Legal Guide

Average Settlement for Denied Life Insurance Claims in Alberta

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Average Settlement for Denied Life Insurance Claims in Alberta

When your life insurance claim is denied, the financial shock can be devastating. You've paid premiums for years, your loved one has passed, yet the insurer refuses to pay the death benefit.

But denials are rarely final. In Alberta, most denied life insurance claims are negotiated and settled, often for hundreds of thousands of dollars—sometimes more than the original policy value.

Settlements depend on the policy's value, the insurer's conduct, and the strength of your evidence. Strong cases can lead to recovery beyond the original benefit, including interest, legal costs, and bad-faith damages.

As Alberta insurance-litigation lawyers who previously defended insurers, we understand how companies assess risk and why they settle quickly when challenged. This article explains how settlements for denied life-insurance claims work, what influences payout values, and what Alberta families can expect when fighting back.

This guide covers:

What is a life-insurance claim
Common reasons for denial
How life-insurance settlements work
Average settlement ranges in Alberta
Factors that affect settlement value
How lawyers calculate settlement value
Steps to take after a denial

What Is a Life-Insurance Claim?

Life insurance pays a death benefit upon the insured's passing. Alberta families often have multiple forms of coverage:

Types of Life Insurance:

Group Life InsuranceCoverage provided by an employer or association, typically limited to $50,000–$500,000 and governed by standard group policy rules.
Individual Life InsurancePrivately purchased, often requiring medical disclosure and underwriting, with typical benefits ranging from $250,000 to several million.
Mortgage or Credit Life InsuranceLinked to a loan balance or mortgage, these policies are narrower in coverage and often contain broad exclusions.

Common Insurance Challenges in Alberta

Most life-insurance denials follow familiar patterns. Insurers often rely on:

1

Alleged Misrepresentation

Insurer claims the application contained false or incomplete information.

2

Two-Year Contestability Period

Deaths within two years of policy issuance are subject to heightened scrutiny.

3

Pre-Existing Medical Conditions

Insurer argues the condition existed before coverage and wasn't disclosed.

4

Policy Lapses

Non-payment or missed premium deadlines.

5

Suicide Exclusions

Policies often exclude suicide during the early policy term (typically two years).

6

Administrative Mistakes

Missing beneficiary forms or incomplete documentation.

Key point: While these explanations sound final, Alberta law requires insurers to prove a denial was justified and made in good faith. Many denials collapse under scrutiny.

How Life-Insurance Settlements Work

When an insurer denies a claim, families can challenge the decision through legal representation. Most cases resolve through settlement, not trial.

Denial Received

The insurer sends a formal letter explaining its reasoning.

Policy Review

Your lawyer obtains the complete policy, application, and claim file.

Evidence Gathering

Medical, financial, and procedural inconsistencies are identified.

Negotiation

Once strong evidence is presented, insurers reassess liability.

Settlement or Reinstatement

The insurer pays the full or partial benefit, often with interest.

Has your life-insurance claim been denied?

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Steps to Take After a Life Insurance Denial

Following these steps immediately after a denial can significantly strengthen your case and protect your rights to compensation.

Request the Denial Letter in Writing

The insurer must provide a written explanation of the denial with specific policy references.

Gather All Policy Documents

Collect the complete policy, application, and all correspondence with the insurer.

Preserve Medical Records

Obtain medical and coroner's reports related to the cause of death.

Document Premium Payments

Gather proof of all premium payments to show the policy was active.

Contact an Alberta Life Insurance Lawyer

Early legal involvement ensures evidence is preserved and deadlines are met.

How a Lawyer Increases Settlement Value

An experienced Alberta insurance lawyer provides both leverage and clarity in negotiation.

Obtain Internal Claim Files

Obtain the insurer's internal claim notes and underwriting file.

Identify Supportive Policy Wording

Identify policy wording that supports your position.

Secure Independent Expert Opinions

Secure independent medical and legal opinions.

Quantify Bad-Faith Damages

Quantify potential bad-faith damages.

Negotiate Aggressively

Negotiate aggressively for full recovery.

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Frequently Asked Questions

Conclusion

Life-insurance denials are not the end of the story — they're the beginning of a negotiation. Alberta families routinely recover substantial settlements when insurers are challenged with evidence and legal expertise.

Denials can be overturned, and settlements often exceed initial policy amounts.

Strong documentation and legal representation increase payout value.

Alberta courts penalize insurers for delay and bad faith.

Still have questions? Contact us today — your consultation is free.

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