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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PDFCritical & Serious Illness Decision Reference 2022-0039

Sector: Insurance

Product/Service: Health, Accident and Other

Primary Conduct Complained Of: Claim Handling

Outcome: Substantially upheld

All Conducts Complained Of: Claim handling delays or issues, Disagreement regarding Medical evidence submitted

Year: 2022

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