Why Did My Insurance Send Me a Check?
Received an unexpected insurance check? Learn why it arrived, how to verify its legitimacy, and what steps to take next.
Received an unexpected insurance check? Learn why it arrived, how to verify its legitimacy, and what steps to take next.
Receiving a check from your insurance company can be unexpected, raising questions about its purpose and how to handle it. Understanding why insurers issue checks and how to manage them is important. This guide clarifies common scenarios for receiving an insurance payment.
One common reason for an insurance check is a claim settlement. When you file a claim for damages or losses, the insurer assesses it and issues payment upon approval. For example, after an auto accident, you might receive a check for vehicle repairs, often made out to you and the repair shop.
Homeowners experiencing property damage, such as from a storm, could receive a check for repair or replacement costs. Generally, insurance proceeds for property damage are not taxable if used to restore or replace the damaged property, as they are reimbursements for losses rather than income. However, if the payout exceeds the property’s adjusted basis, the excess amount may be taxable.
Health insurance policies often result in checks as reimbursements for out-of-pocket medical expenses. If you paid for a covered medical service or prescription, the insurer may send a check for the reimbursement amount. These reimbursements are generally not considered taxable income if for qualified medical expenses. Life insurance payouts, upon the death of the insured, are another form of claim settlement. These proceeds are generally not includable in the beneficiary’s gross income and are not taxable, though any interest earned on installment payments can be.
Beyond claims, insurance companies might send checks as policy refunds. This can happen if you overpaid premiums, perhaps due to an administrative error, or if you canceled a policy early. Premium adjustments due to a change in your risk profile, like moving to a lower-risk area or reducing driving mileage, can also lead to a refund. For personal auto and home insurance, these premium refunds are generally not considered taxable income, as they are viewed as a reduction in the cost of the service.
Some insurance companies, especially mutual companies, may issue checks as policy dividends or rebates. These dividends return a portion of the insurer’s profits to policyholders, often based on company performance or the policyholder’s favorable experience. Life insurance policy dividends are typically not taxable because they are generally considered a return of premium paid. However, if the dividends received exceed the total premiums you have paid into the policy, the excess amount may be considered taxable income. Similarly, interest earned on dividends that are left to accumulate within the policy typically becomes taxable.
Once an insurance check arrives, understand its components and any accompanying documentation. First, identify the payer as the insurance company and verify the check is made out to the correct individual or entity. This ensures the check is legitimate and intended for you.
Accompanying documentation provides context for the payment. For health insurance, an Explanation of Benefits (EOB) form often arrives with or after a check, detailing services, costs, and covered amounts. It is a statement explaining how your insurance processed a claim, not a bill. For other claims or refunds, you might receive a claim summary or refund statement outlining the payment reason and calculation.
Review the check’s memo line for immediate insight into its purpose, as it often contains a claim number or description. If any aspect of the check or its documentation seems unusual, verify its legitimacy. Contact the insurance company directly using official contact information from their website or policy documents, not details on the check itself.
After confirming an insurance check’s legitimacy and purpose, handle the funds appropriately. Compare the check amount against the accompanying documentation, such as an EOB or claim summary, to ensure consistency with the expected payment. This verification helps confirm that the insurer has paid the correct amount according to your policy terms and the details of the claim or refund.
When depositing or cashing the check, standard banking procedures apply. You can typically deposit the check using mobile banking apps, at an ATM, or in person at your bank. For larger amounts, or if you have any lingering doubts about the check’s validity, depositing it in person allows you to speak with a bank representative who can assist with the process and address any concerns.
In some situations, an insurance check may be made out to multiple parties, requiring endorsement from all named payees. For instance, a check for auto repairs might be issued to both you and the body shop, or a home repair check could be made out to you and your mortgage lender. If the names are joined by “and,” all parties must endorse the check for it to be deposited or cashed. If the names are joined by “or,” either party can typically endorse and deposit the check. For property claims involving a mortgage, the lender will often need to endorse the check and may require the funds to be placed in an escrow account to oversee repairs.
If the check amount is incorrect, or the payment is entirely unexpected and cannot be reconciled with any known policy activity, contact your insurance company immediately. Do not cash or deposit a check if you dispute the amount or its purpose, as doing so might imply acceptance of the payment as a full and final settlement. Clearly communicate your concerns to the insurer and request clarification or a re-evaluation of the payment.
While most insurance checks fall into common categories, some less frequent scenarios can also result in a payment. One instance involves subrogation recoveries. If your insurer pays a claim for damages caused by a third party, they might then pursue reimbursement from that responsible party. If they successfully recover funds, and you had paid a deductible, a portion of the recovery might be returned to you, effectively reimbursing your deductible.
Checks might also be issued for deceased policyholders. If a life insurance policyholder passes away, the death benefit is typically paid to named beneficiaries. If the estate is the beneficiary or complexities exist, a check might be issued to the estate or an executor, requiring specific legal steps. Beneficiaries generally receive life insurance proceeds tax-free, but if the policy proceeds are part of an estate exceeding federal estate tax thresholds, estate taxes may apply.
Occasionally, a check may be sent due to an administrative error. Despite robust internal controls, mistakes can happen, leading to an incorrect payment or a check sent when none was due. If you receive a check that seems to be an error, contact your insurance company promptly to report the discrepancy. They will provide guidance on how to return the funds or rectify the situation, preventing potential issues down the line.