Time to rebrand trauma: IFSO
Karen Stevens said her office had received complaints from people who thought their policies should have paid out simply because they suffered a traumatic event.
"It's really unfortunate that trauma insurance was ever called trauma insurance," she said. "Most don't understand what it means."
One man complained that the diagnosis of his kidney tumour and the surgery to remove it had been very traumatic. Therefore, he said, his insurer should pay his trauma claim. However, his tumour was found to be benign, and the trauma policy only covered life-threatening cancer, including “the presence of one of more malignant tumours".
“Although the complainant’s experience was indeed traumatic, and we understand that, there was no evidence of malignancy,” Stevens said. “It was outside the policy cover, so there was nothing we could do to give the complainant the outcome he wanted.”
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