Ombudsman's legally binding decisions

Filter our database

Last updated on 21 May 2026 with legally binding decisions up to the end of of March 2026.

To narrow your search, you may also wish to select from the following:

 

Or search the database by decision reference number, if known:


 

PDFPrivate Health Insurance Decision Reference 2019-0138

Sector: Insurance

Product/Service: Health, Accident and Other

Primary Conduct Complained Of: Rejection of Claim

Outcome: Rejected

All Conducts Complained Of: Rejection of claim - non-medical necessity, Claim handling delays or issues, Delayed or inadequate communication

Year: 2019

View Document