Question about critical illness incurance

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Question about critical illness incurance

Postby Kev2009 on Tue Apr 21, 2023 1:41 pm

Hi, Hoping somebody can give me some advice here, i took out criticall illness insurance in October 2007, i have recently been diagnosed with cancer and i will be putting a claim in for this to the insurance company. I was reviewing my criticall illness policy and noticed it said 'Within the last 5 years have you suffered from or recieved treatment for any of the following', one of them said "Have you recieved treatment or advice for any of the following 'Anxiety, depression or any other mental illness', i orgininally in Oct 2007 said no to this.
I did recieve some beta blockers from the doctor in 2002 for anxiety but was ok by early 2003, my question is do you think they will try to get out of paying because of this?, if my maths are correct then the time from say January 2003 when i recieved my last lot of beta blockers to October 2007 is 4 years 10 months, 2 months off the 5 years they asked for, i honestly thought it had been more than 5 years when i was answering the questions on the phone, everything else is spot on, i only noticed this when trawling through my insurance before making a claim. What should i expect?, i have a feeling they will decline it because of this 'non-disclosure'
Any advice is appreciated

Cheers

Kev
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Re: Question about critical illness incurance

Postby Broker Boy on Wed Apr 22, 2023 2:53 pm

I understand your concern. It is possible that when the insurance company examines your health files supplied by your GP, that they will miss this 2 month error. After all it was many years ago. Let's hope so.

If they do spot it, they may try to use it as a reason for non payment but your defence against "non disclosure" must be that at the time yu applied, you genuinely thought your anxiety problem was just outside the 5 year period. If they do refuse, then you will have to take your case to the Financial Ombudsman. In the past, the Financial Ombudsman has tended to rule in favour of the policyholder when the non-disclosed illness has nothing to do with the illness which is the subject of the claim and especially where the error was unintentional and, in your case, just 2 months inside a 5 year deadline when you would not have had to disclose anyway.

My advice is claim now, do not say anything, and wait and see what happens.

I would like to wish you all the best with your illness.

Regards, Broker Boy
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