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Hi Group and Thanks for taking time out to read this
I need help and advice as I'm at a crossword
For the past three yeas I had an on-going insurance claim as a result of a burglary. The case was referred to the ombudsman as they were dispute over the settlement.
The insurance company claiming there were limits when all the documents I had in terms of the schedule and quotation form did not mention this. The adjudicator agreed with me and stated the paperwork to be confusing and FCA guidelines state limits should be mentioned on the schedule. Guess what the insurance company appealed and a year later he's decision appeared saying that he overturned the adjudicator decision as the policy summary and booklet was enough. What is more confusing in the decision he stated that consumers don't read this. He then stated that we must have read this before the policy had commenced but this was impossible as the policy was changed mid way. We have submitted further evidence one being the correct quotation form and he has dis-regards saying he knows what the reference at the bottom of the form indicates. He is wrong here as well. The bottom line of all this is the documentation according to FCA guidelines needs to be comprehensible and we have good time to make an informed decision which was not the case. The ombudsman has indicated we should start a new case against the broker but as the insurance company only sells through broker they are one in my opinion. The adjudicator follows the same guidelines as ombudsman so how can they can come to decisions poles apart ?
I need help do i take this further or just give in and take the settlement?
Thanks for reading
Chirag
I need help and advice as I'm at a crossword
For the past three yeas I had an on-going insurance claim as a result of a burglary. The case was referred to the ombudsman as they were dispute over the settlement.
The insurance company claiming there were limits when all the documents I had in terms of the schedule and quotation form did not mention this. The adjudicator agreed with me and stated the paperwork to be confusing and FCA guidelines state limits should be mentioned on the schedule. Guess what the insurance company appealed and a year later he's decision appeared saying that he overturned the adjudicator decision as the policy summary and booklet was enough. What is more confusing in the decision he stated that consumers don't read this. He then stated that we must have read this before the policy had commenced but this was impossible as the policy was changed mid way. We have submitted further evidence one being the correct quotation form and he has dis-regards saying he knows what the reference at the bottom of the form indicates. He is wrong here as well. The bottom line of all this is the documentation according to FCA guidelines needs to be comprehensible and we have good time to make an informed decision which was not the case. The ombudsman has indicated we should start a new case against the broker but as the insurance company only sells through broker they are one in my opinion. The adjudicator follows the same guidelines as ombudsman so how can they can come to decisions poles apart ?
I need help do i take this further or just give in and take the settlement?
Thanks for reading
Chirag
