1 reviews | Active since Jan 2019
BIDVEST LIFE ****S CLIENTS!
BIDVEST LIFE AUTOMOTIVE - 2 January 2019
Policy Holder - TG Van Rooyen Policy nr: B ********** 910
I Sharon van Rooyen, would hereby like to dispute a claim that was not paid out. The situation was mismanaged and as a result of this mismanagement, my late husband’s claim was declined.
Just to start with the history of the policy. Late Mr TG Van Rooyen bought a Polo Vivo Conseptline - 7 August 2018 from Bidvest McCarthy Witbank. The day when he took delivery from Bidvest the Fais Representative Mr Ettiene De Klerk offered a credit life insurance to him for death, disability and retrenchment if any of these disasters occur. Mr Van Rooyen informed him about his heart attack in 2011 (7 years prior) and was thus transparent and did not hide his condition. Mr Van Rooyen also informed Mr De Klerk he was under no chronic medical treatment. Mr De Klerk then informed my late husband that because the heart attack was 7 years back it would not have an effect on his policy/insurance. Mr De Klerk ran through the policy schedule briefly and asked Mr Van Rooyen to sign on an electronic tablet, which my late husband did as he trusted that this was normal procedure. My husband was under the impression that his pre-existing condition would not affect his credit life cover and its benefits.MR DE KLERK DID NOT DISCLOSE TO MY HUSBAND THAT HIS PRE-EXISTING CONDITION WOULD INDEED HAVE A NEGATIVE EFFECT ON HIS POLICY.NO MEDICAL QUESTIONS WERE REQUESTED. NOR WAS A HARD COPY OF THE POLICY GIVEN TO MR VAN ROOYEN IN ORDER FOR HIM TO READ THROUGH AND UNDERSTAND THE CONDITIONS FULLY.MR VAN ROOYEN WAS UNDER THE IMPRESSION THAT THIS WAS NORMAL PROCEDURE. Mr De Klerk was supposed to send the policy documents to us via email or normal mail. I requested a copy of the policy documents on 19 October 2018. I requested these documents as this was when the irregularities were brought to my attention. This was the first time that I had access to the policy details.
Mr Van Rooyen trusted that Bidvest Life was the right insurance company and that they would take care of his needs as they promised. Mr Van Rooyen was a loyal and honest costumer and unfortunately he was not treated as such.
Mr Van Rooyen’s condition sadly turned around and was admitted at Steve Biko Academic Hospital on 16 December 2017 and he was hospitalized until 29 December 2017. Dr vd Lan told Mr Van Rooyen to come back to Steve Biko on 18 January 2018 for further assessment, because of the skeleton staff and the machinery only being able to be operated from 15 January 2018. Mr Van Rooyen was admitted again on 18 January 2018 until he passed away on 2 February 2018.
I contacted MFC Finance (Finance company) and IUA (Bidvest Life) on 8 February 2018 to inform them all about the death of Mr Van Rooyen. All supporting documents and information was sent to IUA (Bidvest Life) and MFC to start with the death claim. IUA requested on October 2018 the hospital records and I had to pay for the hospital records and went to Pretoria to collect the records and I emailed the records on 1 November 2018 to IUA. IUA (Bidvest Life) did not provide me with necessary feedback as I asked them on numerous occasions. I was left in the dark and I did not know how to proceed. The claim has been submitted almost 11 months ago.
On 7 December 2018, I phoned IUA (Bidvest Life) and spoke to Bridgette (assessor) and she informed me all documents were received and they referred the claim to the insurer, Bidvest Life for further assessment of the claim. I sent an e-mail to IUA on 18 October 2018 because I was dissatisfied with how this claim was treated. Bridgette assured me that she would phone me back the next Monday or Tuesday with feedback from Bidvest which she did not. I phoned again and she informed me that the insurer (Bidvest Life) sent the attached letter that said the claim was declined due to the following reasons :
------------------------------------------------------------------------------------------------------------------------------------------------- According to the medical records received, insured was presented at Steve Biko Academic hospital on the 16th January 2017 with decompensated heart failure, ischaemic cardiomyopathy and on various medications. Therefore, it is confirmed that the insured passed away from a condition that pre-existed the commencement of cover, which then is specifically excluded.
I am dumbfounded that the claim was rejected / declined on the conditions as stated above. The date is INCORRECT as Mr van Rooyen was hospitalized from 16 December 2017 - 2 February 2018. Dr Brits approved a weekend pass on 26 January 2018, because Mr Van Rooyen’s condition was not critical. He went back on the Sunday 28 January 2018 for further treatment until he passed away on 2 February 2018. ---------------------------------------------------------------------------------------------------------------- b) Pre-existing conditions exclusion I/We, the Live(s) Assured, understand, agree and declare that: No claim will be payable during the 24 (twenty four) month period after the commencement of Insurance or date of reinstatement where the Insured Person suffered from any condition (i.e. any medical condition, physical defect, illness, bodily Injury or disability) of which the Insured Person was aware of or ought reasonably to have been aware of and for which the Insured Person received treatment or consulted a medical professional in the 24 (Twenty four) month period prior to the commencement of insurance or date of reinstatement and where the claim event was caused directly or indirectly by such pre-existing condition. Pre-existing conditions include any: • heart disease or heart attack, high blood pressure or high cholesterol; • cancer • stroke • kidney disease • pneumonia, asthma, tuberculosis or lung ailment; • diabetes; • depression, epilepsy, or fit; • disability (including back-ailment, hip, knee or shoulder problem); • disease or condition which requires chronic medication usage; • any disease or condition which required medical treatment because a special investigation, such as a scan or an X-ray, showed abnormal results.
I am dumbfounded that the claim was rejected / declined on the conditions as stated above. MR VAN ROOYEN WAS NOT AWARE OF THESE EXCLUSIONS OF THE POLICY. I witnessed that day and remembered the conversation between Mr Van Rooyen and Fias Representative Mr Ettiene De Klerk as if it was yesterday. I am willing to sign an affidavit that corresponds with the information I witnessed on 7 August 2017. Mr de Klerk neglected to inform us of the terms and conditions of the policy.
I am still mourning the loss of my husband and all the stress of the claim affects my personal and working life. I am the sole provider for my child that is still a student and cannot afford not to have transport that is why my husband took the policy out to provide for us if he passed away. When one sees a reputable brand such as Bidvest, you would expect an honest and ethical service. They failed to provide us with the crucial information that could result in us not being able to claim from the policy. It is as if Bidvest won’t hesitate to take YOUR monthly premiums, even if they know that they will not support your claim. All of this whilst mourning the loss of your family’s financial provider, leaving a women and child without the support their client entrusted unto them. What I wish to achieve with this letter, is that Bidvest will take responsibility for their poor service and pay out the claim. They need to take responsibility and correct the negligence their representative caused. I also wish to ask that in future that they conduct their business fairly and hold their end of the bargain. Herewith attached documents: 1. Daily Hospital reports 2. Weekend pass 3. Discharge Report I look forward to hearing from you
Warm Regards, Sharon Van Rooyen ********** 377
We acknowledge receipt of your complaint and note the content thereof.
Kindly note that your matter has been assigned to a Complaints Administrator and is currently being investigated. We will provide you with a response shortly upon completion.
We appreciate your patience in this regard.
Kind regards
IUA Business Solutions - Complaints Team
We acknowledge receipt of your complaint and note the content thereof.
Kindly note that your matter has been assigned to a Complaints Administrator and is currently being investigated. We will provide you with a response shortly upon completion.
We appreciate your patience in this regard.
Kind regards
IUA Business Solutions - Complaints Team
Please note that a response has been sent to you on email.
Kind Regards,
IUA COMPLAINTS TEAM
Please note that a response has been sent to you on email.
Kind Regards,
IUA COMPLAINTS TEAM
We acknowledge receipt of your additional comments and a response will be provided via email.
Kind Regards,
IUA COMPLAINTS TEAM
We acknowledge receipt of your additional comments and a response will be provided via email.
Kind Regards,
IUA COMPLAINTS TEAM
We acknowledge receipt of your comments which will be reviewed. A response will be provided to your personal email.
Kind regards
Complaints Team
We acknowledge receipt of your comments which will be reviewed. A response will be provided to your personal email.
Kind regards
Complaints Team
We note your numerous posts relating to this matter. Kindly provide the outstanding information urgently.
Kind Regards,
IUA COMPLAINTS TEAM
We note your numerous posts relating to this matter. Kindly provide the outstanding information urgently.
Kind Regards,
IUA COMPLAINTS TEAM
