Jon-Paul Hale
Complaints processes and the rules can be two different things
Thursday 12th of December 2024
Let's deal with the complaint situation:
- The insurance company cancelled the cover.
- This appears to have been through a complaint process and suggests the insurance company came to a settlement of some sort to pay the client what is probably at least the face value of the cover.
- I can't see how the insurer can do that without paying at least the face value of the cover.
- The client was largely satisfied with this outcome, suggesting it was more than the face value and more likely included the overpayment.
- Vulnerability. I appreciate the fall, and the hospital stay would have been challenging, but this is an issue at complaint time, not advice time. This isn't a factor in the professional advice review.
- It is an issue for FSCL in the way they operate with a vulnerable client and likely increased their need to "find" a solution for the client being that the client was vulnerable when FSCL was engaged.
- It was more stressful knowing the client didn't have funeral cover in place during their hospital stay.
- Ah, so where's the money that was paid to them by the insurer? This is instead of the coverage being in place and is already in their bank account.
- Additionally, the client clearly saw value in the cover for the premium being paid; they still wanted the cover during the complaint process against the adviser!
Let's recap:
- The policy was taken before any advice regulation was enacted.
- The client sounds like they have not had a review, but it is questionable if the client engaged in requests for review.
- There is also no clarity on the adviser offering a review either.
- The insurer had been providing annual updates and engaged with the complaint they received.
- Again, the letters have an offer to have a review.
- Under the new rules, the FAP is responsible for the advice they provide.
- It sounds like the FAP has not provided advice to the client on the suitability of this contract, so how is this captured by the current rules as a professional complaint against the adviser?
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