Universal Provident first PMI provider to release claims stats

Although declined claims statistics have been prevalent in critical illness (CI) and income protection (IP) for several years, health insurers have not yet followed suit. The provider paid 85.6% of claims submitted between January 2010 and the end of April 2011 with a further 2.6% being paid in part. Almost half (44%) of those claims declined were for failing to follow general policy conditions. This was, Universal Provident said, typically failure to follow the claims administration process or pursue the matter after initial notification, but also encompassed self-referring and fa...