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 2020-0437

Sector: Insurance

Product/Service: Health, Accident and Other

Primary Conduct Complained Of: Rejection of Claim

Outcome: Rejected

All Conducts Complained Of: Rejection of claim - pre-existing condition, Delayed or inadequate communication, Disagreement regarding Medical evidence submitted , Dissatisfaction with customer service , Failure to process instructions in a timely manner

Year: 2020

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