Sorry, your travel insurance doesn’t cover mother-in-law’s death

Stack of paperwork. / Photo by Jenni C – Flickr Creative Commons
It’s been a while since I mediated travel insurance claim, and at first glance, Dennis Puskaric’s looked like a slam-dunk.

Puskaric and his wife were vacationing in Oregon when they received the sad news that his mother-in-law had died. They had to fly back to Pennsylvania immediately, and they assumed that since they’d purchased an Allianz policy through Delta Air Lines, the claims process would be little more than a formality.

It wasn’t. Instead, his claim for a return of his lost airline miles, rental car and hotel bills, was summarily rejected by Allianz. Not only had his two-week vacation been reduced to two days, but he now had $3,468 in additional expenses that Allianz refused to cover.

“Please help me,” he wrote.

After looking at his claim, I thought it was worth a try to advocate for the Puskarics. They’d made a good-faith effort to insure their trip, and couldn’t have foreseen Mom’s death.

What’s more, there’s a precedent for refunding miles lost as a result of an insurance claim, and the fact that the policy was purchased through Delta’s site would give the average traveler the impression that they’d be covered.

So I contacted Allianz.

Here’s its response:

We are very sorry to learn of the loss of Mr. Puskaric’s family member and we wish him and his family the best.

Under the terms of Mr. Puskaric’s travel insurance policy, he was covered for the unused part of his prepaid travel expenses and the extra out of pocket costs for reasonable transportation expenses to return home if he needed to interrupt his trip.

As the additional hotel and meal expenses he claimed were not prepaid expenses, we’re not able to reimburse him for those costs. Our review also shows that the rental car company charged him only for the days he was driving the car.

As Mr. Puskaric used frequent flyer miles to change his travel plans, he did not incur an out of pocket expense and therefore does not have a reimbursable claim.

Had Mr. Puskaric called us before he changed his plans, we would have advised him to pay for his flight change. We would have been happy to reimburse him for that out of pocket cost as well as the fee the airline might charge him to redeposit his frequent flyer miles.

Am I happy with that response? No. Neither is Puskaric.

“This is the identical response that I had received,” he says. “Can you persuade them to quit writing the company line and do a serious review of my claim?”

The short answer is: no. Short of taking the company to court, this is probably the best I’ll be able to do. I find that upsetting.

Before I get to my rant about travel insurance — wait for it! — let’s underscore the takeaway for the rest of us.

When you think you have to make a travel insurance claim, talk with the insurance company first. When possible, get any promises made by phone in writing so that there’s no possibility of a misunderstanding.

And yes — assume nothing.

Regarding this case, I think Allianz missed an opportunity to show that even though the contract can be interpreted in a way that allows it to deny a claim (which all contracts do, inevitably) that it understands good customer service.

Sure, Puskaric should have phoned Allianz, but should he have to pay $3,468 for that mistake? I don’t think so.

Stories like this give consumers a reason to believe travel insurance isn’t worth the paper it’s printed on, which is unfortunate. I believe there are times when an honest travel insurance policy can protect you from unexpected events when you travel.

The repeated rejection of Puskaric’s claim doesn’t exactly build confidence in travel insurance products.

  • http://www.facebook.com/CarverFarrow Carver Clark Farrow

    There are no facts or innuendos to support even a musing that he say his mother in laws death as an opportunity to make money, especially as the claim is for the return of miles, not the cash value of the miles.

  • http://www.facebook.com/CarverFarrow Carver Clark Farrow

     It is highly unlikely that the insurance company is going to pay 3 1/2 cents for miles.  That’s the, for lack of a better word, “retail” amount.  As a merchant, it would purchase miles at a substantively lower price.

  • http://www.facebook.com/CarverFarrow Carver Clark Farrow

     It seems like Tony was actually questioning a comment made by pradcliffe.  It appears to me to be a reasonable question particularly since Delta doesn’t seem involved in this transaction except tangentially.

  • http://www.facebook.com/CarverFarrow Carver Clark Farrow

    But that’s a red herring.  The OP wasn’t denied because he didn’t call the insurance company.  The insurance company denied his claim because it simply wasn’t coverable under the contract.  Nowhere does it suggest that he needed preapproval to pay cash for this return ticket.

  • http://www.facebook.com/CarverFarrow Carver Clark Farrow

    Mike,

    I agree with you.  Knowing how insurance companies speak and write contracts, I would say that they aren’t requiring preapproval, but rather that the OP was not aware of the contractual requirements, i.e. cash is reimburseable, miles are not, and they would have advised him to use cash so that he would have received a cash reimbursement as well as the redeposit fee for the miles which would fully compensated the OP.

  • TonyA_says

     I also agree.

    It is WISE to call the insurance company but it is NOT REQUIRED.

    Their policy (those that I read) actually says that you need to call the TRAVEL SUPPLIER (and not them) so you can get the maximum possible REFUND due to cancellation of your travel plans.

  • TonyA_says

     I also agree.

    It is WISE to call the insurance company but it is NOT REQUIRED.

    Their policy (those that I read) actually says that you need to call the TRAVEL SUPPLIER (and not them) so you can get the maximum possible REFUND due to cancellation of your travel plans.

  • Cybrsk8r

    And does anyone here, anyone at all, think the company wouldn’t have used every possible loophole to weasel out of it?

  • Michael__K

    @bodega3:disqus   
    I won’t play your game.  You call the insurance company BEFOREHAND. “I didn’t think this was a game.  You put forward an assertion about the insurance contract:

    You can’t just get any priced ticket to get home without their approval.

    Yet you can’t show that the contract has any such requirement. What entitles you to impose your own external demands on insurance customers to go above and beyond the one-sided contract they already face?

  • Michael__K


    what is Delta supposed to do in that case?

    Delta sold the insurance and presumably earned a commission.  It’s reasonable to expect them to understand the terms of the insurance they sold as well as the implications when their client needs to make changes to their insured itinerary for a covered reason.  And it’s reasonable to ask them to advocate on behalf of their client.

  • Michael__K

    Thanks for digging and discovering all that.

    Re:

    The only obligation of the OP is: You need to contact your travel suppliers within 72 hours of canceling or interrupting your trip to qualify for the largest reimbursement possible.

    I saw that too, and it makes me wonder: if you purchase travel insurance through Delta, is that not visible to any Delta ticket agent?  Is there not some expectation that they are aware of and understand the terms of the insurance that they sold?  And that they give the passenger proper advice once they are contacted and notified that a trip is being interrupted for a likely covered reason?

  • Ed Boston

    Based on the story, either there were no loopholes or they decided not to as they admitted he was covered.

  • TonyA_says

    The Delta ticket AGENT has nothing to do with the travel insurance. These kind of peripheral add-ons are not part of a reservation. (Note: a hotel,car, and even cruise reservation can be part of a PNR.)

    Also, in my opinion, if you ask an airline employee any question about travel insurance, their response will be for you to contact your insurance provider directly.

    A trained brick and mortar agent will probably do more for the customer. First, they can help you choose. Then, if you have to file a claim, they can help you DOCUMENT the claim. There’s a ton of paperwork involved in a claim that goes beyond a simple e-ticket receipt (assuming the passenger even bothered to print that and keep a copy somewhere).

    Mike, I went to sleep last night thinking of this case. I woke this morning still thinking of this case. The sad reality (which this case brings to light) is we must be ready to SELF INSURE a big chunk of our travel plan. In my opinion, many of these travel insurance sold like candy on a checkout counter are not worth it. If you buy travel insurance, you need to do a lot of homework. THIS IS NOT A PLUG, but if you use those links (sponsors) on the side of Elliott’s blog, you will be a lot better off. Squaremouth’s FAQs section is excellent.

  • TonyA_says

    Michael, let’s move on and concentrate on how we can help the OP recover some money. :-)

  • bodega3

    Why wow?  The OP purchased insurance to cover his travels just like you purchase insurance to cover your home.  Both are a business deal and both have the same steps for being utitlized. A loss to either is emotional but you don’t proceed to use the coverage without making a call to the company.  Pretty straight forward.

  • bodega3

    Carver, you don’t go out and book a suite at a 5 star hotel if you have to evacuate your home and expect the insurance company to cover it, do you?  They have resources for getting a lower rate and you call them first to find out what you need to do.  Often the insurance company handles the needed emergency return flight, so yes, his claim appears to be denied because he assumed something that possibly he shoulnd’t have.  Bottom line is that he took out the coverage and the insurance company should have been immediately called.  I just traveled out of the country.  I contacted my medical insurance company and they won’t pay for just any thing without a call to them first.  Common insurance practice.

  • bodega3

    With insurance companies, one should never assume something is covered.  The OP made the decision to purchase the travel coverage, why wouldn’t he have called to see how to proceed with his emergency return?

  • bodega3

    Indeed.  We don’t need to provide any proof, the OP is responsible for finding out BEFORE making return plans to know what he could or couldn’t do.  Interesting that details of the plan and a breakdown of the extra costs were not provided for the article.

  • Michael__K

    With regard to one-sided contracts, the consumer should not have to assume the existence of additional restrictions that are not spelled out in the contract.

    With regard to phone calls, without a recording a phone conversation is hearsay.  We’ve seen numerous cases where customers cited what they were told in phone conversations, and I don’t believe you generally give much weight to that.

  • bodega3

    If would be nice if he was able to recoup some costs, but not sure he will as he basically screwed up by not calling and assuming which my point here is, NEVER assume anything with insurance companies.  They don’t want to pay out.

  • Michael__K

    Why would you assume that the insurance company would pay out if the customer called?

    Knowing that the insurance companies don’t want to pay out, even when there is no clear contract language to support their position, why would you defend the insurance company and blame and disparage the customer?

  • Michael__K

    Dubious.

    Allianz advertises the same thing.  But their actual contract language doesn’t mention to call them in this situation.  It states to contact the travel supplier.

    Only in certain medical scenarios (like finding a hospital or a doctor) does it advise to call them.

  • TonyA_says

    I am requesting a fresh start to this case.

    I assume the OP made a “huge” claim for $3,468 (or something like that). To fully understand what he is claiming, can you please fill in the blanks for us. Here’s the relevant part of the Allianz claim form:

    Airfare $_______________
    Lodging $_______________
    Tour(s) $_______________
    Other (list below)
    ________________ $_______________

    Total Expenses $_______________
    Less refunds $_______________
    Total Claimed $_______________

    Also I have a few basic questions:
    (1) Was the ORIGINAL roundtrip ticket bought with Skymiles?
    (2) What was the insured (non-refundable) trip cost (total amount) of the policy?
    (3) If the original tickets were purchased with money, what did they cost?

    Thank you.

  • http://www.facebook.com/profile.php?id=5802764 Megan Kelly

    I think I remember Allianz telling me they would reimburse the redeposit fees to put the mileage back into my account.  Did he incur that, or did delta tell him he could not due that since that can only be done more than 72 hours before the flight.  If delta wont reinstate the miles, not even an insurance company can force their hand.

  • ArizonaRoadWarrior

    Don’t purchase travel insurance from the travel provider.  Purchasing travel insurance from an independent source like squaremouth doesn’t guarantee that the travel policy will cover everything or your claim will be paid but you will know that the policy was written for a travel provider and is going to favor the travel provider.