Top

A $75,000 Denied Sammons Life Insurance Claim Won

|

Our life insurance attorneys successfully recovered a $75,000 death benefit after the insurer denied the claim based on alleged high-risk foreign travel. The insured had traveled to a country experiencing political unrest that appeared on the U.S. Department of State travel advisory list. The insurer argued that the trip was not disclosed and that the death fell outside coverage. After a detailed policy review and legal challenge, the denial was overturned and the full benefit was paid to the beneficiary.

This case highlights how insurers often misuse travel related policy language to deny claims, even when the policy does not clearly exclude coverage.

Can Travel to a Dangerous Country Lead to a Life Insurance Denial?

Yes, but only in limited circumstances. Life insurance claims are not automatically denied because the insured traveled to a dangerous country. A denial is only valid if one of the following applies:

  • The policy contains a clear geographic exclusion that applies to the country

  • The death resulted from an excluded risk such as war or terrorism

  • The insured made a material misrepresentation about travel during underwriting

Absent one of these factors, travel alone is not enough to justify denial.

How Insurers Use Travel Advisories to Deny Claims

Insurers often rely on travel advisories issued by the U.S. Department of State to argue that a region is inherently excluded. However, travel advisories do not override policy language. A policy must explicitly tie coverage exclusions to travel warnings or designated regions.

Common insurer arguments include:

  • Claiming nondisclosure of travel plans voids the policy

  • Treating travel advisories as automatic exclusions

  • Equating political unrest with war or terrorism exclusions

  • Applying exclusions that only exist in accidental death riders

Courts generally reject these arguments unless the policy language clearly supports them.

Travel Disclosure and Material Misrepresentation

Insurers may attempt to rescind a policy if they believe the insured failed to disclose planned or frequent travel to high risk regions. For a denial to stand, the insurer must show:

  • The application specifically asked about travel

  • The insured provided an inaccurate answer

  • The information would have changed underwriting

  • The misstatement was material to the risk

If the application did not ask about travel, or if the travel was incidental, nondisclosure is often not a valid basis for denial.

In the Sammons case, the policy application did not clearly require disclosure of future travel, and the exclusion relied upon by the insurer did not apply to the actual cause of death.

Travel Versus War and Terrorism Exclusions

Many life insurance policies exclude deaths caused by war, military conflict, or acts of terrorism. Insurers sometimes try to stretch these exclusions to cover deaths that merely occurred in unstable regions.

A valid exclusion generally requires proof that:

  • The death was directly caused by war or terrorism

  • The insured was an active participant

  • The policy clearly defines the excluded activity

Mere presence in a country experiencing unrest is not enough.

How We Overturned the Sammons Denial

Our review focused on:

  • Whether the policy actually excluded the country

  • Whether the travel advisory was incorporated into the policy

  • Whether disclosure of travel was required at application

  • Whether the cause of death matched any exclusion

Once these issues were addressed, the insurer could not justify its denial under a fair reading of the contract. The full $75,000 benefit was paid.

When Travel Based Denials Can Be Challenged

These denials are often reversible when:

  • The policy lacks a clear geographic exclusion

  • Travel advisories are not incorporated into the policy

  • The application did not require travel disclosure

  • The death was unrelated to war or terrorism

  • The insurer relies on vague or implied language

Insurers frequently assume beneficiaries will accept travel based denials without scrutiny. That assumption is often wrong.

Help With Denied Life Insurance Claims Involving Foreign Travel

Foreign travel denials are complex and commonly mishandled by insurers. They require careful analysis of policy language, underwriting questions, and the actual cause of death.

Our firm focuses exclusively on denied life insurance claims nationwide. We regularly overturn denials involving foreign travel, travel advisories, geographic exclusions, and alleged nondisclosure.

We offer free consultations and handle all cases on a contingency basis. There are no fees unless benefits are recovered.

Do You Need a Life Insurance Lawyer?

Please contact us for a free legal review of your claim. Every submission is confidential and reviewed by an experienced life insurance attorney, not a call center or case manager. There is no fee unless we win.

We handle denied and delayed claims, beneficiary disputes, ERISA denials, interpleader lawsuits, and policy lapse cases.

  • By submitting, you agree to receive text messages from at the number provided, including those related to your inquiry, follow-ups, and review requests, via automated technology. Consent is not a condition of purchase. Msg & data rates may apply. Msg frequency may vary. Reply STOP to cancel or HELP for assistance. Acceptable Use Policy