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 Prudential vs Great Eastern: My Experience, Not all insurance companies are the same

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jack2
post Apr 5 2021, 01:26 AM

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QUOTE(zstan @ Mar 15 2021, 04:17 PM)
i also just cancelled all my Great Eastern policies. Moved to AIA & AXA
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why?

QUOTE(prophetjul @ Mar 30 2021, 08:44 AM)
Great Eastern Life issues.  Hahahaha!  thumbup.gif    30 years ago was like this. Nothing changes with GEL  laugh.gif

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The High Court here has recorded a consent judgment between a 42-year-old cancer patient and an insurance company in a RM2.5mil lawsuit she filed against the latter.

In the judgment recorded before Judicial Commissioner Liza Chan Sow Keng here on Monday (March 29), businesswoman Tan Siew Wei and Great Eastern Life Assurance (Malaysia) Bhd achieved a full and final settlement in one of the two insurance policies she is claiming for.

In the settlement, a sum of RM500,000 was to be paid by the defendant to Tan as a full and final settlement of all the claims and demands which Tan has against the defendant, in respect to the particular policy.

Tan, who was diagnosed with Stage 4 cervical cancer in 2019, had sued the company for rejecting her critical illness insurance claims on allegations that she had broken the policy clause with a non-disclosure on her mental state, where she was diagnosed with an anxiety attack in February, 2017.

She is suing the company to claim for RM500,000, which is the basic sum assured from the first life insurance policy, and another RM2mil, the basic sum assured from her second life insurance policy.
The court ordered for the settlement sum to be paid before April 1 and did not make any order as to costs.

Neither party would have any further claim against the other after the settlement is completed. The policy shall be terminated with all the benefits and rights provided under the policy to cease.

Tan's lawyer Ng Kian Nam said hearing for the RM2mil policy continues on April 14.

In the statement of claim filed on Aug 12, last year, Tan said she bought the first policy in 2015 from Great Eastern with a half a million basic sum assured and a monthly premium of RM600 payable for 20 years.

In 2018, she signed up for a second policy with a RM2mil basic sum assured and a monthly premium of RM1,666.70 payable for 61 years.

Before entering into the agreement on both policies, Tan said she had truthfully filled in her information in the forms and made full disclosures in line with the Financial Services Act on her health, including declaring that she did not have depression or anxiety at all material times.

On Dec 27,2018, the plaintiff said she gave birth to her fourth child at a private hospital in Cheras and the next year, she was diagnosed with cancer.

She subsequently made insurance claims on critical illness from the defendant, as well as other insurance companies where she had bought life insurance policies.

Tan claimed that all of the companies have compensated her, but Great Eastern had repudiated both her policies and returned her monthly premiums on grounds that she had made a non-disclosure, had a psychology consultation and had been diagnosed with anxiety attack.

In Great Eastern's statement of defence, the defendant said it had assessed and processed the plaintiff's insurance claims and found that the plaintiff did not have the right to the basic sum assured under the policies.

It claimed the plaintiff had a psychological consultation history on April 17,2014.

It further claimed the plaintiff was diagnosed with anxiety attack and was prescribed Xanax on Feb 13,2017.
The defendant claimed that Tan had consulted with another doctor on Feb 16,2017, and complained about an infection in her body.

"The defendant found that the plaintiff had the illness and is aware of the illness as early as February, 2014.

"She, however, failed to disclose the diagnosis, treatment or the illness in her forms," it added.

Great Eastern said it had rejected the plaintiff's claims through its letters dated June 18,2019 and returned her premiums via direct credit.

"Therefore, the defendant's rejection of liability on the plaintiff's claim was valid, lawful and justifiable," it said.

Lawyers Wong Hok Mun and Chris Lim appeared for the defendant in the proceeding.

https://www.thestar.com.my/news/nation/2021...ompany#cxrecs_s
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wow.. no one come out to talk this topic.
jack2
post May 14 2021, 10:26 PM

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QUOTE(jorgsacul @ May 13 2021, 05:24 PM)
Those encounter issues with GE Malaysia should take it up with bnm and cc MAS of Singapore
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why wanna cc to MAS of Singapore?
jack2
post Nov 3 2021, 07:30 PM

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QUOTE(shop.petong @ Oct 29 2021, 11:38 AM)
Just to share my experience with Prudential when submitting claim for my late father recently:

27th Sep - ask the agent to help with death claim

28th Sep - send all the required documentation to agent

5th Oct - informed by agent that claim has been submitted

8th Oct - ask agent why premium still charge to my card and agent say will check with company. Until today no reply

25th Oct - whatsapp agent to ask about claim status (almost a month). didn't get a reply

26th Oct - as I didn't get any reply from the agent, i called the customer service to check on claim status. And I was told a CTC of death certificate is required and this request was made on 19th Oct (no one actually bother to inform me whether its agent or Prudential and happily just mark the claim as pending)


28th Oct - take my own initiative and visit PJ office to submit the documentation in order to expedite the claim. Out of frustration I send a complain to Prudential customer service and below is the reply from their customer service. Didn't even bother with a phone call to help me resolve the issue or follow up.

Thank you for your email below.

We are deeply sorry this has happened to you and it is not experience we wish to create for any of our customer.

We would like to extend our sincerest apologies for any inconvenience that you encountered.


Two issue I have here:

1. Agent will always be nice to you when asking you to buy policy but look at their service when they can no longer earn from you. Just like a used tissue paper

2. Prudential is not showing any respect or care to the deceased family at least that is how I feel. Are you telling me they can't see when there is a death claim pending for almost a month requiring verification of a basic documentation? Not to mention the perfunctory reply from their customer service! FYI other insurance companies all processed and paid out the claim within a week no hassle at all.
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It is normal lah.. they have earned all your commissions and spent it up. So why bother to serve you?

I believe the agents will be forced out in the future and everyone can do and buy insurance without agents and can save the commissions.


 

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