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CR293 Poor service Administration of policies by insurer
CR293 Poor service Administration of policies by insurer –insurer agreeing to change its practice to provide efficient service. BACKGROUND The complainant, as the principal annuitant, held three policies that provided monthly annuities, and had been receiving the annuities since 2000. His wife was the second annuitant on the policies, and in terms thereof would only […]
Read MoreCR162 Poor service – Insurer providing confidential policy information to a third party
CR162 Poor service – Insurer providing confidential policy information to a third party Facts This was a complaint with a difference; a reminder that a woman scorned can cause a hell of a fury. Ms A, the woman in question, had recently been divorced. Lots of love was lost between her and her ex-husband. She […]
Read MoreCR129 Funeral insurance – non-conclusion of contract – estoppel – compensation
CR129 Funeral insurance – non-conclusion of contract – estoppel – compensation Facts The complainant was an existing policyholder with the insurer. In April 2004 he completed an application to add his mother to his existing policy for cover of R10 000. This would have increased his premiums from R58.50 to R332.50. He handed the application […]
Read MoreCR128 Bad service – compensation
CR128 Bad service – compensation Facts The complainant added her sister to an existing funeral policy on 7 August 2001. When her sister died on 12 October 2002 she submitted a claim on 16 October 2002 to which, she said, the insurer did not respond. She enquired but all she got was “promises, promises every […]
Read MoreCR98 Ambiguity in a policy wording
CR98 Ambiguity in a policy wording Background The policy in question was a retirement annuity. The issue was that nowhere on the schedule of rates did it state the frequency of annuity payments. The rates quoted were intended to be annual, but the complainant chose to assume that they were monthly. A qualifying statement under […]
Read MoreCR97 Compensation for late payment of death benefits caused by unjustified delay by an insurer.
CR97 Compensation for late payment of death benefits caused by unjustified delay by an insurer. Background Eleven years after the death of the deceased/policyholder, we received a complaint from a family member that the insurer insist that the claimants provide it with copies of the inquest record and blood samples before they would consider payment […]
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