My First Death Claim

His only defense is that the insured, at the time of application, told him he was going to keep both policies. But, that wouldn't work if he did not indicate on the application that there was another policy in force.:err:


He helped the client cancel his LH policy. He knew full well what he was doing.
 
That's not what he is saying. Personally I love the Ky law. But that's another subject.

If the agent writes a policy in Ky that is a replacement and writes it with a company that does not do replacements in Ky they cannot send in a replacement form or the policy won't get issued.

I didn't know that Shandoah didn't do replacements here and about 7 years ago I sent in an application with replacement forms to them. They sent everything back to me saying they would not accept it.

Now, had I known that and wanted to just get the policy issued I could have checked "no" on the replacement question and the policy would have been issued.

If the person had dies i the contestability period Shenandoah would have found out that that they could not contest it because of the law. It wouldn't matter that the agent had not done the forms. The law supercedes the agent's actions.

I would than be in real hot water. I would definately lose my contract with Shenandoah and maybe my license completely. I don't know if E&O would cover me. I suppose they would if I didn't know they replacing? That's why we have to send in a replacement form in Ky with every app if they have insurance. Even if they are not replacing we have to note that they do have insurance and it's not going to be replaced. The client has to sign that form indicating that they are not replacing and we have to give them a copy of it.

Do agents do replacements in Ky and not follow these rules? Yes, they do. Most of the time they don't get caught because the person lives 2 years or they claim was one that would have been paid regardless.

Newby and I know of a guy that replaced an LH policy that he had written with a Settlers policy, {they don't do replacements here}, and the guy died about a month later. Settlers was going to contest and found out they couldn't. That agent is in deep shat!:yes: I don't even know what all is going to happen to him. he can't write business with anyone at the present. I can't imagine that his E&O will pay as he had to know he was replacing business. He has claimed to the Dept. of Ins that he did not know. But, com'on, he wrote the replaced policy.


Okay so the agent isn't screwing the client just the carrier by fraudelently submitting the app...Maine Requires a replacement form on all life and annuity sales regardless of a replacement occuring. A policy is not going to change my income....Well let me restate that by following the rules and losing a sale isn't going to change my income but having contracts cancelled for cause sure will screw with me.
 
Okay so the agent isn't screwing the client just the carrier by fraudelently submitting the app...Maine Requires a replacement form on all life and annuity sales regardless of a replacement occuring. A policy is not going to change my income....Well let me restate that by following the rules and losing a sale isn't going to change my income but having contracts cancelled for cause sure will screw with me.


Right, the carrier is the one on the hook because of the agent's actions. Actually they are on the hook regardless, they issued the policy. It does take away their right to contest it though.

It really shouldn't be such a big deal to the companies. If they didn't abuse the contestability period agents probably wouldn't pull stuff like that.
 
Right, the carrier is the one on the hook because of the agent's actions. Actually they are on the hook regardless, they issued the policy. It does take away their right to contest it though.

It really shouldn't be such a big deal to the companies. If they didn't abuse the contestability period agents probably wouldn't pull stuff like that.

I thought Newby said that if the form wasn't filled out, the company could still contest and that it would come back on the agent and his E&O?
 
I thought Newby said that if the form wasn't filled out, the company could still contest and that it would come back on the agent and his E&O?

The company cannot contest the claim if it was a replacement regardless if a form was filled out or not. The company can then go after the agent. The agent was working on behalf of the company. The company has to abide by what the agent did on their behalf.

I suppose E&O would protect an agent if he truly didn't know there was a replacement.

Fortunately I've never had to test it.:):)
 
The company cannot contest the claim if it was a replacement regardless if a form was filled out or not. The company can then go after the agent. The agent was working on behalf of the company. The company has to abide by what the agent did on their behalf.

I suppose E&O would protect an agent if he truly didn't know there was a replacement.

Fortunately I've never had to test it.:):)

I must have misunderstood.

Tennessee is not a NAIC state. However, I always fill out replacement forms if there is existing coverage, regardless of there is a replacement. I see it as CYA. "I told your dumb a$$ not to drop coverage."
 
I must have misunderstood.

Tennessee is not a NAIC state. However, I always fill out replacement forms if there is existing coverage, regardless of there is a replacement. I see it as CYA. "I told your dumb a$$ not to drop coverage."


Yeah. Even in that case that Newby was tlking about Settlers paid the claim even thought the guy only had the policy a month. They were going to contest it best I remember until Newby got involved.

Settlers brought Newby into the mix as he is one of their top agents. The guy that wrote the policies is local to me. The family claims they didn't even know that he changed the policies. Just came by for a review and had Dad sign some routine forms. I'm sure there is another side. Just haven't heard that one.
 
Several will not do replacements in Ky. I know that AmAm, LH and Settlers won't allow replacements in Ky. Shenandoah wouldn't when they were in business.

There's probably more that won't. Some of them seem to not know about the rule and only realize it when there is a calim and then they stop doing replacements. AmAm did replacemtns here until a bout two years ago. We got an email one day that said, "effective immedaitely we will not issue a policy in the state of Ky that involves replacement".

Don't know what prompted it. Must have had a claim?
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You never know what goes through people's minds. I did a pretty good sized deal today, about $140/mo premium. Did one with the POS interview and everything went along fine. Pretty good guy. he and I hit it off well. Replaced a Globe policy.

As I was going down the steps to leave he says, "now, if I pull out a gun and blow out my brains tomorrow you will see that my son gets that $25000?".:goofy:

If someone jokes about shooting himself again tell him to shoot better than this guy did this week: from the Tulsa police department - fourth shot worked.

"A kidnapping suspect shoots himself four times in the head during a standoff with police."


Police say the ex-wife might've been trying to wrestle the gun away from Moses when he accidentally shot himself in the chest. As for the next four shots, they say he did those on his own.
Police say he first shot himself under the chin. That bullet exited his face and went into the ceiling. They say he did that twice more with the same result. Then a fourth shot entered his neck, severed his spinal cord and killed him.
 
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Had a client call me to do a Million dollar term. wanted the cheapest I had. ART or 5 year. We already had $750,000 on him. He asked me about the contestability and suicide clause. He decided not to buy it.

Less than a week later he ate his gun in front of the cop shop sitting in his cruiser.

We delivered the check a week later.
 
Yeah. Even in that case that Newby was tlking about Settlers paid the claim even thought the guy only had the policy a month. They were going to contest it best I remember until Newby got involved.

Settlers brought Newby into the mix as he is one of their top agents. The guy that wrote the policies is local to me. The family claims they didn't even know that he changed the policies. Just came by for a review and had Dad sign some routine forms. I'm sure there is another side. Just haven't heard that one.

No Settlers didn't bring me in to it and I'm NOT a huge volume Settlers agent (mainly because we can't use them in Kentucky if there is replacement).

The son of the guy that died sent in an FE lead and when I met with him this had just happened (the dad died). He didn't know the agent switched companies on them and he SAYS they dad didn't either. The son said he was there when the agent came out to review.
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Here is the Kentucky law. http://www.lrc.state.ky.us/krs/304-12/030.pdf

Read page two carefully. That is the unique part about Kentucky's law.
 
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