Full market round-up: Critical illness claims stats 2019

COVER/CIExpert
03 July 2020

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COVER and CIExpert team up to present last year’s provider claim stats all in one place

According to the Association of British Insurers (ABI) and Group Risk Development (GRiD), the protection industry paid 98.3% of all claims in 2019.

According to the findings, the number of critical illness (CI) claims paid amounted to 17,995 and a total £1,215,957 was received by individuals and families.

The percentage of CI claims for 2019 was 91.6% and the average value of a claim was £67,573.

Gathered by CIExpert, the table below show the percentage of claims paid by individual insurance providers last year, with analysis from Alan Lakey beneath.

	Claims Paid	Claims declined	Due to non-disclosure	Not meeting the definition	Year
Aegon S Equitable	94.0%	6.0%	1.7%	4.3%	2019
AIG	96.0%	4.0%	3.0%	1.0%	2019
Aviva	92.6%	7.4%	1.8%	5.6%	2019
HSBC	98.0%	2.0%			2019
Legal & General	91.9%	8.1%			2019
LV=	87.4%	12.6%	3.6%	6.2%	2019
Old Mutual Wealth	Part of ReAssure which refuses to release claims stats
Royal London	92.6%	7.4%			2019
Scottish Widows	93.0%	7.0%	2.0%	5.0%	2019
Vitality Life	92.9%	7.1%			2019
Zurich	90.0%	10.0%	3.7%	6.3%	2019

Alan Lakey, director, CIExpert said: "The average of the ‘live' companies for 2019 is 92.8% which is similar to previous years levels. Within these figures are some extremes with HSBC showing top with 98% and LV= on the bottom rung with 87.4%.

"Most declined claims are for failing to meet the claim definition with only around 2.6% due to non-disclosure. The figures should not be seen as a league table because other factors will have shaped the declinatures. Many insurers will have a range of different claim wordings all of which either assist or mitigate against a successful claim.

"Overall it highlights that the industry is continuing to meet consumer expectations and that both advisers and consumers need to understand how the precise condition wording will impact on a diagnosis or medical treatment."