Leslie Scism
speaker
504 appearances
9 recordings
1 series
first heard Sep 2017
last heard May 2023
Leslie Scism’s voice in public audio — every appearance, attributed to the second.
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Appearances
WSJ Your Money Briefing · How Paperwork Errors Cost Families Life-Insurance Payouts · 24 May 2023
podcast
The employer had been deducting the premium amounts from their paychecks and forwarding that amount to the insurance company, but Prudential had never verified that all these people had been approved for their life insurance.
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So when the death claims came in, Prudential looked in its files and said, we never approved these people for their life insurance, so we have to deny the claim.
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We're talking group life insurance that is provided by employers as a benefit.
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There's usually a basic amount of life insurance, a form of term life insurance.
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It's usually one or two times the employee's salary.
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then the employer makes available what's called supplemental life insurance, which is an amount of insurance above the basic amount.
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Typically, employees pay for some or all of this supplemental life insurance, and some of it may require going through a qualification process.
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Some employers dropped the ball and did not provide the health form for their employees to fill out for this supplemental amount of coverage.
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But the employers tally up how much premium they owe the insurance company from these workers.
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The employers went ahead and put down these workers as paying for their supplemental insurance fees.
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though the insurance companies were never provided the forms for these people.
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So the insurance companies had never approved it.
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However, there was no system of talking between these employers and the insurance companies as to which specific employees had filled out these forms.
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The insurance companies were receiving aggregated premium, you know, a lump sum of premium from all of the workers who were paying for their insurance.
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But there wasn't a system for them to distinguish which people had been properly approved for their insurance.
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The Labor Department says it determined that Prudential had denied more than 200 death benefit claims in recent years, totaling as much as $7 million.
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In instances where people had been paying for their insurance, the employer had been deducting the premium amounts from their paychecks and forwarding that amount to the insurance company.
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But Prudential had never verified that all these people had been approved for their life insurance.
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So when the death claims came in, Prudential looked in its files and said, we never approved these people for their life insurance, for their supplemental life insurance.
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So we have to deny the claim.
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