Working hard for our members.
The statistics below show you the areas and ages of all claims paid in 2016 as well as examples of claims and a summary of complaints over the last few years.
1Taken as average of insured members throughout 2016
The pie charts below show analysis of the claims paid in 2016 by gender.
This table shows analysis of the claims paid in 2016 by type of illness or injury. An overwhelming majority of the claims paid in 2016 were for conditions that would not be covered by other protection products, for example critical illness cover or life assurance.
|Injury or illness||Male||Female|
|Infectious & communicable diseases||9%||7%|
|The total number of claims paid||1,166||1,286||1,301|
|Claims-related complaints received||8||5||3|
|Claims-related complaints referred to Financial Ombudsman Service (FOS)||0||0||1|
|Complaints upheld by FOS||0||0||1|
The FOS is the Financial Ombudsman Service
In 2016 we paid 97.7% of new claims.
|Claims received and paid||2016|
|New claims received||915|
|Of which, new claims paid||894|
|New claims declined*||21|
*Claims were declined because: The claimant didn't meet the definition of incapacity (11); Their condition was not covered by their plan (3); The claimant didn't provide all of the information needed to assess their claim (4); Other plan rules weren't met (3).
If you have any questions please contact our company secretary Simon Elliott on 020 7400 5700.