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Return-of-premium life insurance pros and consIf you outlive your policy's term, you get your premium payments back. The returned money isn't taxed since it's not income, but simply a return of the payments you made.
Reimbursement: Private health insurers or public payers (CMS, VA, etc.) may reimburse the insured for expenses incurred from illness or injury, or pay the provider directly for services rendered. It is often misunderstood that coverage of a condition equates to full reimbursement for these services.
1. When insurer elect to set aside the contract on the ground of innocent misrepresentation, non-disclosure, concealment or mistake, the assured is entitled to the return of the premium, in absence of fraud on his part and of any express conditions to the contrary; 2.
The money is then paid as a term life insurance claim at the time of settlement. Through premiums, the insurance company earns interest and return on investment. Sometimes, the amount of investment income can surpass the cost of insurance claims.
Most insurance companies generate revenue in two ways: Charging premiums in exchange for insurance coverage, then reinvesting those premiums into other interest-generating assets. Like all private businesses, insurance companies try to market effectively and minimize administrative costs.
Under California law, if a provider does not contest a notice of overpayment, he or she is required to reimburse the insurance plan for the amount requested, within 30 working days of receipt of the notice.
Generally, an insurance company may not recoup that payment from the provider unless the provider engaged in fraud or misrepresentations regarding the services provided, or unless it is otherwise clear that the provider is not entitled to be paid on the claim. California case law has established that payors may not
In life policies premiums are payable in advance. The Long-term Insurance Act prescribes that if premiums are not paid on due date there should be a grace period of at least 15 days before a policy lapses. Insurers may grant a longer period, often 30 days.
The insurance carrier usually makes the overpayment, but sometimes the patient makes it. In either case, it is important that the overpayment be promptly returned to the appropriate person or payer. If a patient pays more than they are required to, the patient must be notified as soon as the overpayment is discovered.
If the insurance company overpays:Contact the insurance company.Ask the insurer to explain the payment when they request a refund.If there was an overpayment, ask the insurer to reprocess the claim and send a formal request for the overpayment.