Critical Illness Claims Settlement History

Critical Illness providers have been quick to point out that they have paid out more this year than last year.  As a general rule declined cases for non-disclosure are down as are cases where the illness did not meet the required definition.   Below is a list of results clearly showing providers critical illness claims settlement history for last year.  The proportionate payment column is one that will probably increase each year.  Instead of just declining cases, providers have turned to proportionate payment instead where the illness does not meet the definiton fully or there has been negligent non disclosure. 

% OF CLAIMS PAID BY CRITICAL ILLNESS INSURERS – MOST RECENT YEARLY STATS AVAILABLE

PROVIDER PAID OUT DECLINED FOR NON- DISCLOSURE DECLINED FOR NOT MEETING DEFINITION PROPORTIONATE PAYMENT
Source: Health Insurance & Protection
AEGON SCOTTISH EQUITABLE 91% 3.69% 5.31% 1%
AXA 87% 9% 4% NO DATA
BRIGHT GREY 83% 1.8% NO DATA YET NO DATA YET
BUPA 86.1% 1.79% 12.1% 2%
FRIENDS PROVIDENT 87.3% 4% 8.7% 2%
LEGAL & GENERAL 93% 4% 3% Second half of 2008: total £146m paid out, £1.31m proportionate
LV= 87% 0.7% 12.6% 4%
NORWICH UNION 90% 2% 8% 1.2%
PRUPROTECT NO DATA YET NO DATA YET NO DATA YET NO DATA YET
ROYAL LIVER NO DATA YET NO DATA YET NO DATA YET NO DATA YET
SKANDIA 89% ZERO 11% NO DATA
SCOTTISH PROVIDENT 86.7% 3% 10.3% NO DATA
UNUM NO DATA NO DATA NO DATA NO DATA
ZURICH 91% 0.4% 8.6% 0.5%
This entry was posted in Uncategorized by admin. Bookmark the permalink.

Leave a Reply

Your email address will not be published. Required fields are marked *

*

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>