Retail Decision Reference 2021-0370

Case OutcomeRejected
Subject MatterRetail
Reference2021-0370
Date13 October 2021
Conducts Complained OfClaim handling delays or issues,Poor wording/ambiguity of policy, Rejection of claim
Finantial SectorInsurance
Decision Ref:
2021-0370
Sector:
Insurance
Product / Service:
Retail
Conduct(s) complained of:
Claim handling delays or issues
Poor wording/ambiguity of policy
Rejection of claim
Outcome:
Rejected
LEGALLY BINDING DECISION OF THE FINANCIAL SERVICES AND PENSIONS OMBUDSMAN
The Complainant, a limited company trading as a locksmith, hereinafter ‘the Complainant
Company’, holds a business insurance policy with the Provider. The complaint concerns a
declined business interruption claim.
The Complainant Company’s Case
The Complainant Company, through its Broker, notified the Provider on 8 April 2020 of a
claim for business interruption losses as a result of the temporary closure of its business,
due to the outbreak of coronavirus (COVID-19).
The Broker later advised the Provider on 16 June 2020 that the Complainant Company’s
business had been closed from 24 March 2020 to 18 May 2020.
Following its assessment, the Provider wrote to the Complainant Company on 6 July 2020
to advise that it was declining indemnity.
The Complainant Company later emailed the Provider on 19 February 2021 to complain
about the declinature of its business interruption claim. Following its review, the Provider
wrote to the Complainant Company on 15 March 2021 to advise that it was standing over
its decision to decline indemnity.

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