love.

Check out more tips in this article.

We advise both insureds and beneficiaries who have questions or problems with life insurance. Contact our office if you would like more information.  

FAQ: When should I get an attorney involved in my disability/life insurance/pension issue?

                There are three common times when you should think about involving an attorney in your ERISA employee benefits dispute or claim: (1) when submitting an application for benefits, (2) after the denial of benefits, and (3) at the commencement of litigation. Here is why you might choose to retain an attorney at any one of these times.

                You might decide to hire an attorney to submit your application or claim for benefits. This is a good strategy if you have a complicated situation or issue that may affect your application. One example might be if you are applying for long-term disability benefits after being terminated from employment or quitting from your job. Another example might be if your disabling condition is complicated your application for disability benefits may require some explanation as to why you can no longer perform you job. Applications are time consuming and complicated, so sometimes people hire an attorney to handle the application because he or she does not have the time or energy to devote to making sure the insurer receives all the information necessary. As long as your benefit plan is governed by ERISA, you will be allowed a chance to appeal any decision made by the plan administrator that is adverse to you, so many claimants choose to apply for benefits on their own and then hire an attorney only if they are denied.

                The most common time individuals hire an attorney is after he or she has had a pension, life insurance, or disability benefit denied. The attorney can then submit an administrative appeal for the claimant. An administrative appeal is a written appeal to the plan administrator explaining why the decision to deny benefits was wrong, and submitting any new evidence in support of the claim. An administrative appeal is VERY important, because once it is submitted you are frequently no longer allowed to submit any new evidence to support your claim to the insurer. Generally, it is best to consult an attorney when submitting your administrative appeal, so you can be sure the evidence in the administrative record (everything submitted to the plan administrator by you, and everything the plan administrator gathers or creates on its own in regards to your claim) is as complete as possible so the insurer can make a full and fair review of your claim for benefits.

                Once you have completed all your administrative appeals, the only option to pursue your case further is usually to bring a lawsuit in federal court. At this phase, you should almost always hire an attorney to represent you in your case. ERISA cases have complex legal issues like how much deference should be given to the insurer’s decision. It is best to have good legal representation once litigation begins.

Life Insurance Win in MN Supreme Court!

After years of hard work for Ms. Jacky Larson, our firm won a huge victory in the Minnesota Supreme Court on behalf of anyone with life insurance in Minnesota!


Minnesota Stat 61A.11 says that: "In any claim upon a policy issued in this state without previous medical examination, or without the knowledge or consent of the insured, or, in case of a minor, without the consent of a parent, guardian, or other person having legal custody, the statements made in the application as to the age, physical condition, and family history of the insured shall be valid and binding upon the company, unless willfully false or intentionally misleading."


Larson v. Northwestern Mutual was about what the language "willfully false or intentionally misleading" means. Does it mean simply that the information given on a life insurance application was incorrect, and the applicant should have known the correct information? Or does the insurance company need to prove the insured subjectively intended to lie? We argued that the insurance company needs to show more than that the information given in the application was wrong - and the Supreme Court agreed:


"To rescind a life insurance policy under Minn. Stat. 61A.11 for 'willfully false or intentionally misleading' answers in an insurance application, an insurer must prove that the insured intended to deceive the insurer."


We are thrilled at the result, if you'd like to view the entire opinion click here.

Our firm's case was accepted for review by the MN Supreme Court!

A life insurance case our firm has been working on for years now was accepted for review by the MN Supreme Court!

Read more here:

http://www.minnesota-litigator.com/2014/02/04/minnesota-litigator-profile-katherine-mackinnon/

Interested in Converting? Tread Quickly and Carefully!

If you are leaving work for a health related reason - for example medical leave for treatment of an illness, short or long term disability, or other medical reason - it may be imperative to find out about whether you can take your life insurance policy with you when you go! 

Usually, if you have life insurance through a group policy at work, when you leave employment you have a right to convert that insurance into an individual policy. This right is guaranteed in the majority of states (see a list of some, but not all, states statutes at the end of this blog post for examples.)

When you purchase a life insurance policy, you are usually required to answer questions about your current and past health conditions, and maybe submit to some type of medical exam. This is so the insurer can decide how big of a risk you are,whether they even want to give you a policy, and how much they want to charge you in premiums. Their investigation of your health is called medical underwriting. 

However, when you convert your group policy from work, you do not have to undergo any medical underwriting. You are guaranteed the right to continue your policy, although it will likely be for a higher premium than you were previously paying.

If you are leaving your job for a health related reason, it may be difficult for you to obtain life insurance again because of your medical history. It is therefore very important to find out the costs of and process for converting your group policy to an individual policy. In some states depending on the insurance policy's language, an insurer may not be required to notify you. So it may be the responsibility of the employee to find out whether they can convert their life insurance, and how to do it.  

The moral of the story is: be proactive and find out the price and procedure for converting your life insurance policy. Be especially sure to find out the time limit to submit any required premiums and paperwork, since most policies have a very short time frame in which to complete the conversion process. Request the paperwork, even if you are unsure whether or not you want to go through with the conversion, so you have everything you need in case you do decide to convert.

(State statutes regarding life insurance conversion from a group policy into an individual policy: Arkansas, Ark. Code Ann. §23-83-122; California, Cal. Ins. Code §10209(b); Delaware, 18 De. Code Ann. Tit. 18 §3125; Georgia, O.C.G.A. §33-27-5; Illinois, 215 Ill. Comp. Stat. Ann. 5/231.1(h); Massachusetts, Mass. Gen. Laws ch. 175 §134A; Minnesota, 61A.09, subd. 1(h); New Jersey, N.J. Stat. Ann. §17B:27-73; New York, N.Y. Ins. Law §4216(d); Pennsylvania, 40 Pa. Cons. Stat. Ann. §532.7; Tennessee, Tenn. Code Ann. §56-7-2305(c).)

What the Heck is ERISA?

What the Heck is ERISA?

Even after completing law school, most lawyers have no idea what ERISA is other than a vague impression that it involves employee benefits and that they should consult an expert if they encounter it. If you are not a lawyer, the first time you hear “ERISA” is likely to be only if you’ve been denied some type of benefit that was provided by your employer.

            So what the heck is ERISA?

            ERISA is an acronym for the “Employee Retirement Income Security Act,” a federal law enacted in 1974 that sets minimum standards for employee benefit plans including: pension plans, long and short-term disability plans, health insurance plans, life insurance plans and other types of employee benefits. ERISA requires plans to provide participants (typically employees or their dependents) with certain information about the plans such as what benefits are provided, how to apply for them and what to do if benefits are denied. The ERISA law also sets out standards of fiduciary conduct for those people who manage and control plan assets.  The fiduciary standards are meant to assure that people who are plan fiduciaries act in the best interests of the plan participants as a group.  ERISA also gives participants certain rights to sue for benefits or to sue if the fiduciary breaches a duty to participants.

What Does an Attorney who Focuses on ERISA Do?

            As attorneys working on ERISA matters, we help people obtain benefits through their employee plans. This could mean helping a person with a disabling condition who cannot work apply for disability benefits.  It could mean helping a person appeal to the insurer if they do not get approval for medical care they need.  It might mean challenging the decision of a life insurance company if it denies the proceeds from an employer-provided life insurance policy. Practicing in the area of ERISA might mean assisting a retiree to get the correct amount of monthly pension payments after he or she retires.

Here at the Law Office of Katherine MacKinnon we really enjoy helping people get the benefits they need and are entitled to receive.