The January edition of Ombudsman News focuses mainly on how the insurance ombudsman deals with health-related complaints.
Issues covered include:
|•||Group medical expenses schemes, and the extent to which the ombudsman expects the insurer rather than the employer to inform staff of policy terms and of any changes to scheme conditions.|
|•||How the ombudsman handles cases where the customer has a common condition that subsequently develops into something more serious|
|•||Critical illness policies|
|•||The circumstances in which firms should pay for medical reports|
The report also includes a variety of case studies on different topics.
Ombudsman News is the Financial Ombudsman Service’s monthly newsletter, intended primarily for financial services firms, professional advisers and consumer advice agencies. Go to www.financialombudsman.org.