A Sheffield IFA has accused Bupa of using delaying tactics over a critical-illness claim by demanding that exceptional conditions were met.Mint Financial adviser Richard Blackshaw submitted a 119,000 cancer-related claim which took Bupa three months to settle after the ins- urer repeatedly challenged the medical evidence put forward. The IFA says Bupa verbally rejected the claim last November but, when challenged, said it would reconsider if the client could provide more evidence of the cancer being invasive. Blackshaw provided a letter from a consultant urologist and histology report stating: “..I have discussed the findings with my pathologist colleague and the lesion has been determined as a superficially invasive moderately differentiated transitional cell carcinomaâ¦” He was told that because the prognosis was termed “good”, Bupa required a letter from the pathologist directly. Bupa then called the path- ologist to regrade the TNM rating, which grades the sev- erity of a cancer, despite ABI practice only requiring TNM ratings for prostate cancer. Blackshaw asked Zurich and Friends Provident for their opinions on the case when the claim was initially denied. Friends Provident spokeswoman Sarah Forster says: “Assuming that full disclosure was made at the time of app- lication, in our chief medical officer’s opinion, the tumour would satisfy the criteria for a claim on a Friends Provident critical-illness contract, as he believes it is invasive.” Blackshaw says: “It started with this term ‘invasive’. I do not understand how one pro-vider comes back within three days with a yes while Bupa goes through all this. It sounds like their hands are tied though. I blame the reinsurer, they just did not want to pay out.” Bupa product manager individual protection Steve Casey says: “Although we cannot comment on specific cases, to ensure a claim fulfils a definition, we need all relevant medical evidence. In cases where a point needs clarification, we will request additional evidence.”
Rooftop Mortgages is the latest lender to join the Association of Mortgage Intermediaries as an associate member.Rooftop Mortgages managing director Jonathan Naylor says of the announcement: “We have been impressed with AMIs recent achievements with the industrys regulators, as well as its continued support of the intermediary community. We wanted to be an active part […]
Conservative Shadow Trade and Industry Secretary Alan Duncan this week visited Blackfriars Advice Centre and Southwark Credit Union to show support for responsible borrowing and organisations set up to aid those with personal debt problems.
The Financial Services Compensation Scheme is to refund 42m to firms in the general insurance contribution group, partly due lower than anticipated compensation in the sector. It says it is unlikely to raise the levy in 2006/07.
Safe Home Income Plans has hit back at Labour backbenchers’ claims of flawed equity-release advertising, saying increased competition this year will boost product innovation. But trouble could be brewing, with a Ship member survey predicting that equity-release products could be aimed at younger people this year. Labour MPs have accused Norwich Union and other equity-release […]
Matt Shafer, Head of International Distribution, discusses the firm’s philosophy around Durable Portfolio Construction, particularly the importance of putting risk first, thinking about better ways to use traditional asset classes and how to position alternatives in portfolios.
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