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Restricted remit ruins relationship

Sanjay wanted lower cost insurance and asked his insurance adviser to get quotes from other insurers. Sanjay’s insurance adviser provided the quotes and Sanjay chose a new insurer. Sanjay completed the application forms and the new insurer approved cover. Shortly after moving insurer, Sanjay made a claim. After reviewing Sanjay’s medical records, the new insurer cancelled Sanjay’s policy for non-disclosure of pre-existing medical conditions. Sanjay was upset that his adviser had not fully advised him about go the new policies and his duty of disclosure. Was the insurance adviser at fault?

He said she said

After Mel suffered a stroke she said her insurance adviser told her she had no trauma cover (she later found out she did). Her adviser said the conversation never happened.

Having to sit down during the stand down

Daniel wanted to reduce his insurance premiums. Daniel’s adviser found a new policy that would provide similar benefits at a lower premium. 60 days into his new policy, Daniel was diagnosed with cardiomyopathy. Daniel’s claim under his new trauma policy was declined because it occurred within a 90 day stand down period in his policy. Daniel felt his adviser should have ensured that he had trauma cover before cancelling his old policy. Would Daniel’s claim ever be paid?

‘Paul’s indemnity period pickle’

A small business owner thought he had 24 months of business interruption cover in place. Following a flood, Paul’s business was unable to trade and the business premises needed repairs. Paul then discovered he only had 12 months of BI cover in place and was going to suffer a loss because the building repairs were going to take longer than 12 months.

A trauma-tic response

Brendan made a claim under his health insurance policy believing he would receive $50,000 after a conversation with his insurance adviser. Brendan only received $12,500 for his claim. Is the insurance adviser liable to pay the difference?