Ombudsman's legally binding decisions

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Last updated on 25 June 2025 with legally binding decisions up to the end of December 2024.

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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

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