contents
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overview
of complaint trends
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Given the very wide-ranging nature of the complaints
we handle – from pet insurance to spread-betting –
we have not included individual case studies in this annual
review. The limited space in this publication means we could
not give a fair and representative overview of all aspects of
our work.
However, we include
case studies in our regular newsletter, ombudsman news,
which gives regular feedback on changing complaint trends, as
well as commentary and briefing on our approach to different types
of complaint. We hope that firms find ombudsman news
a helpful source of reference – and that they will take
its contents into account when considering how to handle complaints.
To join the ombudsman news mailing list, please contact
our communications team (phone 020 7964 0092). All issues
of ombudsman news are also available online on our website.
This chapter gives
an overview of the main areas of our complaints work – and
covers the key developments in the year, relating to the types
of complaint that we deal with most frequently.
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| mortgage endowment complaints |
other investment-related complaints = 33%
mortgage endowment complaints = 67% |
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Inevitably
the major feature of the year was the practical challenge
of dealing with the unprecedented inflow of new mortgage endowment
complaints. In his report, the chief ombudsman describes the
operational impact of dealing with the near four-fold increase
in these complaints.
Most customers who complain to us about their
endowment mortgage say they were under the impression that
the policy was certain to provide sufficient funds to settle
their mortgage at the end of the planned term. Some customers
remain dissatisfied even where the firm has offered them a
settlement in accordance with regulatory guidance issued by
the Financial Services Authority (FSA) – often referred
to as ‘RU89’. The customer feels that the firm
should abide by its ‘guarantee’.
In general, however, we do not find many
cases where there is clear evidence that a guarantee was given.
We gave one example in issue 30 of ombudsman news
(August 2003). In other cases, we give customers reassurance
that the offer made by the firm is fair. Increasingly, we
are able to do this without formally taking on the case.
In December 2003, the Financial Ombudsman
Service and the FSA hosted a mortgage endowment forum to discuss
issues and concerns with representatives of consumer and industry
bodies. A major part of our discussions focused on reports
that some firms were refusing to investigate complaints about
mortgage endowment policies that had been sold more than 15
years before the consumer first complained. The FSA confirmed
that the ‘15-year rule’ relates to action taken
in the courts. It does not prevent the ombudsman from considering
complaints about events that took place over 15 years ago.
The FSA stressed that the complaint-handling rules do not
permit any firm to refuse to investigate complaints, and it
confirmed that it would be contacting those firms that had
cited the ‘15-year rule’ as a reason to reject
complaints.
Some firms had expressed concern that, in
a number of instances, full records of a sale may no longer
exist. We acknowledged at the endowment forum that both sides
could have limited documentary evidence about a disputed sale.
We explained that this was why our consideration of these
cases turned on whether an endowment policy was suitable for
the consumer involved at the time the policy was sold –
based on information that could reasonably have been established
at that time. We do not base our view on what consumers now
think of that sale, or on their current circumstances or what
they could now afford.
During the year we also had several discussions
with firms about more general issues associated with the handling
of so-called pre-‘A Day’ cases – complaints
about mortgage endowments sold before the Financial Services
Act 1986 came into force in 1988. Although sales at that time
were not subject to regulation, there were legal responsibilities
on those conducting sales. We have continued to point firms
to issue 14 of ombudsman news (February 2002), where
we set out our basic approach to this type of mortgage endowment
complaint.
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| single-premium
investment bonds |
complaints
about single-premium investment bonds = 9%
other
investment-related complaints = 91% |
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Of
the 7,222 complaints we received this year about single-premium
investment bonds, the vast majority involved bonds that were
linked to stock market performance and promised high income.
These high-income bonds are sometimes technically called ‘structured
capital at risk’ products (or ‘SCARPS’)
– but they are generally referred to as ‘precipice
bonds’.
This year saw a significant
increase in the number of consumers complaining that they
had been mis-sold ‘precipice bonds’. The complaints
relate to bonds bought following face-to-face meetings with
advisers, or as a result of general mail-shots, direct advertising
or personalised letters. The complaints are generally that
the level of risk attached to the bonds was higher than the
consumers say they initially agreed and understood –
and that this higher risk only became apparent when the bonds
matured, revealing a substantial loss, or when annual statements
indicated likely losses.
We do not uphold complaints
simply because the consumer has made a loss on an investment.
However, it is often the prospect of a large and unexpected
loss that raises the consumer’s awareness of a potential
mis-sale.
Where
the investment was not bought following a face-to-face
meeting with a financial adviser, we have to decide whether
the consumer could reasonably believe that advice had been
given to them. If we find that this was so, we then have to
consider whether the firm advised the consumer to invest in
a product that was appropriate for their particular needs
and requirements.
Firms
have to disclose the details of any investment they recommend
– but full disclosure of product details does not automatically
mean that the bond recommended was a suitable investment for
a particular investor. If advice was given, the adviser had
to ensure that the investor’s attitude to risk was properly
assessed and not simply recorded as matching the risk rating
attached to the product.
‘Precipice
bonds’ are complex financial products – with returns
linked to the performance of particular shares or stock market
indices – and they are not easy for the layman to understand.
Financial advisers should therefore have used their skills
and knowledge to assess properly the risk attached to the
bonds. The ombudsman needs to be satisfied that the consumer’s
willingness to accept the level of risk was properly and reasonably
assessed, to ensure they were sold a suitable investment.
Where we have upheld complaints involving ‘precipice
bonds’, we have usually done so for one of two reasons.
Either, the adviser failed to establish that the consumer’s
particular requirements and circumstances supported taking
significant risks with the capital invested. Or, the adviser
was over-optimistic about future market performance, which
led to an understatement of the true level of risk that is
always attached to a short-term, equity-based investment.
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| personal
pension complaints |
personal
pension complaints = 7%
other
investment-related complaints = 93% |
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| Complaints
about personal pensions continue to form one of the largest
areas of complaint to the Financial Ombudsman Service –
although the number of complaints in this category fell by a
quarter this year.
As with other investment-based complaints
that we receive, the trigger that prompts concern that a personal
pension may have been mis-sold is generally when consumers
receive a valuation statement – or when there is a drop
in the amount of income received. Such events can be the first
indication the consumers get that a degree of financial risk
was involved – so their concerns cannot be dismissed
simply as complaints about disappointing performance.
In considering these complaints, we look
at whether, when giving advice, the adviser paid sufficient
attention to their client’s circumstances and objectives.
The consumer might have received the advice when they first
bought the policy, or at a later date when, for example, they
were considering buying an annuity, or taking a cash withdrawal
from an income draw-down policy.
Income draw-down policies were introduced
in 1995, so have now been in existence for long enough for
a small but steady stream of complaints about mis-selling
to reach us. When we look at whether advice to invest in one
of these policies was suitable, we take into account the level
of income that the consumer would need, in order to meet their
normal living expenses and maintain a minimum standard of
living. In some cases, depending on the potential fund size,
this leads us to conclude that the consumer could not afford
to take the risk associated with this type of policy. Features
such as the availability of cash withdrawal – and the
fact that the balance of the fund can be preserved for potential
beneficiaries to the policyholder’s estate – do
not automatically make a draw-down policy a suitable investment.
'splits'
By 31 March 2004, we had received around
4,800 complaints in total, involving split capital investment
trusts and zero dividend preference shares – 'splits'
and 'zeros'.
About half of the these complaints are against
the sponsors of particular 'splits' companies. Some of these
complaints are outside our jurisdiction because, in the circumstances
of the particular cases, there was no customer relationship
between the complainant and the 'splits' company sponsor.
Where the complaints are within our jurisdiction,
we have put them into groups according to the circumstances
and the 'splits' company sponsor involved. We are pursuing
one or more ‘lead’ cases for each of these groups.
Large amounts are at stake and the cases are hard fought.
They will take some time to resolve.
Meanwhile, the FSA is pursuing its own investigations
into the allegation that there was collusion among ''splits'
company sponsors. That might or might not lead to some compensation
arrangements for particular classes of investors. Meanwhile,
and with the agreement of the FSA, we are pressing on with
the cases we have in hand.
The other half of the ‘splits’-related
complaints are against intermediaries – ranging from
independent financial advisers to portfolio managers. Our
decisions in these cases must be based on what the firm should
have done in the light of the information available to it
at the time it provided the service to its customer.
These cases throw up complexities for the
ombudsman service beyond those raised by the complicated nature
of 'splits' themselves. This is because many cases involve
a combination of issues that are specific to the individual
case, as well as issues that are specific to the individual
'splits.
Case-specific issues are ones that can only
be investigated and assessed in the circumstances of each
individual case. They include the risk profile of the complainant
– and, in portfolio management cases, the agreed profile
for the managed portfolio.
'Splits'-specific issues are ones that can
only be investigated and assessed collectively, to ensure
a consistent outcome between one case and another involving
the same 'split' at the same period. They include the actual
risk profile of the different types of shares in each of the
'splits', and the extent to which information about this was
available to financial firms.
The conclusions on 'splits'-specific issues
can vary over time, for a combination of reasons. First –
the actual risk profile of the different types of shares in
each 'split' can vary over time. Second – the extent
of the information available to financial firms can vary over
time. Third – the extent of the information available
at a particular date can also differ depending on the role
fulfilled by the financial firm. So, for example, at a particular
date information may be available to a firm that acts also
as a 'splits' investment manager, but not to a firm that acts
as an intermediary.
Any 'splits'-specific information that we
identify when considering individual cases is then fed into
the collective investigation and assessment. And the 'splits'-specific
conclusions that we come to have to be fed back to inform
the outcomes of the individual cases.
That would be complicated enough even if
each individual case involved a service provided on a single
date for a single type of share in one 'split'. But, for example,
portfolio management is a continuing service provided over
a period of time. And each portfolio may contain a number
of ‘splits’ shares of different types or in different
‘splits’ companies – or both of these.
So the management of the two-way flow of
information between the case-specific issues and the ‘splits’
specific issues is an extremely complex task – which
is over and above the complex issues raised by the investigation
and assessment of the case-specific issues and the ‘splits’-specific
issues themselves.
We are pressing on with our work as fast
as we can, consistent with due process and a realistic use
of resources. Of course, the time all this is taking is unwelcome
to the consumers who have brought complaints to us, but we
are doing our best to keep them informed of what is happening.
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| complaints
about mortgage loans |
complaints
about mortgage loans = 33%
other
banking-related complaints = 67% |
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| In
last year’s review we described a surge of complaints
about dual-variable mortgage rates. This has now dried up. As
in earlier years, the largest group of mortgage complaints during
the year has related to early repayment charges linked to special
rates (fixed or discounted). However, we are receiving fewer
of these complaints now that there are fewer ‘overhanging’
early repayment charges (which lock the borrower into the standard
variable rate for a period after the special rate has expired).
Other
typical mortgage complaints include ones where the lender
has given the borrower the wrong repayment figure –
so that the borrower ends up owing more than expected –
or where the mortgage term has changed in a way the borrower
did not expect when taking out a further advance.
Although
the number involved has not been great, we have begun to see
complaints this year about so-called ‘shared-appreciation’
mortgages. With these mortgages, the lender had agreed to
charge no interest (or low interest) in return for a share
in the increase in value of the property.
Property
values shot up faster than either lenders or borrowers had
expected. Borrowers complained that lenders made extra profit,
while lenders said they had securitised the mortgages and
the extra profit had not gone to them. In most cases, we did
not uphold the complaints – because the documents were
extremely clear and had been fully explained to the borrowers,
usually by their own solicitors.
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| complaints
about other loans |
complaints
about loans other than mortgages = 11%
other banking-related complaints =
89% |
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| Loan
complaints come from both ends of the spectrum. For every complaint
we get that the lender should not have provided the
loan because of the borrower’s circumstances, we get another
that a lender has refused a loan because of the borrower’s
circumstances. We do not interfere with the lender’s commercial
judgement if it is exercised legitimately.
During
the year we have, however, seen a small but worrying number
of cases where customers had a series of consolidation loans.
An overdraft was turned into a loan account. The overdraft
crept up again. A new, larger loan account was created to
repay the original loan plus the new overdraft – and
so on. Not surprisingly, some of these customers get into
arrears and financial difficulties. Some lenders treat their
borrowers sympathetically, as the Banking Code requires –
others do not.
Most
loan complaints are from personal customers. But some are
from small businesses, often relating to complex financial
products with significant early repayment charges. The clarity
of the documentation provided by different lenders is extremely
variable.
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| credit
card complaints |
credit card
complaints = 15%
other banking-related complaints =
85% |
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| Despite
media concerns about ‘identity theft’, we have so
far seen few cases of this – in relation either to credit
cards or other banking products. Where these problems arise,
the firms concerned presumably resolve them to the consumers’
satisfaction, so that the cases are not brought to the ombudsman
service as unresolved disputes.
However,
we are now seeing a significant number of cases involving
what card issuers claim is ‘first party’ fraud
– where the card holder colludes in an arrangement to
defraud the financial firm that issued the credit card.
We
still await a High Court decision on whether section 75 of
the Consumer Credit Act 1974 – which makes the card
issuer jointly liable with the supplier of the goods/services,
without limit – applies to transactions abroad. Meanwhile,
we continue to apply across the board the good banking practice
employed by most firms of accepting liability for transactions
abroad up to the amount of the credit provided.
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| complaints
about savings and deposit accounts |
complaints
about savings and deposit accounts = 8%
other banking-related complaints =
92% |
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| The
vast majority of disputes about savings and deposit accounts
involve complaints that the rate of interest paid is unfair,
often by comparison either with some other account provided
by the same financial firm or with movement in general interest
rates.
Some
of the answers are to be found in the Banking Code. But the
requirements have changed considerably over the years. So
we have summarised them, and other issues relating to such
complaints, in a new technical briefing note on our website.
The
new edition of the Banking Code that came into effect in March
2003 contained significant improvements in this area. But
we continue to believe it would be better if firms were to
send personal notifications of interest rate changes, unless
the account balance is below some agreed limit. We will continue
to press for that in the next review of the Banking Code,
which has just got underway.
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| motor
insurance complaints |
motor
insurance complaints = 25%
other
general insurance complaints = 75% |
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year saw another increase in the number of motor insurance complaints
– up 15% on the previous year. Three topics dominated
our work – motor valuations, repairs and the 'keys in
car' exclusion.
Many
motor insurance policies have a 'keys in car' exclusion –
a clause that excludes from cover any claims for theft where
the driver left the car unlocked with the keys in the ignition
(or on the seat). In last year's annual review we
referred to the problems that arise from this exclusion and
we highlighted in ombudsman news our general approach
to this issue. However, we continue to see complaints where
insurers appear to us to have applied this exclusion without
good reason.
Our
approach to the valuing of written-off cars is also well known
in the insurance industry – and was most recently set
out in issue 22 of ombudsman news (November 2002).
Yet we still receive complaints where – again for no
good reason, as far as we can see – instead of following
this approach, the insurer has offered the policyholder less
than the relevant price suggested by the motor industry guides.
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| complaints
about building and contents insurance |
complaints
about building and contents insurance = 25%
other general insurance complaints
= 75% |
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some policies, if repairs are needed in connection with a claim,
the insurer appoints a repairer to carry out any necessary work.
Disputes about the quality of repairs carried out in these circumstances
are becoming a growing feature of the complaints we deal with
involving building and contents insurance. They also feature
regularly in motor insurance disputes.
Insurers’
marketing material often stresses the advantages to customers
of having the insurer take care of arrangements for any repairs.
The high standards and professional service that the repair
firm appointed by the insurer will provide are emphasised.
This can naturally lead to customers having high – and
sometimes unrealistic – expectations. If insurers had
an effective means of overseeing the quality of the repairers
they appoint, then it seems to us that there would be far
fewer complaints of this type.
With the increase in house prices, we have
seen a steady increase in the number of disputes involving
amounts in excess of £100,000 – the maximum amount,
under our rules, that we can direct a firm to pay in redress.
A major fire, or even significant subsidence work, can readily
give rise to costs well in excess of this limit. The total
number of these cases remains very small, as part of our overall
caseload, and firms have generally responded positively in
any cases where we have recommended that they should pay redress
above this limit. We will, however, keep this matter under
careful review.
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| medical-related
insurance complaints |
medical-related
insurance complaints = 16%
other general insurance complaints
= 84% |
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This
category of complaint includes disputes about medical expenses
insurance, as well as those involving critical illness and
permanent health/income-protection policies. Typically, these
disputes involve our having to consider carefully the policyholder’s
reported medical condition in the context of the policy terms.
So, for example, we might need to determine whether someone
is genuinely unable to carry out their occupation because
of ill-health, or to decide whether a set of medical and other
reports suggest that a policyholder has a valid claim under
the ‘heart attack section’ of their critical illness
policy.
The most common cause of medical-related
insurance complaints other than individual medical issues
is ‘non-disclosure’. If a customer does not disclose
an illness or treatment when applying for insurance, the insurer
may be justified in rejecting any claim. We have set out detailed
guidance on our general approach to this issue in
. We have also contributed to the work being
carried out by the Association of British Insurers (ABI) to
help improve the quality of application forms for many of
these policies.
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| travel
insurance complaints |
travel insurance
complaints = 13%
other general insurance complaints
= 87% |
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Travel
insurance complaints rose by a significant amount – a
33% rise compared with the previous year. A rise in numbers
had, to some extent, been expected because of increased travel
restrictions arising from terrorism and from SARS. In the event,
however, most of the increase resulted from routine claims-related
matters. In particular, much of our caseload focused on the
long-standing issues of how insurers apply exclusion clauses
relating to ‘pre-existing conditions’ – for
example, in situations where the policyholder’s circumstances
change between taking out the policy and actually travelling.
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