11.8.99

Independent Financial Advisors’  Association

…an extract of the Lords' debate concerning pre-existing conditions to an illness regarding insurance was published…that no such pre-existing condition can exist until after a diagnosis of that condition.

 

…claim failed due to "associated symptoms" which have never been declared…

 

…the alleged unqualified symptoms predated 1.1.96 to place my claim outside cover…was diagnosed almost one full year inside the cover.

 

…claim process allowed for scrutiny of my medical history to allow selection of appropriate symptoms that might be connected to an undiagnosed…

 

… The Insurance Ombudsman (IOB) agreed with my arguments - which predated the Lords' debate by some 15 months.

 

…loophole in this type of product is that the Personal Investment Authority does not regulate the insurance part of the policy - only the investment part itself…

 

…Association of British Insurers seems powerless or just reluctant to make definitive comment in an insurance matter.

 

Office of Fair Trading (OFT)…is considering [my report] content with regard to critical illness insurance.

 

General Medical Council (GMC) stance is one of total disinterest.

 

…the Chief Medical Officer (CMO) was not necessarily involved with the claim refusal…claims' underwriters have some delegated authority to make medical decisions.

 

…illusion is that qualified medical opinion is used…the CMO is in "possession" of information does not mean that he was involved in the use of that information to make a decision himself.

 

…compliance and adherence to procedures is clearly brought into question about the competence of whoever was allowed to make such a complex technical decision…

 

…failure to diagnose…as early as October 95 (Managing Director of Abbey Life) – ie before January 96 - clearly challenges my own doctor's competence by possibly a medically unqualified claims' underwriter.

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