Legal Question in Insurance Law in North Carolina

Death in the family Insurance does not want to pay.

A few years ago my father passed. He had recently bought a Vehicle. He had gotten life insurance for this vehicle and a few months later had to renew it for some reason. We have reason to believe that the Vehicle dealer did not submit the new Insurance form. When he passed my family went to let the dealer know so that they could pay off the vehicle and they gave us a new insurance form and told us to fill it out. Then they stated that since he had previous medical conditions that they would not pay it off. When I called the insurance agent they stated they did not have a form for him theat it had been canceled a year prior and never renewed. which is why wh believe they never sent in the updated form eventhough we were paying for accidental death payoff. The attorney in town do not want to deal with the situation without an outragious retainer fee which she cannot afford. Do you feel we have a case for getting them to pay off the vehicle and if so could you recommend someone that works off contingency. my family is still paying payments on this vehicle but feel that they should not have to. Please reply,


Asked on 2/10/02, 11:24 am

1 Answer from Attorneys

John Kirby Law Offices of John M. Kirby

Re: Death in the family Insurance does not want to pay.

This is a very complex question. First, we would need the insurance policy your father bought (or intended to buy). Many policies do have certain exclusions for pre-existing conditions. If this policy had such a provision, and if your father died from this condition, then I do not see that there is a claim, regardless of whether the policy was obtained by the dealer. (I might also want to know what representations were made by the dealer, or the insurer, about the coverage and exclusions, as that could conceivably give rise to some other claims if he was mis-informed.) If, however, the policy did not have such an exclusion, then your father should have the coverage, and should have a claim against the dealer, or insurer, or both, depending on what representations were made by both and who dropped the ball. In fact, these situations often give rise to claims for "unfair and deceptive" trade practices, which can give you treble damages and attorneys fees. (I will note that at a minimum, i the policy was not in fact purchased by the dealer, and if your father paid for it, then he (or his estate) should have a claim for those premium amounts, regardless of the pre-existing condition issue). I would encourage you to keep looking for a lawyer, and to get a copy of the insurance policy. It is not unreasonable for the lawyer to want a retainer fee, but you may be able to do better with some shopping around.

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Answered on 2/10/02, 5:00 pm


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