Summary
Some people with critical illness policies fail toreally appreciate how these insurance policies work. There are calls for tougher guidelines on the presentation of such insurance policies. People need plenty of information on plans which best suit their individual needs.
The city regulator expressed its concern five years ago that lots of insurance holders did not comprehend what their insurance covered. Those worries still remain true.
The City Regulator, the Financial Services Authority (FSA) commentated that research proved that insurance providers, including supermarkets, financial advisers, banks and insurers often made little effort to find out if the insurance was adequate and inadequate explanation was provided to plan holders of how policies operates. While most organisations were working to adhere to improved standards, others continued offering a substandard service.
In the event that a stroke, heart attack, canceror other specified life-threatening illnesses is diagnosed, critical illness cover, insurance pays out a lump sum. Usually, it is clients who are worried about paying off loans or mortgages if they should be unable to continue working, who purchase these plans.
There are two kinds of policy: where the monthly premiums increase over the years and those with a guaranteed fixed monthly premium. Figures from the ABI suggest that, alltogether, there are over of 4m insurance policies covering 11 million policyholders. An average policy will pay out £67,000.
These “protection” plans have proved to have critics. While they are beneficial, these “protection” policies have proved controversial and financial commentators observe that not many people make claims. There are no statistics available on the number of people claiming made contrasted against the total premiums paid. The Financial Services Authority review did show, however, that on average, twenty five per cent of the claims made are declined.
Recently, in one case a customer was found to have with cancer but specialist could not say which one. The policyholder was regretably informed it was unlikely the cancer specialists would know for certain until he seven feet under. And it’s all life cover.
Until the medical people could say with certainty what cancer he had, his insurer would not pay out. The policyholder’s family appealed realising that should he die, the insurance company would pay out a life insurance policy worth twenty thousand pounds rather than the critical illness plan which was worth more than £85,000 as only one policy was planned to pay out. The argument with the provider caused untold stress to the policy holder. After a demonstration of public support, the insurer agreed with the policyholder’s advisers and paid out on the critical illness policy.
The Consumers’ Association which publishes Which?, said it thinks the situation is significantly more serious than the Financial Services Authority claims and that sales of critical illness policies are at the centre of a mis-selling situation.
Peter Green, principal policy adviser, says commission-hungry advisors, finance companies and brokers, saw a chance to make huge profits. He said Which? had forseen that the mis-selling that was common in the promotion of payment protection insurance and pensions and would be replicated in the critical illness business. And you’ll find the best life cover online.
His forecasts are on the back of complaints in in the House of Commons regarding the mis-selling of critical illness policies. Edward Blank, the MP, says the Financial Services Authority’s study proves that there is a high risk that insurance policies are being sold to consumers who cannot appreciate what they are buying or who don’t even need them. The MP wants the FSA change its rules that would limit sales to financial advisers working under strict guidelines.
