
Not every medical non-disclosure justifies claim rejection
The Appeal Tribunal found that an undisclosed diagnostic test was not material to the insurer’s assessment of the risk and ordered the claim to be paid.

The Appeal Tribunal found that an undisclosed diagnostic test was not material to the insurer’s assessment of the risk and ordered the claim to be paid.

A disability claim was paid, then disputed on non-disclosure grounds. Years of stalled litigation meant the court dealt with the case on procedure, not substance.

Changes such as joint ventures, investing in infrastructure, and switching to higher-value crops can introduce risks that may not be covered.

The policyholder inflated her earnings and failed to disclose a simultaneous application with another insurer, materially affecting the risk assessment.

Applicants must fully disclose all relevant information during underwriting, even if it was divulged in past applications.

A dispute over a R14 million claim underscores the importance of clear communication and thorough risk assessment in fire insurance agreements.