Post-termination medical evidence is relevant when considering a disability claim
The Ombudsman for Long-term Insurance rules that Fedgroup Life must pay an employee’s mental illness claim.
Ombudsman for Long-term Insurance
‘Meeting of the minds’ is essential at application stage
Long-term insurance ombudsman orders the complainant to be compensated for poor service.
Features of accidental death product lead consumers to think they’re buying a funeral policy
An insurer has a duty to draw a policyholder’s attention to any usual term or condition, the ombudsman says.
Ruling on whether a Covid claim was excluded prior to the completion of underwriting
The Ombudsman for Long-term Insurance finds that the policy wording did not support what Old Mutual intended to achieve.
What’s inside the long-term insurance ombudsman’s 2022 report
Decline in the number of complaints and in the number of cases resolved in favour of policyholders.
Life insurers with the most and least complaints to the ombud in 2022
Cases that were resolved wholly or partially in favour of the complainants fell to 29%.
Single Financial Ombudsman scheme set to go live in 2024
The amalgamated scheme will later include the FAIS Ombud and the JSE Ombud.
‘Progressive’ and ‘reformist’ retired judge is new insurance ombudsman
Margie Victor says the offices she oversees will strive to improve insurance services.
Long-term insurance ombudsman receives fewer complaints
The Office of the Ombudsman for Long-Term Insurance (Olti) received 11.8% fewer chargeable complaints in the first half of this year compared with the same period last year, when the number of complaints […]
10 take-aways from the long-term insurance ombudsman’s annual report
The Ombudsman for Long-term Insurance (Olti) released its annual report for 2021 last week. Here are 10 key take-aways from the report: 1. R200m recovered for complainants The Olti recovered R200 689 324 […]
Life insurers that attracted the most and least complaints in 2021
This link will open a table of the 2021 complaints data of the 51 life insurers that subscribe to the Ombudsman for Long-term Insurance. The table lists the insurers by each insurer’s complaints […]
Ambiguous wording results in dispute over funeral claims
Poorly worded policies don’t only result in disputes over multi-million-rand commercial claims. The Ombudsman for Long-term Insurance (Olti) last year dealt with a number of complaints about rejected or limited funeral benefit claims […]
Why insurer changed its mind after declining a claim
The question of full disclosure at the time of application, as well as during the term of a policy, came to the fore in a recent article published in Rapport. After first repudiating […]
FSCA will take further action to address ‘unfair outcomes’ on universal life policies
The FSCA says it has begun consultations with the life insurance industry to develop solutions aimed at achieving “fair customer outcomes” for universal life policyholders. The authority said in a statement that the […]
FSCA will take further action to address ‘unfair outcomes’ on universal life policies
The FSCA says it has begun consultations with the life insurance industry to develop solutions aimed at achieving “fair customer outcomes” for universal life policyholders. The authority said in a statement that the […]
