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Finance company assumes customer’s identity

A finance company signed a settlement agreement with an insurer purporting to be the insured. The insured, who owed money to the finance company for his damaged vehicle, was denied the opportunity to dispute the insurer’s valuation of his loss. Is this fair?

Unrelated illness and injury but same clinical sign

Ligaya’s dog, Dusty, was diagnosed with an autoimmune disease. Ligaya submitted a claim to her pet insurance company for the cost of Dusty’s treatment. However, the insurance company declined the claim as it considered its 21 day stand down period exclusion clause applied. Dusty had previously received treatment for a sore hip within this 21 day stand period, and the insurance company thought this was a sign of the autoimmune disease. Was the insurance company right?

Fancy another policy Nancy?

Nancy paid $122,000 in premiums over 14 years for her and her 4 family members. Nancy complains to FSCL that her family has been oversold policies by her insurer.

The Hangover

After drinking with strangers while overseas, Hugo fell asleep giving them the opportunity to steal from him.

A dog’s breakfast of a claim

Jarred’s two dogs, for whom he had taken out insurance, suffered a number of illnesses, before and after policy inception. When Jarred went to make a claim, the insurer declined his claim on the basis of an exclusion. Jarred said the illness his dog had suffered prior to policy inception didn’t directly relate to the treatment he sought cover for.