Mortgage Protection Decision Reference 2022-0291

Case OutcomeRejected
Subject MatterMortgage Protection
Reference2022-0291
Date29 August 2022
Finantial SectorInsurance
Conducts Complained OfMaladministration,Rejection of claim - self-employed
Decision Ref:
2022-0291
Sector:
Insurance
Product / Service:
Mortgage Protection
Conduct(s) complained of:
Maladministration
Rejection of claim - self-employed
Outcome:
Rejected
LEGALLY BINDING DECISION OF THE FINANCIAL SERVICES AND PENSIONS OMBUDSMAN
This complaint relates to a mortgage repayment protection policy.
The Complainant’s Case
The Complainant purchased the insurance policy in 2009 and states:
“I purchased it on the basis that I was self-employed, and, if my company folded, that
the insurance company would cover my Mortgage Repayments until such time as I
would get another job”
The Complainant states that after entering the contract he was informed by the original
provider [Company A] that the policy had been sold to him in error, given that he was self -
employed. Company A sent a letter on 5 May 2009 indicating that because the policy was
sold with the knowledge that he was self-employed, it would in the future, consider a claim
on the basis of “involuntary unemployment” if the Complainant had “involuntarily stopped
trading because their business assets cannot pay its debts”. On the basis of the above letter
the Complainant states the following:
“I continued to pay this policy, and am still paying to date, confident in the fact that
[Company A], by their response letter, had given their word to honour the
contract/policy I had entered into with them, should the need arise.”

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