Look at the Small Print When Buying Critical Illness Insurance

As a reaction against recent criticism that sickness policies are being mis-sold, the industry claims that it has already put new guidelines into place. A review by the ABI provided more rigorous standards, with easier to understand headings on brochures and standard wording to give a clearer picture.

Some providers have also reduced the number of people they refuse - to 15 per cent, at Standard Life, or 11 per cent in the case of Scottish Provident. In total, Scottish Provident paid 45.5million pounds in claims in the first 6 months of last year, with cancer being the most frequent trigger. This brings the amount paid by the insurer to 344m since 1996. Standard Life paid out 5,047 death and health claims in the same period to the value of 134million pounds.

The majority of people, whose claims are refused, are denied a payout because they did not declare a pre-existing condition. Others fail because their illness does not fall within the bounds of the policy. This mistake is easy to comprehend. What is covered as critical illness to one insurer is excluded by another.

If you take out a loan with Sainsbury's Bank, you will be asked if you require its creditcare protection insurance. The highest price "gold level" includes insurance for critical illness. But what the policy covers will be very different to that on offer from Standard Life.

At Sainsbury's it covers open heart surgery, strokes, heart attacks, kidney failure, quadriplegia and paraplegia and kidney failure. Cancer also features on the list though there are exceptions, including all but the very serious prostate cancers and lymphoma and skin cancer.

Standard Life encompasses 30 different illnesses including the seven highlighted by Sainsbury's. They range from the human form of mad cow disease and third degree burns to bacterial meningitis and Parkinson’s disease. The company’s definition of cancer has the same exclusions as Sainsbury's.

Insurance broker Simon Burgess states he will not sell critical illness cover since, in too many cases, policyholders never claim or the policy fails to pay out "You see adverts which say one in three people will get cancer and how a critical illness policy will help. But these policies are cancelled when people reach retirement age and that's when most people get cancer. The figures for cancer are nearer one in 40 before 70 years of age, but the adverts don't tell you this."

Mr Burgess also says that the financial advice industry is guilty of churning policies. This means that advisers recommend clients to review policies every five years because it may give them a better deal. According to Mr Burgess this is just a money-spinning exercise because each new policy gives commission to the financial advisor. In some cases this can be equivalent to two year’s worth of premiums from the policyholder.

Even some of the largest providers of critical illness insurance agree that there can be better alternatives for paying the mortgage or generating an income when life-threatening illnesses stop you from working.

In today’s world, a person can sometimes be fighting cancer or other diseases for a number of years. If they are unable to work whilst receiving treatment or recovering from side effects, a lump sum payout from critical illness cover could run out very quickly.

It is worth looking into other kinds of policy such as family income benefit or an income protection policy. With the latter, for example, a payout would be made for a bad back if it prevents you from working.

Clearly this would not be covered in a critical illness policy.

Mick James from Standard Life says. "For every income protection policy sold, people buy four to five critical illness policies.”

Yet that is an improvement on some years ago when the ratio was 10 to one. The fact still remains that the industry as a whole needs to do more to explain the alternatives to people so that they are able to make an informed choice.