will ins deny this claim?

by tampasrt » Wed Jun 03, 2009 03:12 am

Hello all,

Please advise your opinion on the following:

College student who was in same state as parents, now lives out of state due to training with a company. The company has initially stated that the now post-college student would be living in the new state for a few months and then likely transfered again to another state.

Meanwhile, student grad back in 2008, not enrolled into a grad school yet, but was still claimed as a dependent by her parents on 2008 taxes bc she was in school for over 6mo of the 2008 year.

Sorry for all the preamble, but girl is involved in accident. ins company finds her at fault, agrees to pay out claim on her car and who she hit. The girl and parents are debating on whether to pay out of pocket for her car and not file claim or to file claim and have ins pay...in doing so ins. co. sends out letter asking what they are doing with the car and have 10days to reply. In same letter, ins. co. asks about good-student discount letter.

That said, is ins. co. baiting family to know about full-time student status? apparently, the girl is under parents policy as a student. Technically, since she is not in grad school, is she and the family at risk because they have no current transcripts to turn in? would ins company still process claim or halt at this point and deny claim? renewal is not up until Nov of 2009, so would she still be eligible under the insurance until renewal or was she kicked off as soon as she grad?

This is very tricky bc with the relocating of the company, the family did not want to jump out to get new ins. since likely she could be relocated back to home state. If family process claim and seeks new insurance for the girl on her own, is that the smartest option??

Please help, professional opinion valued!

Total Comments: 2

Posted: Wed Jun 03, 2009 04:01 am Post Subject:

Hi Anonymous10,

If the parent's insurance company has agreed to pay the claim then what is the issue?

Dependent or not, normally the insurance would require all the qualified drivers of a household to be named in the existing policy. If the girl is going to drive the parent's vehicle regularly, she needs to be listed in it.

'Good student discount' would only lower the premium payment but the company would ask for full-time student status to make the offer.

Please, let me know if I have missed out on any point.

~Jeremy

Posted: Wed Jun 03, 2009 12:11 pm Post Subject:

Yes they have agreed to pay the claim up to this point.

The concern lies with the ins. co. taking the approach of "She at the time of the accident was no longer a student. Although listed under the parents policy, she was not currently enrolled anywhere as a full time student and therefore should have had her own ins."

Would or could the ins. co. take that approach since she had been out of school for over 6mo. at the time of the accident? And at that point deny the claim and pass the amount already paid out onto the family?

I mean she is on the insurance policy of the parents through and through, but she just isnt a student anymore (trying to be for grad school, but needs work exp. for at least 1yr. at most colleges before she can enroll)

Add your comment

Image CAPTCHA
Enter the characters shown in the image.