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Insurance Coverage

Dáil Éireann Debate, Tuesday - 8 December 2020

Tuesday, 8 December 2020

Questions (183, 200)

Alan Dillon

Question:

183. Deputy Alan Dillon asked the Minister for Finance his plans to address the issue of life assurance providers delaying coverage to those with a 100% loading due to the Covid-19 pandemic; and if he will make a statement on the matter. [41366/20]

View answer

Gary Gannon

Question:

200. Deputy Gary Gannon asked the Minister for Finance if his attention has been drawn to the case of persons with underlying health conditions who are currently struggling to obtain life assurance due to the Covid-19 pandemic; and if he will make a statement on the matter. [42135/20]

View answer

Written answers

I propose to take Questions Nos. 183 and 200 together.

While I have an appreciation of the difficulties individuals may find themselves in as a result of the COVID-19 pandemic, neither I, nor the Central Bank of Ireland, can interfere in the provision or pricing of insurance products or have the power to direct insurance companies to provide cover to specific individuals or businesses.  This position is reinforced by the EU framework for insurance (the Solvency II Directive) which expressly prohibits Member States from doing so.  Consequently, I am not in a position to direct companies as to how they price their policies or what terms and conditions apply.

It is my understanding that insurers use a combination of rating factors in making their individual decisions on whether to offer life insurance and what terms to apply.  These can include age; health; family medical history; occupation; and lifestyle.  In addition, these may be determined or linked to the policy duration.  In the case of mortgage protection policies, these tend to be over the lifetime of the repayment schedule.  In addition, my understanding is that different insurers do not use the same combination of rating factors. Accordingly, prices and availability of cover varies across the market, and will be priced in accordance with firms’ prior claims experience.

My officials contacted Insurance Ireland, the representative body for such providers on this issue.  It stated that while most customers are still able to get life; critical illness; or mortgage protection insurance at this challenging time it is aware of a small number of cases where a final decision on some applications is being postponed for a period of time where applicants have an underlying health condition. However, it stated that while unaware of any cases where life cover has been denied, such policies are assessed on a case-by-case basis and that underlying health conditions, will be taken into account by the underwriters, as was the case pre-COVID-19. Insurance Ireland further noted that it understands that mortgage protection is not a universal requirement by banks, who in practice apply the following exceptions to holding life cover when an applicant applies for a mortgage:

- The applicant already has sufficient life cover.

- The applicant is over age 50.

- The mortgage is not on the applicant’s principal private residence.

- The applicant cannot get insurance, or only at a much higher rate than normal.

Notwithstanding this, the Deputy will be aware that both I and Minister of State Fleming have consistently and publicly stated that in the context of COVID-19 we expect insurance firms to treat their customers fairly, honestly, and in accordance with the Central Bank’s Consumer Protection Code.  The Government will continue to work to protect customers during and after the COVID-19 crisis, and engage with the insurance industry in relation to how it responds to the needs of its customers. This commitment is included in the Programme for Government.

Finally, where somebody feels they have been treated unfairly by a particular insurance provider, they have the option of making a complaint to the Financial Services and Pensions Ombudsman (FSPO). The FSPO acts as an independent arbiter of disputes which consumers may have with their insurance company or other financial service provider. The FSPO can be contacted either by email at info@fspo.ie or by telephone at 01-567-7000.

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