Veste

Not upheld: Travel / life insurance claim disputes complaint against Cigna Europe Insurance Company SA

Financial Ombudsman decision DRN-8482986 of 2019-06-07T00:00:00+00:00. Travel / life insurance claim disputes complaint against Cigna Europe Insurance Company SA. Outcome: Not upheld.

Decision detail

ReferenceDRN-8482986
Decision date2019-06-07T00:00:00+00:00
FirmCigna Europe Insurance Company SA
ProductOther regulated product
Claim typeTravel / life insurance claim disputes
OutcomeNot upheld
RemedyNone - complaint not upheld

Summary

Mr T complained about Cigna's decision to withdraw his personal accident insurance policy, which he had held since 1987 with annual renewals. Cigna notified him in early 2019 that it would not renew his policy from October 2019 as it was exiting the health market. The ombudsman found that the policy was annually renewable rather than a long-term contract, and Cigna was entitled to make this commercial decision. With over seven months' notice provided, the ombudsman concluded Cigna had acted fairly and did not uphold the complaint.

The Ombudsman's reasoning

The ombudsman found that as the policy was annually renewable rather than a long-term contract, Cigna was not obliged to continue providing cover at renewal. Cigna's decision to withdraw from the market was a legitimate exercise of commercial judgment. The seven months' notice provided was fair and gave Mr T sufficient opportunity to seek alternative cover.

How this compares

GroupDecisionsUphold rate
Cigna Europe Insurance Company SA, all decisions1123%
Travel / life insurance claim disputes, all decisions19,82830%
Other regulated product, all decisions51,10530%

Source

Read the original decision on the Financial Ombudsman Service website