Case Studies

  • Pairs and sets clause (complaint upheld)

  • A lapsed life policy with a twist (complaint upheld)

  • Tracing the insurance underwriter (complaint upheld)

  • Delay or failure to open a claim

  • Term Policy Discount (complaint not upheld)

  • Addition of a second life assured on a life policy without notification (complaint not upheld)

  • Non-Disclosure of material information on life insurance with disability benefits (cross-border complaint) - (complaint not upheld but entity agrees to a goodwill payment)

  • Motor Insurance claim rejected due to alleged misrepresentation (cross-border complaint) - (complaint not upheld but complainant directed to consider lodging complaint against the insurance broker)

  • Damage to vehicle following repairs undertaken by the insurer's appointed repairers (complaint partially upheld)

  • Alleged mis-selling of health and sickness policy (cross-border complaint) - (complaint upheld)

  • Unfair repudiation of extended warranty claims (complaint not upheld)

  • GAP Insurance Policy (complaint upheld)

  • Unauthorised claim payment by insurer (complaint upheld)

  • Items belonging to the insured scrapped with the vehicle by the insurer without prior authorisation (cross-border complaint) - (complaint upheld)

  • Late notification of hail storm damage claim (complaint not upheld)

  • Repairs following hail storm damage (complaint upheld but complainant referred case to mandatory arbitration)