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Final Determinations
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Final Determinations
Final Determinations 2020
Attachments
Case 47 - Claim declined due to pre-existing condition
Case 46 - Exclusion – evidence – insurer insists that the policyholder must provide documents
Case 45 - Compensation for poor service
Case 44 - Income disability benefits – frequency of medical reviews
2019
Attachments
Case 43 Cash payment not funeral service
Case 42 Accidental Cover Fairness
Case 41 Duplicate Policies
Case 40 Disability
Case 39 Funeral Benefits
Case 38 - Funeral Benefits – when cover commences
Case 37 -Lapsing
case 36 Compensation
Case 35 In duplum
2018
Attachments
Case 34 – Funeral policy – definition of wider family member
Case 33 - Funeral Benefit
Case 32 - Disability - temporary benefit
Case 31 - Poor service in claims handling
Case 30 – Dread Disease Claim
Case 29 - Funeral benefit
Case 28 - Funeral Insurance
2017
Attachments
Case 27 - Funeral policy - definition of wider family member
Case 26 - Compensation Award
2016
Attachments
Case25 - Late Submission - Equity Jurisdiction
2015
Attachments
Case 23 - Disability Claim
Case 22 - Payment of Interest
Case 21 - Compensation Award
Case 20 - Compensation Award
Case 19 - Pre-Existing Conditions Exclusion Clause
2014
Attachments
Case 18 - Appeal Decision
Case 17- Funeral Benefit Claim
Case 16: Late Submission of claim under individual funeral plan
2013
Attachments
Case 15 – Payment of PHI benefit
Case 14 – Ceded policies surrendered
Case 13 - Late Submission of Group Scheme Funeral Benefit Claim
Case 12 - Final Determination
2012
Attachments
Case 11- Funeral Policy
2011
Attachments
Case 10 - Interpretation of income protection policy
Case 9 - Pre-existing exclusion claus
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