Probate Q&A Series

What legal grounds do I have to demand the insurer reverse the wrongful payment and follow the beneficiary designation? – North Carolina

Short Answer

Under North Carolina law, named life insurance beneficiaries can enforce the policy as a contract and demand payment according to the beneficiary designation. If the insurer paid the wrong person, you may pursue breach of contract and seek a court order requiring payment to the correct beneficiaries, and separately recover the funds from the person who was wrongly paid using equitable remedies (like a constructive trust or unjust enrichment). Unfair claims practices may also support a claim under North Carolina’s unfair and deceptive trade practices statute.

Understanding the Problem

In North Carolina, can you—named beneficiaries on a life insurance policy—require the insurer to correct a mistaken payout to a non‑beneficiary and honor the beneficiary designation? One key fact here is that the insurer sent the death benefit to a sibling who was not listed as a beneficiary.

Apply the Law

Life insurance proceeds payable to named beneficiaries generally pass outside probate and must be paid according to the policy’s beneficiary designation. If an insurer pays the wrong person, the named beneficiaries can sue for breach of contract and seek a declaratory judgment confirming their rights. Separately, the person who received the money can be required to return it under equitable theories (constructive trust or unjust enrichment). North Carolina’s unfair claims statutes and unfair and deceptive trade practices law can also apply to improper claims handling. The main forum is North Carolina Superior Court. Deadlines vary by claim; some can be as short as three years, and certain unfair trade practice claims are four years.

Key Requirements

  • Valid policy and designation: Show a life insurance policy naming you as beneficiaries and the insured’s death.
  • Wrongful payment: Insurer paid someone other than the named beneficiaries, contrary to the policy terms.
  • Damages: You were deprived of the proceeds; include proof of the amount, and any funeral expenses you covered after the failed assignment.
  • Unfair claims handling (optional claim): Facts indicating unfair settlement practices may support a North Carolina unfair and deceptive trade practices claim.
  • Equitable recovery from the payee: The non‑beneficiary received a measurable benefit, kept it, and equity requires return (constructive trust/unjust enrichment).

What the Statutes Say

Analysis

Apply the Rule to the Facts: You and your twin are the sole named beneficiaries. The insurer paid a non‑beneficiary. That supports a breach of contract claim against the insurer and a request for a declaratory judgment confirming your right to the proceeds. Because you covered funeral costs after the assignment was not honored, you can also document those out‑of‑pocket expenses; they do not diminish your right to have the proceeds paid per the designation. You may pursue return of funds from the sibling through a constructive trust or unjust enrichment claim.

Process & Timing

  1. Who files: The named beneficiaries. Where: North Carolina Superior Court in a proper county (often where a defendant resides or the insurer does business). What: A written demand to the insurer first (include policy, beneficiary designation, death certificate, claim paperwork, and the funeral assignment). If not resolved, file a civil complaint for breach of contract and declaratory judgment; add unfair/deceptive trade practices if supported, and equitable claims (constructive trust/unjust enrichment) against the sibling. When: Act promptly—some claims have three‑year limits, and certain unfair trade practice claims have a four‑year limit.
  2. Seek interim relief if needed. If the sibling still holds funds, consider a motion for a temporary restraining order or preliminary injunction to preserve the proceeds while the case is pending. Timeframes vary by county.
  3. Resolution. Expect either a negotiated repayment/reissue or a court order: (a) insurer pays the beneficiaries per the policy, and/or (b) the sibling must return or transfer the proceeds under a constructive trust. The court can also enter a declaratory judgment clarifying everyone’s rights.

Exceptions & Pitfalls

  • Policy or statutory safe harbors: Insurers sometimes have defenses if they paid in good faith and without notice of adverse claims; you may still recover from the person who received the money.
  • Proof gaps: Gather the beneficiary designation, policy, proof of death, claim forms, and any assignment to the funeral provider. Missing documentation slows or undermines your demand.
  • Tracing issues: If the sibling spent the funds, you can still seek a money judgment, but recovery may be harder; act quickly to preserve assets.
  • Funeral costs: Life insurance payable to named beneficiaries generally is not a probate asset. Keep receipts for funeral expenses you paid; those can be addressed in settlement or judgment even if the assignment wasn’t honored.

Conclusion

In North Carolina, named beneficiaries can enforce a life insurance policy as a contract and require payment per the beneficiary designation. If the insurer paid a non‑beneficiary, you can pursue breach of contract and a declaratory judgment against the insurer, and equitable remedies (constructive trust/unjust enrichment) against the recipient. Move quickly: file a formal demand with the insurer, and if not corrected, file suit in Superior Court—some claims carry three‑year limits, while unfair trade practice claims are typically four years.

Talk to a Probate Attorney

If you’re facing a wrongful life insurance payout and need the insurer to honor the beneficiary designation, our firm can help you evaluate your options, preserve funds, and act within North Carolina’s deadlines. Contact us today to discuss your case.

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.