Details of Finalised Cases resolved by Nature of Complaint
Nature of Complaint No. of Cases resolved in favour of Complainant % No. of Cases resolved in favour of Insurer %
Poor communications/documents or information not supplied/poor service 25 38.5% 40 61.5%
Claims declined(policy terms or conditions not recognised or met) 31 36.0% 55 64.0%
Claims declined(non-disclosure) 1 33.3% 2 66.7%
Dissatisfaction with policy performance and maturity values 0 0.0% 0 0.0%
Dissatisfaction with surrender or paid up values 0 0.0% 2 100.0%
Misselling 0 0.0% 0 0.0%
Lapsing 3 50.0% 3 50.0%
Miscellaneous 1 12.5% 7 87.5%
Total 61 35.9% 109 64.1%

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