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Critical Illness Insurance Payouts Continuing to Rise

Personal_Finance / Insurance Apr 20, 2010 - 06:06 AM GMT

By: MoneyFacts


More critical illness claims were paid out than ever before in 2009, as the problem of non-disclosure continued to be eradicated from the protection industry, a new survey from Investment Life & Pensions Moneyfacts has revealed.

According to the research, insurers paid out an average of 90.5% of all critical illness claims last year, up from the figure of 88.4% reported by LifeSearch in 2008. When the clamour for claims statistics to be published first began six years ago, the figure was closer to 75%. Nine of the 12 providers listed either improved on or maintained the level of payouts they achieved in 2008.

Legal & General was found to have paid out the highest proportion of claims during 2009 (93.6%), closely followed by AXA and Bright Grey (93%) (see Table 1). The number of claims rejected for not meeting the definition of the illness set out in the policy was found to have dropped to 7.6%, down from 9.1%. However, even more encouraging was that just 1.9% of claims were rejected on the basis of non-disclosure, where the claimant has been adjudged to have withheld pertinent information during their application for the policy, compared with 2.5% in 2008.  

Richard Eagling, Editor of Investment Life and Pensions Moneyfacts, said: “With non-disclosure having long been a contentious issue within the critical illness industry, it appears the efforts of providers and the Association of British Insurers (ABI) to tackle the problem are finally being rewarded. The improvement in the claims statistics can only serve to improve confidence in the critical illness proposition.”

Table 1: Critical illness claims statistics 2009


Claims paid

Claims declined

due to

Declined due to not meeting definition

AEGON 88% 12% 4% 8%
(Jan 09 – June 09)
89% 11% 2% 9%
(Sept 08 –Aug 09)
93% 7% 3% 4%
Bright Grey 93% 7% 2% 5%
BUPA 88% 12% 2% 10%
Friends Provident 92.6% 7.4% 2.1% 5.3%
Legal & General 93.6% 6.4% 1.8% 4.6%
LV= 90% 10% 3% 7%
Royal Liver
(Jan 09 – Nov 09)
86% 14% 0% 14%
Scottish Provident 91.3% 8.7% 1.7% 7%
Skandia 91% 9% 0% 9%
Zurich 91% 9% 1% 8%
Average 2009 90.5% 9.5% 1.9% 7.6%
Average 2008 (source: LifeSearch) 88.4% 11.6% 2.5% 9.1% - The Money Search Engine is the UK's leading independent provider of personal finance information. For the last 20 years, Moneyfacts' information has been the key driver behind many personal finance decisions, from the Treasury to the high street.

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