At Disability Insurance Law Group, our St. Petersburg accidental death and dismemberment (AD&D) claim attorneys represent policyholders and their family members in Florida and nationwide when an accidental injury or death has changed their lives.
AD&D policies are often sold as an opportunity to significantly increase a life insurance policy’s value and the financial security the family or beneficiary stands to receive or to protect those who survive their accidents but suffer dismembering injuries as a result.
However, the conditions for AD&D policies are a lot more restrictive than most insurance policies. They are meant to cover only accidental deaths and dismemberment injuries.
While the narrower terms of coverage make AD&D insurance affordable, they also give the insurance companies more ways to deny entirely justified claims, thereby limiting how often and how much they pay out. Since the definition of an “accident” varies by policy and insurer, insurers frequently review these claims subjectively and routinely take advantage of loopholes to deny AD&D claims wrongly.
For 50 combined years, our Pinellas County AD&D lawyers have fought against virtually every insurance company and their attempts to limit which accidents are covered so they do not have to pay what their policyholders are legally entitled to.
If the insurance company is disputing or has already denied your AD&D claim, contact us today to learn more about your legal rights and options to hold your insurer accountable for your benefits.
AD&D insurance provides coverage in the event of accidental death or specific injuries that result in dismemberment, such as the loss of a limb or the loss of sight or hearing.
Accidental Death and Dismemberment compensation is typically calculated based on the terms and conditions specified in an insurance policy or contract.
Although all AD&D claims are unique in language, here is a general overview of how AD&D compensation is typically calculated:
The insured person selects a coverage amount when purchasing an AD&D insurance policy. This is the maximum amount that will be paid out in the event of an accident. The coverage amount can vary depending on the policy and the individual’s preferences.
AD&D policies include a schedule of losses that outlines specific benefits for various injuries or losses. The schedule typically assigns a percentage of the coverage amount to each type of injury or dismemberment.
Common examples include:
There are different schedule of loss percentages for partial losses, such as the loss of one hand or one foot, and each potential percentage amount may vary depending on the terms and conditions of the policy and the extent of the injury.
If the insured person experiences a covered accident, the insurance company will calculate the compensation based on the schedule of losses and the coverage amount.
For example, if the coverage amount is $100,000 and the insured loses one limb (covered at 50%), they would receive $50,000 as compensation.
AD&D policies may have exclusions and limitations in determining a valid claim. Standard exclusions include deaths or injuries resulting from pre-existing medical conditions, self-inflicted injuries, or injuries sustained under the influence of alcohol or drugs. It is essential to carefully read and understand the policy terms to know what is covered and what is not.
Some AD&D policies offer optional riders or enhancements that increase coverage or provide additional benefits for specific situations.
If you have suffered a dismembering injury or have lost a loved one to an accidental death, contact our St. Petersburg AD&D insurance claims attorneys today to discuss your needs during a free consultation. No matter where you live or work in the U.S., we are here to help you hold your insurance company accountable for paying the benefits you are owed.
To ensure you understand your legal rights and options to pursue a claim, contact our skilled St. Petersburg AD&D insurance claims attorneys. We will review your policy, its coverage inclusions, and exclusions, and help you strategically pursue the benefits you are entitled to under your unique contract.
Contact our skilled accidental death & dismemberment attorneys in St. Petersburg today by calling 954-989-9000 or contact us online to schedule a free and confidential case assessment so we can put our over 50 years of combined experience to work for you.
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