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 18 46.2% 21 53.8%
Claims declined(policy terms or conditions not recognised or met) 20 36.4% 35 63.6%
Claims declined(non-disclosure) 1 100.0% 0 0.0%
Dissatisfaction with policy performance and maturity values 0 0.0% 4 100.0%
Dissatisfaction with surrender or paid up values 0 0.0% 1 100.0%
Misselling 0 0.0% 0 0.0%
Lapsing 2 28.6% 5 71.4%
Miscellaneous 0 0.0% 4 100.0%
Total 41 36.9% 70 63.1%

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