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://flyicarusfly.com/ Fly, Icarus, Fly

    There must be something else to the story. If all we’re talking about is whether the insurance will cover his miles, how did he come up with the exact figure of $3,468? Is that what he would’ve had to pay in cash to change his tickets? I can see the dilemma of the insurance company here. Miles aren’t created equal. 25K miles might be cashed in for a ticket worth $79 or a ticket worth $500… I’m sticking with my initial gut reaction. Had it been me, I would’ve called the insurance co. first to see what they had to say. In the end, I might have ignored them and went ahead and did my own thing, but at least I’d know the bottom-line cost…

  • http://www.facebook.com/judyserie.nagy Judy Serie Nagy

    I’m with Markie, I don’t understand what he is claiming reimbursement for. 

  • http://flyicarusfly.com/ Fly, Icarus, Fly

    I agree that you’d be in a severely agitated mental state. But in the scheme of things, is 10 extra minutes going to really matter? There’s not much you can do until you get home anyway… I just know that if it were me, and it was a matter of spending thousands vs. a 10 minute phone call, I’d call for my own peace of mind. In a time of crisis, just one less thing to worry about…

  • bodega3

    I did have to start repairs immediately…within minutes of a fire being put out at my house.  I called my insurance agent first for what we could or couldn’t do.  You can’t go out and expect cost to be covered.  Car damaged?  You can’t go get a rental car without your insurance company handling it as they have speical contracts.  Sorry, the the analogy stands.

  • TonyA_says

    Bodega, the OP could have used the Delta’s Pay with Miles option instead of money.

    There are a lot of things we don’t know at this point. Without more details, we are just spinning our wheels, some accusing the insurance and airline of bad things.

  • bodega3

    Of course, but don’t assume all your expenses would be covered, which the OP seems to want.

  • bodega3

    yes

  • Joe_D_Messina

    I got all that.  But the emergency return isn’t a part of the original trip and that would normally have been covered in this case.  So, is it just the airfare?  Or would they have been entitled to meals on the trip back?  Transportation back to their house from the airport?  

    The letter from the insurance company suggests the meals, etc. may have been costs from the original trip, but I’m wondering if they could actually be costs incurred during the return.  It doesn’t sound impossible some related expenses to the flight home might be covered. That would make the story less confusing because the alternative makes it sound like the OP wants expenses covered for the portion of the trip that occurred prior to the emergency which doesn’t make much sense.

  • bodega3

    Yes, we don’t know except you and I know that if it was just plain award miles, not purchased, those are not insurable for repayment, except to put them back into your account,as that is a ‘free ticket’, with no value. 

  • lorcha

    “I have a hard time taking a company seriously that calls itself Allianz. What is that? Teenybopper netspeak??!”

    “Allianz” is simply the German word for “alliance”. They’ve been in business since the 1800s. I recommend taking them seriously, as they are a serious multinational corporation.

  • Charles B

    What is the $ value of Delta miles? $35/1k miles if you buy miles (per your example). $10/1k miles if you redeem miles toward a ticket purchase (as a Delta cardholder). Seems to me Delta could make a good good case to give back $600 for 60k miles used, as that’s what they would have given him in ticket credit.

  • lorcha

    The rest of the claim is probably the walk-up fare for 2 from Oregon back to Pennsylvania. 

  • Michael__K

    If the fire department left and you were lucky enough to have a habitable home to return to, then what else was there to do?

    If a close family member dies and you are 2500+ miles away and desperate to catch the next flight out, that’s a completely different dynamic.

  • TonyA_says

    Hey Emanon, could the OP and wife simply have gone to the airport and plead mercy STANDBY status due to death in the family? I can’t see what they had to lose.The ~$3.5K figure sloshed around here is higher than 2 Y class o/w fares and all they had to do is pay the difference between the fare they already held (for original return trip).

    In other words, why call when you already have a ticket (or a different day). Just go to airport and start pleading.

  • TonyA_says

     @bodega3:disqus @Joe_D_Messina:disqus
    There is something else that needs to be clarified.
    If the OP bought his ORIGINAL tickets with Frequent Flyer or AWARD points, the maximum trip interruption coverage is only $500 (for domestic flights).
    See http://www.etravelprotection.com/deltausa/

    The article says the OP used frequent flyer miles to CHANGE his ticket but we have no idea if the original tickets were paid with points or money. If they were originally AWARD tickets, then most of the discussion here is moot.

  • http://www.facebook.com/linda.bator Linda Bator

    Actually – used to be access america – ring any bells?

  • http://www.facebook.com/linda.bator Linda Bator

    Actually, Allianz insurance was formerly Access America

  • Raven_Altosk

    See, I learned something today and I didn’t even have bother using Google. Thanks, Lorcha. :D

  • http://www.facebook.com/linda.bator Linda Bator

    But the insurance policy offered by Delta is not the same – far more restrictive than going to Allianz and just purchasing an insurance policy there.  And you never purchase the insurance that is OFFERED by the one you are insuring against.

  • http://www.facebook.com/linda.bator Linda Bator

    Delta

  • http://www.facebook.com/linda.bator Linda Bator

    But DELTA has nothing to do in this situation.  This was an insurance claim he failed to follow the correct procedure on, and the insurance company is denying the claim – which is normal if you don’t follow the rules.

  • http://www.facebook.com/linda.bator Linda Bator

    For what, though?  He changed his flight and chose to use miles to do so – what is Delta supposed to do in that case?  In essence, he did get what he “paid” for, so what is Delta going to do?  Plus the fact that he had insurance – they’ll tell him to go back to his provider.

  • TonyA_says

    Michael, you need to be careful.
    The policies sold through airline portals are not necessarily the same as those sold on the insurance providers or even OTA websites.

    It’s like buying a mattress. Different models found depending where you buy them.

  • http://www.facebook.com/linda.bator Linda Bator

    The rental car was the one reserved for hi8s trip – not transportation home, and since the rental company only charged him for the two days he used, he’s not out any monies.  PLUS – when a policy (and that is true for MOST) states they do not cover your using mileage, then his decision NOT to call them and use his miles has no bearing – he failed to follow the rules of his purchase, and one phone call would have made that very clear – the loss is his, quite clearly.

  • http://www.facebook.com/linda.bator Linda Bator

    But this is not the standard policy – its the “insurance” offered by Delta when you buy a ticket – far more restrictive

  • http://www.facebook.com/linda.bator Linda Bator

    No walk up fare, since he used MILES – which the insurance company does NOT cover – that’s his sticking point here

  • http://www.facebook.com/linda.bator Linda Bator

    From reading the story, he’s claiming the cost of the trip, but he was only charged for the 2 days car rental he used, so no reason TO refund the balance.

  • Michael__K

    Don’t take my word for it.

    Go to Delta.com and select an itinerary from PHL to PDX.  You can enter bogus passenger information and dates.

    When you get to the payment page click on “Learn More” in the “Add Trip Protector” section.

    Select “terms, conditions, and exclusions” and choose “Pennsylvania”  

    You will get a watered-down version of the Basic Plan, which makes no references whatsoever to “frequent traveler awards” or even the word “frequent.”

    Here is the direct link to the contract for that plan:

    https://www.allianztravelinsurance.com/documents/library/certs/TI_302_01_C_NA.pdf

  • Michael__K

    Tony, here is a link to the Allianz policy I get when I use Delta.com and choose Pennsylvania (the state the OP’s were returning to) as the state of residence.  That policy does not mention frequent traveler awards at all:

    https://www.allianztravelinsurance.com/documents/library/certs/JIC_OLP3_C_A.pdf

  • bodega3

    I forgot to add, what could they do after the death that an immediate call to their insurance company wouldn’t have helped them?  The OP made a mistake in how he handled his needs.

  • adventurebaby

    I have to agree with most of the posters that the story is totally confusing. I just re-read it 3 times and it looks like he was reimbursed for any prepaid hotel/travel, his rental car company only charged him for the days he used and he used miles, not cash for the flights home. This all sounds like a big scam. Why did he need to purchase new tickets home? Wouldn’t you just change the tickets you already have and pay the change fee (which would have been reimbursed by Allianz)? Where the heck did he come up with $3468 in ADDITIONAL expenses? How is that possible? The only additional expenses would be the flights home. And according to the insurance letter, looks like he was asking for additional hotel and meals. Meals? WTF?

    I wouldn’t trust anything he was claiming one bit. He wasn’t traveling from half a world away. I can’t imagine anyone coming up with $3468 in addtional expenses by coming home early.

  • http://pulse.yahoo.com/_HMW3OTJSBDWWRKIEKEKWWM7BEA bc

    I thought the purpose of insurance was to put someone back into the position they were in before the insured event. If it says they will be reimbursed for airfare they should reimburse him miles. If that means they have to purchase miles on the open market, that’s their problem and should reimburse him. 

  • Michael__K

    Here is a link to the Allianz policy sold through Delta.com for Pennsylvania residents:

    https://www.allianztravelinsurance.com/documents/library/certs/JIC_OLP3_C_A.pdf 

    Can you point us to the rule or procedure which you believe wasn’t followed?

  • TonyA_says

    I see your copy. But it still requires REDEPOSIT of mileage. It does not say REIMBURSEMENT of cost paid for mileage or reimbursement of the mileage itself.

    Bottom line, they told the OP and Elliott that the plan bought by the OP requires redepositing of FQTV miles so unless the OP can show his has a different policy, then Allianz wins this point.

  • Michael__K

    We don’t know the precise timeline, but 30 minutes of hold time on the phone could easily result in a missed flight and a journey prolonged by many hours.

    Besides, anything said on the phone would be “he said / she said” anyway.  

    Would you support the OP if they called ahead and paid with cash instead of miles for their return fare as directed, and then Allianz rejected their claim on other grounds, and they lost their cash AND their miles too? 

    As Tony alludes to, Allianz could easily try to reject almost any death claim on pre-existing condition grounds — any medical condition that the Mother-in-law may have had with the benefit of hindsight in the previous 120 days.  

    The cost of the trip was over $3,000, which means the OP wasn’t even eligible for a pre-existing condition waiver.

    https://www.allianztravelinsurance.com/documents/library/certs/JIC_OLP3_C_A.pdf

  • sirwired

     They are arguing they are on the hook for $0 because the OP didn’t actually pay for those tickets.  There is simply nothing to reimburse him for.  It was his choice to use his promotional (free) airline miles instead of paying in a way that was reimbursable by the insurance company.  For trip interruption, insurance companies reimburse expenses, not “worth” or “value.”

    For reference (not that it matters in this case), if the tickets cost 60,000 miles, those miles had a wholesale cost (charged to Delta marketing or his credit card bank, or whatever means he picked them up) of about $500-$600.  (As in, when the miles were sitting in his account, the FF program had a $500-$600 debt recorded on the books.)

    The idea that the insurance company is going to pay $1,200 (much less $1,600 or more) for something with a wholesale cost of $500-600 that the policyholder almost certainly got for $0 is simply not going to happen.

  • AH

    “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.”

    To me, this sounds like the only reason Allianz is refusing to honor the claim is due to Mr. Puskaric’s oversight in failing to call them first.  He obviously had to have paid additional charges to return home – as they would have advised – so this seems to be nit-picking due to a technicality.  Who would think of calling the insurance carrier when he’s just been informed of a death in the family, and needs to make arrangements to return home immediately?

  • TonyA_says

    Michael, I think that is a question for the OP and not Linda.
    We have no clue what policy he bought. All of use are referring to different types of policies sold by Allianz (new brandname of Access America). There are so many versions out there.

    Allianz already said the policy he bought required redepositing of points. Many here even believe that redepositing is SOP for travel insurance. Unless the OP pulls out his policy how can we refute that?

    If I were the OP I would lookup the policy I bought. Heck, if that provision ain’t there then I’d go back and ask for reimbursement based on that fact.

  • TonyA_says

     Mike you may have a point. But the amount he is asking is so high that it makes the claim look incredulous. Maybe this guy is traveling first class. Until we get more info, it’s hard to make sense of what happened and why it was that expensive. ~$3500 is about 350,000 Miles with Delta pay with miles. That’s a lot of miles! Do we know the max amount his trip was insured for? Too many unknowns.

  • Michael__K

    Based on what?  

    The word “Redeposit” does not appear in the contract either.

  • bodega3

    You aren’t getting the reason for the call Michael.  They assist with the flights and approve them.  You can’t just get any priced ticket to get home without their approval.  Just like dealing with your car insurance company.  You can’t rent any car while your car is out of commission without going through your insurance company first and expect to get it paid for.

  • Michael__K


    We have no clue what policy he bought.

    Then why is anyone making bold statements about the OP not following rules? 

    If someone doesn’t know, then it’s irresponsible to boldly take sides and make accusations. 

    We do know the OP bought their policy from Delta.com.

    I’ve checked policies from Delta.com for a bunch of different states — including Pennsylvania (where the OP’s appear to be from) — and NONE of them refers to frequent flyer miles.

    Can you find ANY Allianz policy sold through Delta.com that does?

  • bodega3

    If you have paid for travel insurance, you need their approval, no different than with any other insurance company.  What is so difficult to understand on this?  He took out coverage and they have the final say on what they will pay for.  He screwed up.

  • DavidYoung2

    Also known as Abscess America for how you were treated when filing a claim…..

  • Michael__K


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

    Where in the contract does it say that?  

    If it’s not in the contract, then that’s simply inaccurate.

    Here is the link again:

    https://www.allianztravelinsurance.com/documents/library/certs/JIC_OLP3_C_A.pdf

  • Michael__K

    Can you please point us to any mention of a requirement for prior approval in the contract language? 

    https://www.allianztravelinsurance.com/documents/library/certs/JIC_OLP3_C_A.pdf

  • Cybrsk8r

    Yea, but if he pre-paid for a 7 day hotel stay and only used two days, it would seem fair to be re-imbursed 5/7 of the hotel bill.

  • Ann Lamoy

    So I’ve read this a couple of times and this is the conclusion I’ve come to.

    “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.”

    So it isn’t clear if the hotel room in Oregon was refunded by the hotel or not but if it wasn’t, Allianz would have covered it if he pre-paid the entire stay up front. Any other expenses incurred such as meals or transportation on the ground in PA were not prepaid and not eligible for reimbursement. It is clear in all the linked polices that prepaid expenses are reimbursable and non-prepaid are not.  Unless he has some receipts for pre-paid expenses that have yet to be refunded, he is out of luck.

    As for the airline miles being used to pay for the new flights? I am honestly puzzled why he just didn’t pay the change fee to move the tickets up and then go for reimbursement on that. It might be a gesture of good will if Allianz can work with Delta to restore his miles. But to give him actual spending cash? If that is what he wants, I say give him what it would cost to have changed the tickets. IIRC, it is $150 a ticket so $300 for the pair. I am sympathetic towards Mr. Puskaric and his wife. Losing a parent hurts a lot and your mind is never clear so it is understandable he wouldn’t think to call the insurance people. But like I said, my first thought wouldn’t have been to charge new tickets to miles but to change the existing flights and pay the fee. Maybe he forgot he had insurance and that is why he used miles? At any rate, I fear he is out of luck.
     

  • bodega3

    A free ticket has no insurable value.  You have to have a value to get insurance on it.  Now if he had purchased miles to travel, that would be a declared value.  Same with an earned free night at a hotel, a rental car. 

  • TonyA_says

     Mike, I went back to delta.com and tried several combinations. Here is what I found out. If you add a car and hotel, the insurance seems to be only for the airfare and up to maximum of $3K. So how could the OP insure the cost of his car and hotel using the Delta.com site? In order for Allianz to pay you need to insure TOTAL trip cost.

    So I followed Delta’s link to http://www.etravelprotection.com/deltausa/
    There you can get Single Trip Coverage up to $10K. In other words you can easily insure your TOTAL trip (not just airfare).
    But there is a kicker!
    If you buy your airline tickets using Delta Skymiles, you only qualify for Frequent Flyer Trip Insurance which has a maximum coverage for Trip Interruption of $500 for domestic flights. Also, you cannot add your car and hotel since the maximum cancellation coverage is only $300.

    Furthermore, Allianz has 2 sets of policies. One with the Frequent Flier miles re-deposit provision and one without it (meaning its quiet). The default policy has the Frequent Flyer clause.

    So here is the bottom line. If the OP bought his ORIGINAL tickets with Skymiles, then re-deposit clause applies.  If the OP bought his ORIGINAL roundtrip tickets with money and used the Delta/Allianz site, then it is likely his policy will not have any words referencing Frequent Flier Miles.

    But the OP is not disputing reimbursement of this original ticket. After all he got to use them. He is disputing reimbursement of a Trip Interruption Benefit:

    Transportation
    Reasonable transportation expenses for getting to your final destination or a place where you can continue your trip,
    (subject to the limits and coverage of the OP’s specific plan).

    If the OP simply bought the cheapest economy class ticket available to get back  to PA, then I don’t think there would be any argument. Note that if he did this the unused part of the OLD ticket would remain UNUSED and (IMO) all he needs to do is assign his rights to it to Allianz.
    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. If you notify your suppliers later and get a smaller refund, we will not cover the difference.
    This means ALL HE NEED TO DO WAS CANCEL HIS RETURN FLIGHT ASAP because that is how you get the maximum refund.

    By CHANGING his return flight and paying for the difference in mileage points he entered a very fuzzy and uncharted territory (IMO). Why? Because the insurance firm can claim the OP voluntarily used his FREE miles to change his travel plans. Unless he actually BOUGHT THE MILES WITH MONEY, they can argue forever about the out-of-pocket cost to reimburse.

    ASSUMING HIS ORIGINAL TICKET WAS BOUGHT WITH MONEY:
    Then, I emphasize re-deposit of miles is NOT in issue since he did NOT lose Free Miles on his original ticket. There is nothing to re-deposit (even with the changed flight).  The issue is, since he used FQTV miles to change his return flight ticket, the insurance company says it costs nothing – it was FREE.
    In other words, it is as if he never got any Trip Interruption benefits. :-( The OP got screwed (IMO).

    If the OP does not agree, then he has to go through arbitration:

    Resolving disputes
    If you disagree with our decision about a claim, you can request to go to arbitration through the American Arbitration Association. If we agree, you can submit a dispute to desk arbitration, as long
    as:
    - you submit it at least 60 days, but no more than three years, after you’ve filed your entire claim with us, and
    - it complies with the American Arbitration Association’s rules at the time you submit it.