Hello
Sorry about the length of this post but it briefly covers a 10 year story.
Back in December 2008 I was diagnosed with testicular cancer.
Fortunately following an operation and chemotherapy I was declared clear of cancer after 5 years of monitoring.
In 2009 we contacted our life insurance provider (Legal & General) to inquire about making a claim on our policies.
One covered an endowment mortgage and the other a repayment mortgage.
Both of these polices included critical illness cover.
We called L&G and explained what had happened but we were told that we were not covered as the cancer was not serious enough.
We made a foolish, and what appears to be a common mistake, in thinking that as I hadn’t died the critical illness cover was not being taken in to account.
By this I mean we were getting confused with critical and terminal illness cover.
Because of this confusion and as L&G had refused our claim, on first contact with them, we left it at that figuring they know best.
Fast forward 10+ years and my wife has a new work colleague in her office.
Somehow the conversation got round to cancer and he told my wife he had had testicular cancer a few years ago but one ray of sunshine was his mortgage was paid off.
My wife told him of our experiences and asked who he was insured with
– yes you guessed it Legal & General and he had critical illness cover.
This chap didn't even require chemotherapy so I can only surmise that my cancer was more serious.
We dug out the paperwork which confirms that cancer is covered and contacted them again.
Fortunately we had kept a piece of paper with brief notes that included the date we called them in 2009 and the name of the agent.
The new agent listened and then apologised and said ‘from what I had told them we should have been paid out on the policies in 2009’.
At this current time we have filled in and submitted a claim form (about 1 month ago) and L&G are looking in to our claim.
We are nervously hopeful that they will approve the claim and pay out what they should of done on the date of diagnosis (Dec 2008).
The issue is that as we were misinformed by the L&G agent in 2009 we have, for 11 years, continued to pay both the endowment and repayment mortgages and pay the premiums to keeps the life insurance policies going when in fact we should have been mortgage free in 2009.
We’re not sure if they will take this in to account.
Obviously we hope and think they should.
We’re not wealthy individuals and we cannot afford to engage a solicitor to dig in to this on the off chance that we have a case.
This must be a fairly unusual, if not unique, case as I can find nothing online remotely similar.
It’s a long shot but does anyone know of a similar case or what our best course of action would be?
We did wonder about a loss adjuster but can find none that deal with life insurance claims.
Has anyone got any advice?