Porker wrote:I am sympathetic to insurers concerning the large amount of fraud which they suffer but it does irritate me that those who are trying to abide by the terms of their policies can be caught out in sometimes wholly unexpected ways.
P.
But if you abide by the T&C's you cannot get caught out as they are also binding on the insurers...
Seriously though, we are well aware that for things that are slightyl non-standard policy holders can get caught out. Suprisingly the industry has no wish to seek spurious excuses not to pay out.
In general when we find a problem with a claim we ask ourself four questions:
1. Has the policyholder deliberatly misled us. (eg we asked a specific question and they did not answer it truthfully.
2. Should a resonable person have realised that they should have told us.
3. Would we have significantly increased out preminum if we had known (or have refused cover)
4. Is there any hint of fraud here
If the answer to all of these is no then we will pay out anyway. If this was not the case then you would hear about a lot more problems with claims, as our last study revealed that 60% of drivers are failing to abide by the excact letter of their policy. ie 60% of drivers are technically uninsured
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In the case of the issues we have discussed here I would be stunned if an insurer did actually refuse a claim, and even if they did I doubt that the Insurance Ombudsman would support such a refusal. Having said that I would still advise letting your insurers know. Some day you may need their help and it is in your interest to maintain a good relationship with them.
I accept that there will still be people whom will have claims disallowed as they genuinly believed that what they were doing was OK. However the vast majority, even those who go to the papers knew well fine what they were doing was iffy. Their shock comes because they thought they would get away with it, or that they deluded themselves into thinking we would just let it pass.