Home » Coverage Exclusions » Assignment of Benefits
Assignment of Benefits for Homeowners
- How It Works
- Using Your AOB
- Pros & Cons
- Safe & Secure
- Watch Out for Abuse
- Frequently Asked Questions
An assignment of benefits (AOB) is a contractual agreement that enables a third party to access insurance benefits on behalf of the policyholder.[1] When the policyholder signs an AOB agreement, it grants the third party the authority to initiate an insurance claim and receive reimbursement directly from the insurance company.
Assignment of benefits for homeowners means that any contractors , plumbers, or other professionals who perform work to repair your home or property after a claim can work with your insurance provider directly to get compensated. You step aside as the middleman, and they work together.
While AOB can work with most types of insurance, not every insurance company will allow it. The party performing the work (the insurance claimant) and your insurance company must both agree to the process.
- As the policyholder, you must willingly sign an AOB agreement, giving explicit consent for a third party to access their insurance benefits.
- AOBs may make things easier for both you as the policyholder and for the service provider.
- The service provider takes care of filing the claim, helps the homeowner decide on repairs, and gets paid by the insurance company, relieving you (the policyholder) of having to manage these details.
How Do Assignment of Benefits Work?
AOB is a straightforward process that simplifies insurance billing for both service providers and policyholders. Here is how an AOB works.
Coverage Verified
Before hiring a service provider, the policyholder must make sure that the service is covered by their policy by checking in with the insurance provider. Homeowners insurance pays for the cost of damages or loss due to a covered event, as outlined in the policy.
Mutual Agreement
The policyholder and the service provider agree to utilize an AOB form.[2] This agreement authorizes the service provider to handle direct billing to the insurance company for the services provided.
Billing Submission
With the AOB form in place, the service provider submits all relevant documentation, including invoices and service records, to the insurance company for payment. In many cases, this includes the initial claim with documentation of the damage and an explanation/proof of how it happened.
Claim Evaluation
The insurance company thoroughly reviews the submitted documents to verify that the damage itself and the provided services are indeed covered under the policy terms and that the contractor provided those same services.
Direct Payment
If the services are eligible and covered by the insurance policy, the insurance company promptly issues payment directly to the service provider. This payment aligns with the agreed-upon costs as outlined in the insurance policy.
Policyholder’s Responsibility
Generally, the policyholder is only responsible for any deductibles, copays, or out-of-pocket expenses specified in their insurance policy.[3] They are relieved of the responsibility of managing the billing process or handling reimbursement paperwork.
Service Rendered
The policyholder receives necessary services covered by their insurance policy, such as medical treatment or repairs.
Example of an Assignment of Benefits
A hurricane hit Rachel’s town, severely damaging the shed where she keeps her tools and lawn equipment. The shed is covered under her home insurance policy, and she files a claim with the insurance provider quickly with photographs and documents that show the damage and provide proof of the value and potential cost to rebuild. The insurance provider approves the replacement of the shed.
To streamline the process of paying the contractor, Rachel signs an AOB allowing the contractor to bill the insurance provider rather than billing her. This means that if there are any disputes about the costs of materials, timeliness of payment, or any other issues, those will happen between the insurance company and the contractor, and Rachel will not be required to step in.
Additionally, rather than having to pay the contractor out of pocket and wait for a reimbursement check from the provider, the contractor will be paid directly by the insurance company, so Rachel doesn’t have to pay the cost of the shed replacement.
When Would You Use Your Assignment of Benefits?
AOBs can be useful in various situations:
- Assign benefits to contractors for property damage repairs, simplifying the insurance claim process. It can often expedite the process and help claimants to get paid faster.
- AOBs can help in emergencies, ensuring timely payment without paperwork hassles. This can be particularly helpful during already high-stress times.
- Consider AOBs for complex claims with multiple providers or extensive paperwork. You’ll have less to manage if the parties work together directly.
- You can use an AOB for a range of professionals relating to a homeowners insurance claim, such as plumbers, roofers, window repair specialists, landscapers, carpenters, and restoration specialists.
Pros & Cons of Using Assignment of Benefits
Making sure your aob is safe & secure.
To ensure the safety of an AOB:
- Check the reputation of the service provider and seek multiple quotes for services.[4]
- Carefully examine the AOB terms, ensuring clarity and alignment with your insurance policy.
- Beware of high-pressure tactics and take your time to decide.
- Confirm the provider’s licensing and insurance.
- Get multiple estimates in writing for the needed work.
- Consult an attorney or insurance advisor if you have concerns.
- Keep records of communication and contracts.
- Inform your insurer about the AOB and their requirements.
- After services, check the results against AOB terms and your satisfaction.
- Make sure the AOB has appropriate cancellation provisions in place so that you can rescind the agreement in writing in certain circumstances.
Assignment of Benefits Being Abused: What Are My Options?
While an AOB can offer convenience, the process may be susceptible to misuse by those who would take advantage of the insurance company and overcharge for services or claim to have provided services that they did not actually perform. Lisa Koosis, a former claims specialist, warns, “Be watchful for AOB scams, particularly after natural disasters such as earthquakes or hurricanes. Red flags include contractors who offer something for nothing, make exaggerated claims of damage or present broadly worded contracts.”
If you suspect AOB abuse or fraud, consider these options.
Contact Your Insurer
If you suspect AOB abuse, promptly reach out to your insurance company. Express your concerns and provide any evidence you have to support them. Insurers have units dedicated to investigating potential fraud or AOB misuse.
Report Fraud
If you suspect fraudulent activities, report the issue to your state’s insurance fraud bureau or department, which investigates such cases and takes legal action when appropriate. However, fraud is generally difficult to prove.
Seek Legal Counsel
Get advice from an attorney who is experienced in insurance claims to navigate your specific situation. Be aware that pursuing legal action can be costly and lengthy, so it generally won’t be your first course of action. But if the process gets complicated, it’s helpful to have a legal professional on your side. Lisa Koosis, a former claims specialist, says, “If you need legal assistance but can’t afford it, try calling your local law school. Many of them offer free clinics where you can get a consultation and, sometimes, pro bono representation.”
Know About Potential Litigation
If the contractor or service provider isn’t paid by your insurance company, they might pursue legal action against your provider, leading to a dispute that may require your action or response.
Frequently Asked Questions About Assignment of Benefits (AOB) for Homeowners
We have compiled some of the most frequently asked questions about AOBs and how to use them most effectively, so you can make the most informed decisions about your situation.
An assignment of benefits, also referred to as an AOB, in homeowners insurance is when you allow a contractor or service provider to take over your insurance claim process. They deal directly with the insurance company for tasks like repairs or damage assessments and get paid directly. This can simplify and expedite the process because the service provider is dealing directly with your insurance company without you serving as the intermediary.
All parties must agree to the process. As the policyholder, you’ll sign off on the process, and both the services provider and your insurance company must also agree to the process.
Using an AOB can be beneficial if it is used wisely and for the purposes of working with reputable service providers. It streamlines claims, but it also comes with potential risks like fraud. Proceed with caution and agree to an AOB only if you feel confident that you are working with trusted parties. Also, be aware that not all insurance companies allow AOBs. Some states prohibit AOBs for certain types of work. Consult your insurance provider to ensure they do before proceeding.
In recent years, AOBs have been the target of fraud. Some service providers have inflated their invoices, billing for work that wasn’t performed. In some cases, claimants sue the insurance company, resulting in higher premiums for the policyholder down the road.
An AOB simplifies the insurance claims process for policyholders, letting service providers handle the work of getting paid for their services. This reduces responsibility and stress for policyholders and can often serve the best interests of all parties.
An AOB on a claim form is a line item where you authorize a service provider to receive insurance benefits for a specific claim. It lets that provider directly bill and get paid by the insurance company, simplifying the process for you. Make sure to understand the terms before signing it.[2] In some cases, it could mean you are responsible for any fees billed by your service provider if your insurance company doesn’t pay the full amount.
Related Pages
- The Do’s & Don’ts of Submitting a Homeowners Insurance Claim
- How Long Will My Homeowners Insurance Claim Take?
- How to File a Homeowners Insurance Claim
- How to Document Property Damage for Your Claim
- How to Speed Up Your Homeowners Insurance Claim
- Insurance Claims & Appeals
Post Disaster Claims Guide . National Association of Insurance Commissioners.
Assignment of Benefits . Department of Health and Human Services – North Dakota.
Understanding Dental Assignment of Benefits . West Virginia Offices of the Insurance Commissioner.
Assignment of Benefits: Consumer Beware . (April 2020). National Association of Insurance Commissioners.
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Assignment of benefits: what you need to know.
- August 17, 2022
- Steven Schwartzapfel
Insurance can be useful, but dealing with the back-and-forth between insurance companies and contractors, medical specialists, and others can be a time-consuming and ultimately unpleasant experience. You want your medical bills to be paid without having to act as a middleman between your healthcare provider and your insurer.
However, there’s a way you can streamline this process. With an assignment of benefits, you can designate your healthcare provider or any other insurance payout recipient as the go-to party for insurance claims. While this can be convenient, there are certain risks to keep in mind as well.
Below, we’ll explore what an assignment of insurance benefits is (as well as other forms of remediation), how it works, and when you should employ it. For more information, or to learn whether you may have a claim against an insurer, contact Schwartzapfel Lawyers now at 1-516-342-2200 .
What Is an Assignment of Benefits?
An assignment of benefits (AOB) is a legal process through which an insured individual or party signs paperwork that designates another party like a contractor, company, or healthcare provider as their insurance claimant .
Suppose you’re injured in a car accident and need to file a claim with your health insurance company for medical bills and related costs. However, you also need plenty of time to recover. The thought of constantly negotiating between your insurance company, your healthcare provider, and anyone else seems draining and unwelcome.
With an assignment of benefits, you can designate your healthcare provider as your insurance claimant. Then, your healthcare provider can request insurance payouts from your healthcare insurance provider directly.
Through this system, the health insurance provider directly pays your physician or hospital rather than paying you. This means you don’t have to pay your healthcare provider. It’s a streamlined, straightforward way to make sure insurance money gets where it needs to go. It also saves you time and prevents you from having to think about insurance payments unless absolutely necessary.
What Does an Assignment of Benefits Mean?
An AOB means that you designate another party as your insurance claimant. In the above example, that’s your healthcare provider, which could be a physician, hospital, or other organization.
With the assignment of insurance coverage, that healthcare provider can then make a claim for insurance payments directly to your insurance company. The insurance company then pays your healthcare provider directly, and you’re removed as the middleman.
As a bonus, this system sometimes cuts down on your overall costs by eliminating certain service fees. Since there’s only one transaction — the transaction between your healthcare provider and your health insurer — there’s only one set of service fees to contend with. You don’t have to deal with two sets of service fees from first receiving money from your insurance provider, then sending that money to your healthcare provider.
Ultimately, the point of an assignment of benefits is to make things easier for you, your insurer, and anyone else involved in the process.
What Types of Insurance Qualify for an Assignment of Benefits?
Most types of commonly held insurance can work with an assignment of benefits. These insurance types include car insurance, healthcare insurance, homeowners insurance, property insurance, and more.
Note that not all insurance companies allow you to use an assignment of benefits. For an assignment of benefits to work, the potential insurance claimant and the insurance company in question must each sign the paperwork and agree to the arrangement. This prevents fraud (to some extent) and ensures that every party goes into the arrangement with clear expectations.
If your insurance company does not accept assignments of benefits, you’ll have to take care of insurance payments the traditional way. There are many reasons why an insurance company may not accept an assignment of benefits.
To speak with a Schwartzapfel Lawyers expert about this directly, call 1-516-342-2200 for a free consultation today. It will be our privilege to assist you with all your legal questions, needs, and recovery efforts.
Who Uses Assignments of Benefits?
Many providers, services, and contractors use assignments of benefits. It’s often in their interests to accept an assignment of benefits since they can get paid for their work more quickly and make critical decisions without having to consult the insurance policyholder first.
Imagine a circumstance in which a homeowner wants a contractor to add a new room to their property. The contractor knows that the scale of the project could increase or shrink depending on the specifics of the job, the weather, and other factors.
If the homeowner uses an assignment of benefits to give the contractor rights to make insurance claims for the project, that contractor can then:
- Bill the insurer directly for their work. This is beneficial since it ensures that the contractor’s employees get paid promptly and they can purchase the supplies they need.
- Make important decisions to ensure that the project completes on time. For example, a contract can authorize another insurance claim for extra supplies without consulting with the homeowner beforehand, saving time and potentially money in the process.
Practically any company or organization that receives payments from insurance companies may choose to take advantage of an assignment of benefits with you. Example companies and providers include:
- Ambulance services
- Drug and biological companies
- Lab diagnostic services
- Hospitals and medical centers like clinics
- Certified medical professionals such as nurse anesthetists, nurse midwives, clinical psychologists, and others
- Ambulatory surgical center services
- Permanent repair and improvement contractors like carpenters, plumbers, roofers, restoration companies, and others
- Auto repair shops and mechanic organizations
Advantages of Using an Assignment of Benefits
An assignment of benefits can be an advantageous contract to employ, especially if you believe that you’ll need to pay a contractor, healthcare provider, and/or other organization via insurance payouts regularly for the near future.
These benefits include but are not limited to:
- Save time for yourself. Again, imagine a circumstance in which you are hospitalized and have to pay your healthcare provider through your health insurance payouts. If you use an assignment of benefits, you don’t have to make the payments personally or oversee the insurance payouts. Instead, you can focus on resting and recovering.
- Possibly save yourself money in the long run. As noted above, an assignment of benefits can help you circumvent some service fees by limiting the number of transactions or money transfers required to ensure everyone is paid on time.
- Increased peace of mind. Many people don’t like having to constantly think about insurance payouts, contacting their insurance company, or negotiating between insurers and contractors/providers. With an assignment of benefits, you can let your insurance company and a contractor or provider work things out between them, though this can lead to applications later down the road.
Because of these benefits, many recovering individuals, car accident victims, homeowners, and others utilize AOB agreements from time to time.
Risks of Using an Assignment of Benefits
Worth mentioning, too, is that an assignment of benefits does carry certain risks you should be aware of before presenting this contract to your insurance company or a contractor or provider. Remember, an assignment of benefits is a legally binding contract unless it is otherwise dissolved (which is technically possible).
The risks of using an assignment of benefits include:
- You give billing control to your healthcare provider, contractor, or another party. This allows them to bill your insurance company for charges that you might not find necessary. For example, a home improvement contractor might bill a homeowner’s insurance company for an unnecessary material or improvement. The homeowner only finds out after the fact and after all the money has been paid, resulting in a higher premium for their insurance policy or more fees than they expected.
- You allow a contractor or service provider to sue your insurance company if the insurer does not want to pay for a certain service or bill. This can happen if the insurance company and contractor or service provider disagree on one or another billable item. Then, you may be dragged into litigation or arbitration you did not agree to in the first place.
- You may lose track of what your insurance company pays for various services . As such, you could be surprised if your health insurance or other insurance premiums and deductibles increase suddenly.
Given these disadvantages, it’s still wise to keep track of insurance payments even if you choose to use an assignment of benefits. For example, you might request that your insurance company keep you up to date on all billable items a contractor or service provider charges for the duration of your treatment or project.
For more on this and related topic, call Schwartzapfel Lawyers now at 1-516-342-2200 .
How To Make Sure an Assignment of Benefits Is Safe
Even though AOBs do carry potential disadvantages, there are ways to make sure that your chosen contract is safe and legally airtight. First, it’s generally a wise idea to contact knowledgeable legal representatives so they can look over your paperwork and ensure that any given assignment of benefits doesn’t contain any loopholes that could be exploited by a service provider or contractor.
The right lawyer can also make sure that an assignment of benefits is legally binding for your insurance provider. To make sure an assignment of benefits is safe, you should perform the following steps:
- Always check for reviews and references before hiring a contractor or service provider, especially if you plan to use an AOB ahead of time. For example, you should stay away if a contractor has a reputation for abusing insurance claims.
- Always get several estimates for work, repairs, or bills. Then, you can compare the estimated bills and see whether one contractor or service provider is likely to be honest about their charges.
- Get all estimates, payment schedules, and project schedules in writing so you can refer back to them later on.
- Don’t let a service provider or contractor pressure you into hiring them for any reason . If they seem overly excited about getting started, they could be trying to rush things along or get you to sign an AOB so that they can start issuing charges to your insurance company.
- Read your assignment of benefits contract fully. Make sure that there aren’t any legal loopholes that a contractor or service provider can take advantage of. An experienced lawyer can help you draft and sign a beneficial AOB contract.
Can You Sue a Party for Abusing an Assignment of Benefits?
Sometimes. If you believe your assignment of benefits is being abused by a contractor or service provider, you may be able to sue them for breaching your contract or even AOB fraud. However, successfully suing for insurance fraud of any kind is often difficult.
Also, you should remember that a contractor or service provider can sue your insurance company if the insurance carrier decides not to pay them. For example, if your insurer decides that a service provider is engaging in billing scams and no longer wishes to make payouts, this could put you in legal hot water.
If you’re not sure whether you have grounds for a lawsuit, contact Schwartzapfel Lawyers today at 1-516-342-2200 . At no charge, we’ll examine the details of your case and provide you with a consultation. Don’t wait. Call now!
Assignment of Benefits FAQs
Which states allow assignments of benefits.
Every state allows you to offer an assignment of benefits to a contractor and/or insurance company. That means, whether you live in New York, Florida, Arizona, California, or some other state, you can rest assured that AOBs are viable tools to streamline the insurance payout process.
Can You Revoke an Assignment of Benefits?
Yes. There may come a time when you need to revoke an assignment of benefits. This may be because you no longer want the provider or contractor to have control over your insurance claims, or because you want to switch providers/contractors.
To revoke an assignment of benefits agreement, you must notify the assignee (i.e., the new insurance claimant). A legally solid assignment of benefits contract should also include terms and rules for this decision. Once more, it’s usually a wise idea to have an experienced lawyer look over an assignment of benefits contract to make sure you don’t miss these by accident.
Contact Schwartzapfel Lawyers Today
An assignment of benefits is an invaluable tool when you need to streamline the insurance claims process. For example, you can designate your healthcare provider as your primary claimant with an assignment of benefits, allowing them to charge your insurance company directly for healthcare costs.
However, there are also risks associated with an assignment of benefits. If you believe a contractor or healthcare provider is charging your insurance company unfairly, you may need legal representatives. Schwartzapfel Lawyers can help.
As knowledgeable New York attorneys who are well-versed in New York insurance law, we’re ready to assist with any and all litigation needs. For a free case evaluation and consultation, contact Schwartzapfel Lawyers today at 1-516-342-2200 !
Schwartzapfel Lawyers, P.C. | Fighting For You™™
What Is an Insurance Claim? | Experian
What is assignment of benefits, and how does it impact insurers? | Insurance Business Mag
Florida Insurance Ruling Sets Precedent for Assignment of Benefits | Law.com
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Assignment of Benefits vs Direction to Pay vs Assignment of Policy
Assignment of Benefits vs. Assignment of Policy
Assignment of Benefits forms, also known as AOBs, play a crucial role in the restoration industry’s contractor-client dynamics. These legal documents empower policyholders to transfer their insurance policy benefits to a third party, effectively connecting their restoration contractor directly to their insurance company. By doing so, policyholders can bypass many of the complications and anxieties typically associated with a restoration project, streamlining the process.
According to Josh Ehmke, Co-owner and General Consult at One Claim Solution , there’s a common misunderstanding between assignment of benefits and assignment of policy. An assignment of policy refers to the transfer of the benefits and rights of an insurance policy from one party (the policyholder) to another party (the assignee).
“An assignment of policy is never going to be valid. In fact, I haven’t come across a state that allows an assignment of an insurance policy without the insurance company’s prior written consent,” Josh said. “The reason it’s not allowed is because it’s against public policy. It increases the insurance risk substantially.”
For example, a policyholder might have a history of filing numerous claims against their insurance provider, suggesting a pattern that they might be well-versed in exploiting certain loopholes and taking advantage of insurance companies. Additionally, there are concerns that they may not adequately maintain or safeguard their property, leading to an increased risk for the insurance company.
“That is absolutely different from an assignment of benefits, which grants the rights the policyholder had to the payment under the policy to be transferred to the assignee,” Josh said. ”The only prerequisite for an assignment of benefits other than having a covered claim, is that the loss has already occurred. If you get an assignment of benefits before the loss occurs, that’s essentially a transfer of a policy.”
OCS recently encountered a case where the question arose regarding the scope of an assignment of benefits. Specifically, the issue was whether only the rights of the policyholder are transferred, or if the policyholder’s obligations are also transferred alongside the benefits under the assignment.
“By taking the assignment, the contractor doesn’t assume the policyholder’s obligations under that policy,” Josh said. “It’s very important to word your assignment of benefits appropriately to clearly state that you’re not agreeing to assume any of those policy obligations, and to specify which rights you want.”
Direction to Pay vs. Assignment of Benefits
Direction to pay (DTP) is a financial arrangement where the policyholder, who is entitled to receive an insurance claim payment, instructs the insurance company to pay the claim proceeds directly to a third party. This third party could be a vendor, contractor, service provider, or any other entity to whom the policyholder owes a debt or has entered into an agreement.
“The issue with direction to pay is that the carrier doesn’t have to honor it because it’s not enforceable,” Josh said. “It’s very limited in what it can do, whereas an assignment of benefits is much more powerful because it obligates the insurance company legally to pay you.”
According to Josh, DTP’s are rarely used, except in states like Texas and Florida where AOBs are detrimental to contractors or illegal.
“A DTP is better than nothing and allows you to at least show the carrier that the homeowner granted approval to request payment,” Josh said. “But outside of those situations, the direction to pay in my mind is worthless. When you can have an assignment of benefits, there’s no reason to have a direction to pay at all.”
A Final Word
Understanding the differences between an AOB, Assignment of Policy, and DTP is crucial because each term represents distinct legal and financial arrangements that can significantly impact insurance claims and policyholder rights. To learn more about the value of assignment of benefits in helping you navigate the restoration process, be sure to subscribe to our newsletter .
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Hi there! I’m Connor, the Account Executive for One Claim. My goal is to guide our contractors through the sales process, ensuring you’re equipped with all the information you need to make your decision and hit the ground running once aboard. We view ourselves as an extension of your business and I strive to make the process an enlightening and consultative one. My career has primarily been focused in software sales over a few different industries but the last few years were spent helping general contractors solve similar problems to what we’re doing here at OCS! Outside of work, I love spending time with my family, cooking and boating during the summer months.
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Great to meet you! I’m Elizabeth, and I’m the one behind all the emails and advertisements you’ve been seeing. As the Demand Generation Manager at One Claim Solution, my mission is to connect with contractors like you who need our services. I’m passionate about having an impact on others and I bring a wealth of experience in demand generation and marketing strategy to create moments of delight, curiosity, and education for you.
Prior to One Claim Solution, I had the privilege of building marketing departments from the ground up at companies in a variety of industries, including IT consulting, first protection, and healthcare. Personally, I love being outdoors, playing Dungeons and Dragons and board games, singing, and traveling.
Alisha Yartzoff
Director of contractor success.
Welcome! I’m Alisha, and I’m here to champion your success as the Director of Contractor Success at One Claim. With a passion for helping contractors thrive, I bring a wealth of experience in onboarding, customer service, and account management to ensure your journey with us is nothing short of exceptional.
Prior to joining One Claim, I had the privilege of scaling SMB and Enterprise Customer Success teams at fast-growing SaaS startups. With over six years of experience at companies like Mavenlink, Teamwork, and ServiceTitan, I honed my expertise in building high-performing teams and fostering proactive, consultative relationships. This background has equipped me with a deep understanding of the challenges faced by businesses like yours, and I’m dedicated to helping you overcome them.
Hi there, my name is Eric! I am the Chief Technology Officer here at OCS, spearheading our technical strategy. I have a background in computer science, graduating cum laude from BYU-Idaho with a Bachelor’s degree in Computer Information Technology.
Before coming to One Claim, I served as the Director of Engineering at Slingshot Technology, Inc., a company later acquired by WorkWave in 2021. My professional journey has spanned both emerging startups and established corporations, with a steadfast focus on cultivating high-trust, low bureaucracy teams and innovating technology using agile methodologies.
In my free time, you can find me flying drones, enjoying the outdoors, and spending time with my family.
Hello, my name is Cam, I’m the COO of One Claim Solution! I come from a management consulting background (Bain & Company) and hold an MBA from the University of Michigan. I have worked at a wide variety of organizations, from Fortune 500 to small-cap, in an equally wide variety of industries. I have over 15 years of experience in operations and strategic growth, and I have spent much of my career focused on developing high-performing tech-enabled service organizations through early stage and high growth phases.
Outside of work, my wife Brittny and I have four kids, ages 13 to 6. As residents of Mesa, Arizona, we love to ski and explore the national parks of the southwest!
Hello, my name is Dan, and I am the CEO of One Claim Solution. I am super excited by everything we are doing at OCS to be the market leading insurance billing specialist that advocates on behalf of our restoration contractors.
My professional experiences are predominantly corporate in nature. My career started at General Electric in finance and accounting. Immediately prior to joining OCS, I spent time as an investor at Bondcliff Partners and management consultant with Bain & Company. I also hold an MBA from the Kellogg School of Management at Northwestern University and got my BS in finance and accounting from Northeastern University.
Outside of the office, I enjoy spending time with my wife, two young children, and our family dog, Whiskey. We live in Charleston, SC and take advantage of the beautiful weather by spending as much time as possible outside at the beach or adventuring around town
Co-Founder and General Counsel
Hi, I’m Josh! In 2016, I co-founded One Claim Solution with my partner Jeremy Traasdahl, and I serve as General Counsel of One Claim Solution. Working in the restoration industry, Jeremy and I saw contractors struggling to get paid quickly and fairly and we knew there was a need for change. We founded One Claim Solution to be this change and it’s been my privilege to see our company grow and to advocate for our clients as general counsel.
Outside of my passion for helping the restoration industry, I enjoy spending time outdoors, fly-fishing, hunting, skiing, and coaching my kids’ baseball teams. I’ve been married to my amazing wife for 20 years and we have a beautiful family of 5 children.
Jeremy Traasdahl
Hey, I’m Jeremy! In 2016, I co-founded One Claim Solution with my partner Josh Ehmke. Working in the restoration industry, Josh and I saw contractors struggling to get paid quickly and fairly and we knew there was a need for change. We founded One Claim Solution to be this change and it’s been my privilege to lead our amazing team.
Prior to One Claim Solution, I started my career as an inside sales rep for Avnet, then moved to Pepsico as a district sales manager. Outside of work, I love spending time with my wife and four children, two boys and two girls!
What happens when you assign a life insurance policy?
A life insurance assignment is a document that allows you to transfer the ownership rights of your policy to a third party, transferring to that third party all rights of ownership under your policy , including the rights to make decisions regarding coverage, beneficiary and investment options.
What does it mean for life insurance to be assigned?
What happens when you assign an insurance policy.
An absolute assignment is typically intended to transfer all your interests, rights and ownership in the policy to an assignee. ... It may state that you transfer all rights, title, and interest in the policy to the assignee. Some insurance companies use an “ownership clause” to accomplish this transfer.
What is the difference between assignee and beneficiary?
The collateral for the loan is the life insurance policy and an organization or individual who pays out the loan is the assignee. ... If there are extra benefits , those will go to your beneficiary listed in the policy.
What is the procedure for assignment in life policies?
The insured needs to either endorse the policy document or make a deed of assignment and register the same with the insurer . A form prescribed by the insurers must be filled and signed. In case of conditional assignment, your reason needs to be mentioned as well.
Two Minutes on Insurance Assignments
What are the rights of an assignee?
The assignee is the party that receives the rights and obligations under the contract , but wasn't an original party to the contract. An assignee usually receives the contract rights and obligations directly from an original party to the contract. ... In our scenario, I assign my right to receive benefits to Green.
What does assignment mean in insurance?
An Assignment of Benefits , or an AOB, is a document signed by a policyholder that allows a third party, such as a water extraction company, a roofer, or a plumber, to “stand in the shoes” of the insured and seek payment directly from the policyholder's insurance company.
What is the purpose of an assignee?
An assignee is a person, company, or entity who receives the transfer of property, title, or rights from another according to the terms of a contract . The assignee receives the transfer from the assignor. For example, an assignee may receive the title to a piece of real estate from an assignor.
Who is an assignee in insurance?
Assignee is the person to whom the title, rights and benefits under a life policy are assigned .
What assign means?
1 : to transfer (property) to another especially in trust or for the benefit of creditors. 2a : to appoint to a post or duty assigned them to light duty assigned me two clerks. b : to appoint as a duty or task assigns 20 pages for homework.
What is difference between assign and transfer?
When used as verbs, assign means to set apart or designate something for a purpose while transfer means to pass or move from one person, place, or thing to someone or someplace else. ... Transfer generally refers to titles whereas assignment is used with obligations and rights.
When can an insured assign a policy to another party?
Assignment — a transfer of legal rights under, or interest in, an insurance policy to another party. In most instances, the assignment of such rights can only be effected with the written consent of the insurer .
Can a bank be a beneficiary on a life insurance policy?
If the bank is named as the beneficiary on the insurance policy, they would be paid the full death benefit even if some of the loan had already been paid off, leaving nothing for the deceased's other beneficiaries.
What does assign a policy mean?
Definition of 'assign a policy' If you assign a policy, you transfer legal ownership of an insurance policy to another person . The policy may be assigned to someone else by written request of the current owner. ... If you assign a policy, you transfer legal ownership of an insurance policy to another person.
Who pays premium when a policy is assigned?
In the case of an assignment against a loan the assignor can continue to pay the policy premiums and claim the Section 80C tax benefit on them as the policy is on his life and he is the person paying the premiums.
What do you mean by assignment and transfer of policies?
Assignment of a life insurance policy means transfer of rights from one person to another . You can transfer the rights on your life insurance policy to another person/entity for various reasons. This process is referred to as Assignment and is governed under Policies of Assurance Act (Chapter 392).
What is the difference between an assignee and assignor?
An assignor and an assignee are two parties who engage in an assignment to transfer rights from one entity to another . The assignor is the person who gives the rights away, while the assignee is the person who receives those rights.
Is the assignor the buyer or seller?
The assignment provision establishes the fact that the buyer (who is the assignor) can assign the property to an assignee. Upon assignment, the assignee becomes the new buyer. The AC conveys to the assignee both the AC's property rights and the AC's contract obligations.
What are the types of assignment in insurance?
- Absolute Assignment.
- Conditional Assignment.
- Absolute Assignment means complete Transfer of Rights. ...
- Hence Absolute Assignment means completely transferring whole and sole rights of the policy from the Assignor to the Assignee without any further terms and conditions applicable.
What are the benefits of assignment?
- Make Student Aware About The Topic: Assignment usually acquires a topic related to a particular subject. ...
- Enhance Your Writing Skills: ...
- Enhancement of Research Skills: ...
- Help In Exams: ...
- Improve Learning Skills: ...
- Learn about plagiarism.
Is assignor still liable after assignment?
The assignor normally remains liable unless there is an agreement to the contrary by the other party to the contract . The effect of a valid assignment is to remove privity between the assignor and the obligor and create privity between the obligor and the assignee.
What does assign mean in legal terms?
To transfer rights, property, or other benefits to another party (the “assignee”) from the party who holds such benefits under contract (the “assignor”). This concept is used in both contract and property law.
What happens when assignee dies?
What happens if the assignment dies? If the assignee dies, the assignment does not get cancelled. The legal heirs of the assignee become entitled to the policy money . Assignment is a legal transfer of all the interests the policyholder has in the policy to the assignee.
What does it mean to accept assignment of benefits?
The assignment of benefits is when the insured authorizes Medicare to reimburse the provider directly . In return, the provider agrees to accept the Medicare charge as the full charge for services. Non-participating providers can accept assignments on an individual claims basis.
What does assignment of claim mean?
You can sign an “assignment of claim,” which assigns your rights (as the policyholder) to benefits and proceeds from the loss, to the company or contractors. In the simplest of terms, the assignment of claim allows your contractor to get paid directly from the insurance company .
Understanding Life Insurance Assignments: Your Complete Guide
A life insurance assignment allows you to transfer the rights of your policy, either temporarily or permanently.
Learn how collateral and absolute assignments can be used for loan collateral, estate planning, and other financial purposes.
Medicaid Planning
What is a collateral assignment.
Collateral assignments are used to secure a lender’s financial interest in your policy in exchange for lending you money.
If you die, the collateral assignment allows the lender to collect your policy’s death benefit up to the amount of the outstanding loan balance.
How Do Collateral Assignments Work?
A typical scenario involves taking out a business loan .
The lender may require a life insurance policy as collateral.
The type of life insurance policy used, whether a term, whole life, or universal life doesn’t matter.
The insurance policy will pay off the balance if you die while the loan is outstanding.
One of the most common uses for collateral assignments is with SBA loans , especially if you do not have other assets to post as collateral.
The collateral assignment applies to the entire policy, including any life insurance rider benefits that may be included.
The Collateral Assignment Process: A Step-by-Step Guide
The process is similar whether you are adding the assignment to an existing policy or buying new coverage.
There are two parties to a collateral assignment.
- Assignor – Is the owner of the life insurance policy
- Assignee – Is the lender
Life insurance companies have standardized forms used for this purpose.
- The owner completes the form and sends it to the lender for review and signature.
- Once completed by the lender, the form is sent to the insurance company.
- The insurance company records the assignment and confirms to the owner and lender that it is complete.
This may all seem confusing if you haven’t used an assignment before, but the reality is that most life insurers make it pretty easy to complete.
Releasing a Collateral Assignment
When you pay off your loan, you have the right to have the collateral assignment released.
It’s a simple process :
- The policy owner completes the form and sends it to the lender.
- The lender signs off on the release. Many companies require a notary as a witness. The lender may return the form to the owner or the insurance company.
- Once completed and returned to the insurance company, the release is recorded, and all parties are notified.
Companies typically complete this process in about a week, and it’s a good idea to confirm everything with the home office to avoid potential issues.
Your agent can help with this.
What Happens to a Collateral Assignment if You Die?
How do collateral assignments work when you die?
Your beneficiary will file a death claim with the life insurer at some point.
Collateral Assignment Tip # 1
If your beneficiary is a loved one, it’s a good idea to let them know that your policy has a collateral assignment so they are not surprised when they file the claim.
Here’s an example of how a death claim with a collateral assignment works:
- Policy Face Amount = $5,000,000
- Beneficiary = Your Spouse
- Original Bank Loan = $200,000
- Outstanding Loan Balance at Death = $100,000
What happens next?
- Your beneficiary will file the death claim with the life insurance company.
- The life insurance company will review the claim and see a collateral assignment attached to your policy.
- The life insurer contacts the lender for an updated payoff figure.
- Payoff amounts are sent directly to the lender.
- Your beneficiary receives the balance of the policy death benefit .
For the above example, your lender would receive $100,000, and your beneficiary would receive the remaining $4,900,000.
Collateral Assignment Tip # 2
NEVER name your lender directly as a beneficiary. If you do, the lender will receive the entire death benefit, and your intended beneficiary will have to go through the lender to receive their share.
Collateral Assignments and Health Issues
While lenders may want a life insurance policy as collateral, obtaining life insurance can sometimes be difficult if the insured has substantial health issues .
If you have an existing life insurance policy in effect, you can use that for the assignment.
Another option that exists in some states is contingent coverage.
Contingent coverage is a one-year policy that you can renew.
The policy will exclude death from the known health issue but provide coverage for new health issues that develop or from accidental deaths .
Many lenders accept this coverage when it’s the only option available. And we’ve also seen lenders waive the collateral assignment requirement at times.
What is an Absolute Assignment?
An absolute assignment is a change of ownership of the policy.
When you want to permanently relinquish your rights to the life insurance policy, an absolute assignment is used.
Examples where absolute assignments are used include:
Life Insurance Settlements
1035 exchange, gifting life insurance to charities, irrevocable life insurance trusts (ilit), business insurance planning.
With this transaction, you are selling your life insurance policy to a third party.
If it is a term policy, you would convert a term policy to permanent insurance before it is sold. In some cases, a company will buy the term policy.
Another example may involve admitting seniors to a nursing home, where the nursing home may take over the policy you have.
A 1035 exchange is a tax-free transfer of cash value from universal life or whole life policy to another similar policy.
You can use absolute assignments to transfer your policy to your favorite charity.
You use absolute assignments to transfer your policy to an ILIT permanently.
An example would be a survivorship policy you and your spouse own that you are transferring to the trust.
Many other potential issues may arise with transfers to an ILIT that are beyond the scope of this article.
If you purchase key person life insurance on an employee, absolute assignments transfer ownership to the employee.
Many times, this happens if the employee leaves the company or retires.
You may have a policy permanently assigned to a nursing home or assisted living facility to help with long-term care expenses.
How Do Absolute Assignments Work?
Life insurance companies have forms used for Absolute Assignments.
Absolute assignment forms require:
- Current owner name, address, and tax ID information.
- New owner name, address, and tax ID information.
- Relationship to the proposed insured.
- Spousal consent in some states and situations.
The completed forms are submitted to the insurance company, recorded, and confirmations are sent to all parties.
Frequently Asked Questions About Life Insurance Assignments
You may have questions about your life insurance assignment and how it works.
The following are general guidelines, as each situation is uniquely different.
Can the collateral assignment change the beneficiary?
No, the collateral assignment does not change the beneficiary.
The life insurance assignment gives the lender the right to receive proceeds equal to their outstanding loan balance.
Can a business be a beneficiary in a collateral assignment of life insurance?
A business can be the beneficiary of a life insurance policy that is collaterally assigned.
Final Words
Life insurance assignments are common for absolute and collateral assignments.
What is most important is that you understand what is involved with this process.
That’s where we’ll help you make the best decision for your life insurance.
There is never any pressure or obligation with our life insurance service.
Please take a few minutes to submit your quote request today. Thank you.
About The Author
Michael Horbal
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COMMENTS
Assignment of benefits, widely referred to as AOB, is a contractual agreement signed by a policyholder, which enables a third party to file an insurance claim, make repair decisions, and directly ...
An assignment of benefits (AOB) is a contractual agreement that enables a third party to access insurance benefits on behalf of the policyholder.[1] When the policyholder signs an AOB agreement, it grants the third party the authority to initiate an insurance claim and receive reimbursement directly from the insurance company.
What does assignment mean on a life insurance policy? A life insurance policy can be assigned when rights of one person are transferred to another. The rights to your insurance policy can be transferred to someone else for various reasons. The process is known as assignment. An "assignor" (policyholder) is the person who assigns the ...
The contractor looks at the damage, and estimates the likely cost of repairing the property. Maybe that estimate is greater than the coverage amount the homeowner expects the insurance company to pay out. In this instance, the contractor will sometimes suggest that the homeowner enter into an "assignment of benefits" (AOB) arrangement.
Assignment of a Life Insurance Policy simply means transfer of rights from one person to another. The policyholder can transfer the rights of his insurance policy to another for various reasons and this process is called Assignment. ... If the assignee dies, the assignment does not get cancelled. The legal heirs of the assignee become entitled ...
For an assignment of benefits to work, the potential insurance claimant and the insurance company in question must each sign the paperwork and agree to the arrangement. This prevents fraud (to some extent) and ensures that every party goes into the arrangement with clear expectations.
An overview of the legal principles that apply when assigning an insurance policy or the right to receive the insurance monies due under the policy to a third party. It considers the requirements that must be met for the assignment to be valid and explains the difference between assignment, co-insurance, noting of interest and loss payee clauses.
"An assignment of policy is never going to be valid. In fact, I haven't come across a state that allows an assignment of an insurance policy without the insurance company's prior written consent," Josh said. "The reason it's not allowed is because it's against public policy. It increases the insurance risk substantially."
Score: 4.1/5 (75 votes) . A life insurance assignment is a document that allows you to transfer the ownership rights of your policy to a third party, transferring to that third party all rights of ownership under your policy, including the rights to make decisions regarding coverage, beneficiary and investment options.
The insurance policy will pay off the balance if you die while the loan is outstanding. One of the most common uses for collateral assignments is with SBA loans, especially if you do not have other assets to post as collateral. The collateral assignment applies to the entire policy, including any life insurance rider benefits that may be included.