Lawsuits for Policy Payments Due to Disability

Throughout life, various dangers lurk at our doorstep that may harm our health and cause significant damage to us and our loved ones. Those of us who have been wise enough to understand that our health has no substitute have certainly taken care to purchase various insurance policies that can cover the multitude of problematic situations that befall our lives.

There are different types of insurance policies that provide insurance coverage in the event that physical damage is caused to the insured: an insurance policy for disability from serious illnesses, a personal accident insurance policy, life insurance, and more.

When should lawsuits be filed according to the aforementioned policies?

The statute of limitations period for lawsuits filed against insurance companies according to insurance policies is 3 years, meaning the lawsuit can be filed up to 3 years from the date of the accident or illness.

The statute of limitations requirement is fulfilled only upon filing the lawsuit with the court. Therefore, it is not sufficient to approach and submit a claim to the insurance company, unless an explicit written consent has been obtained from the insurance company to extend the statute of limitations period as stated.

Handling lawsuits according to insurance policies for personal injury damages caused to the insured requires the experience and expertise of an attorney who is knowledgeable and specializes in this field, together with the assistance of appropriate medical experts. Therefore, it is recommended to contact our office, which specializes, among other things, in claims for insurance benefits in order to receive legal consultation and handling of the lawsuit from the initial stage and upon the occurrence of the insured event.

Insurance companies operating in Israel offer their clients the option to purchase a private insurance policy covering cases of disability, illness, and death. These are private insurance policies that anyone can purchase and pay for according to their needs and personal data. Therefore, this is not an identical policy for each and every insured person, but rather a specific insurance policy that is specifically tailored for the client, according to their various personal data such as age, income level, profession, health condition, etc.

For example, an insurance policy for disability from illnesses will insure you against a case of disability in the event that you suffer from a serious illness. According to this policy, you will be entitled, upon the occurrence of the insured event, to a one-time payment according to the amount of the insured sum and the terms of the policy. In the case of disability as a result of illness, you will be paid the full insurance amount only in the case of total disability, as defined in the policy. In the case of partial and permanent disability, a partial amount from the insured sum will be paid, according to the disability percentage that was determined.

In a personal accident insurance policy, coverage will be provided only for personal injury damages caused to the insured as a result of an "accident." The insurance policy itself defines in advance which case will be considered an accident for insurance purposes and which will not be considered an accident.

The disability percentage caused to the insured according to the aforementioned policies is determined based on medical documents and medical opinions. Insurance companies base their determination regarding the disability percentage on medical opinions provided by experts on their behalf, which often are strict with the injured party. Therefore, in many cases, submission of a medical opinion on behalf of the insured is required. In many cases, a medical expert will be appointed to serve as an agreed arbitrator regarding the determination of the insured's medical condition.