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These
case studies illustrate some of the complaints we have dealt with
recently about a wide range of other investment matters.
23/6 life insurance – claim declined on grounds of non-disclosure
Before Mr and Mrs E took out a joint life insurance policy, they
were asked to complete a questionnaire about their smoking and
alcohol consumption. The questionnaire asked whether they had
consumed more alcohol ‘in the past’ than they did now. However,
it did not include any questions about whether they had previously
smoked more.
Mr
E had, in fact, been a heavy smoker at one time. Several years
before taking out the policy, he had consulted his doctor about
what he thought was a chest infection. On his doctor’s advice,
he had cut down on the number of cigarettes he smoked.
A
year after taking out the life insurance, Mr E died of lung cancer.
The firm refused to pay the sum assured under the policy, on the
grounds that Mr E had failed to disclose his chest problems. So
Mrs E brought the complaint
to us.
complaint
upheld
We discovered that Mr E’s doctor had diagnosed Chronic Obstructive
Pulmonary Disease when Mr E first consulted him, although the
doctor had not told Mr E this. He had simply told him he had a
chest infection.
Mr E had not failed to disclose relevant information when he completed
the questionnaire. He had completed it correctly, to the best
of his knowledge. When we put this to the firm, it agreed to pay
the claim.
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23/7 inappropriate advice – investment of funds needed for school
fees
Mrs J complained about the investment advice the firm gave her
in connection with money she planned to use to pay her children’s
school fees. She thought the product that the firm had recommended
represented too high a risk.
Since
she had made it clear that she would need to withdraw some of
the money fairly soon, she also thought the firm should not have
advised her to invest all of it.
The
firm rejected her complaint. It said the investment was consistent
with Mrs J’s attitude to risk and that it had not been wrong to
invest all of the money. It claimed that Mrs J already had sufficient
money in a savings account to cover the first year’s school fees,
so would not have needed to make an early withdrawal.
complaint
upheld
The purpose of the investment was to provide funds to meet a known
and imminent cost, so we did not think a high-risk strategy was
appropriate. Moreover, a high-risk strategy did not match Mrs
J’s attitude to risk. And there was no evidence that she had sufficient
funds set aside to cover the first year’s school fees, so the
firm should not have advised her to invest all the money.
We
decided the appropriate remedy was for the firm to pay Mrs J an
amount equivalent to a full refund of her initial investment,
less the amounts she had subsequently withdrawn.
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23/8 whether firm should have informed customer about charges
it would deduct when she cashed-in the investment
Mrs
G complained to the firm when it deducted charges from the amount
she received when she cashed in her investment. She said the firm’s
customer service representative had not mentioned any deductions
when she had telephoned the firm to make arrangements and to find
out how much money she would get.
When the firm checked its tape recording of Mrs G’s call, it found
that she had not asked how much she would receive and the firm
had not quoted any figures to her. It therefore rejected her complaint.
complaint
rejected
The only telephone call Mrs G had made to the firm was the one
it had recorded. And the firm had been under no obligation to
tell her, in the course of that call, that it would deduct charges
if she withdrew her money. When Mrs G had taken out the policy,
the firm had sent her a brochure that included clear information
about the charges that it might deduct when the policy was surrendered.
We considered this information was sufficient and we did not uphold
her complaint.
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23/9 pension opt-out advice – customer’s evidence unreliable
and contradictory
Mrs A had a permanent job teaching five mornings a week at a local
school. She worked at the same school every afternoon as a supply
teacher. Her complaint concerned the advice she said the firm
had given her about her pension arrangements. She claimed that
she had acted on the firm’s advice to opt-out of the teachers’
pension scheme, as the firm told her that supply teachers were
not eligible to be in the scheme.
Mrs A said she had subsequently discovered that supply teachers
were eligible to join the scheme, so she complained to
the firm. However, it refused to uphold her complaint so she came
to us.
complaint
rejected
We asked Mrs A to send us some of her recent payslips. We noted
that one of them showed that her employer had deducted a contribution
to the teachers’ scheme. Mrs A said this deduction had been made
in error and that the money had been refunded to her shortly afterwards.
She said that no other pension contributions had been deducted
from her pay on any other occasion. We asked to see other payslips,
but Mrs A was unable to supply any.
We
checked with the teachers’ pension scheme and with the county
council that employed Mrs A. We found that she had been a member
of the scheme but, before the date when she said the firm had
advised her, she had completed and signed an opt-out form, and
had received a refund of four months’ worth of contributions.
When
we asked Mrs A about this, she said the date she had originally
given us had been incorrect and that the firm had advised her
a month earlier than that. This would have meant she was advised
before she completed the opt-out form.
However,
the firm’s ‘fact find’, completed at the time of the sale, showed
the date that Mrs A had quoted originally. Since Mrs A’s evidence
was unreliable and contradictory, we did not uphold her complaint.
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23/10 life insurance – premium receipt books no proof that policy
still valid
Mrs
B brought her complaint to us after the firm refused to pay out
on two life insurance policies belonging to her late father, Mr
W. It had told her that the policies no longer existed but that
it would send her £37.18 as a goodwill gesture.
complaint
rejected
When we looked into the matter, we found that Mr W’s mother had
taken out the policies for him in 1916 and 1918. After Mr W died
in 2000, his daughter had found the receipt books for the policy
premiums. She had no other documents relating to the policy, but
she sent the books to the firm, hoping to get a considerable sum.
We explained to her that the firm had been correct in telling
her that it could not pay out on a claim simply on production
of premium receipt books. These books merely proved that premiums
had been paid, not that the policies still existed.
Initially, the firm had been unable to trace the policies at all.
Eventually it confirmed that they had lapsed in 1938, when Mr
W’s mother had died and the premium payments had stopped. The
sum that the firm had offered Mrs B as a gesture of goodwill –
£37.18 – represented the total death benefit it would have paid
out under the policies had her father died in 1938, immediately
before the policies lapsed.
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