CONSUMERS RUE DECLINED CLAIMS- REPORT

Statistics reveal that claims declined over non-disclosure of information by clients have been slowly growing especially in the South Africa market.

The long-term insurance ombudsman’s annual report for 2016 released in October shows the number and nature of complaints received for the year, as well as those which have been wholly or partially resolved.

Among the trends observed include the slow creeping up of non-disclosure complaints from 160-177 in 2016.

This may mean insurers are more vigilant or people are not disclosing as they did in the past.

It is advisable for the intending insured to disclose information which may be medical or financial in nature. At a later stage when the insured wants to claim, the insurer relies on the fact that the (he or she) insured did not disclose as a reasonable ground to deny claims payment.

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