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
| Reference | DRN-8482986 |
|---|---|
| Decision date | 2019-06-07T00:00:00+00:00 |
| Firm | Cigna Europe Insurance Company SA |
| Product | Other regulated product |
| Claim type | Travel / life insurance claim disputes |
| Outcome | Not upheld |
| Remedy | None - 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
| Group | Decisions | Uphold rate |
|---|---|---|
| Cigna Europe Insurance Company SA, all decisions | 11 | 23% |
| Travel / life insurance claim disputes, all decisions | 19,828 | 30% |
| Other regulated product, all decisions | 51,105 | 30% |
Source
Read the original decision on the Financial Ombudsman Service website