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Yajna G

1 reviews | Active since Mar 2015

13 Nov 2025, 20:35

WARNING: Policy Misrepresentation and Unreasonable Exclusions for Senior Pets (Underwritten by BRYTE)

Policy Holder Since: January 25, 2025 (Previous, positive history: 2***) Insurer: ONEPLAN Pet Insurance (Underwritten by BRYTE Insurance Company Limited) Pets Affected: Romeo (Deceased) and Duke (Currently ill)

I am lodging a formal complaint against ONEPLAN Pet Insurance for what appears to be a clear case of misrepresentation and the use of deliberately restrictive policy terms that were not disclosed during the renewal/sign-up process. I trusted ONEPLAN based on my excellent experience with their previous policy (2***), but the current policy (effective 2025) is virtually worthless for senior pets.

1. Failure to Disclose Detrimental Changes (Misrepresentation)

When I agreed to the new policy, I re**** on verbal assurances and my prior positive history with ONEPLAN. I was not verbally informed of the massive, detrimental changes under the BRYTE underwriting. These include:

Extensive Exclusions: The policy now excludes major conditions common in senior pets, including Heart Failure, Tumours, and Diabetes.

Unreasonable 12-Month Waiting Period: I was never told about a non-negotiable 12-month waiting period for these specific serious illnesses. No reasonable person would purchase a senior pet policy with a 12-month wait for conditions like heart failure and tumours. This renders the policy useless for the population it is meant to protect and suggests a purposeful loophole to collect premiums without risk.

2. Claims Rejected Using Loopholes

Despite paying my premiums, ONEPLAN/BRYTE has leveraged these undisclosed loopholes to reject critical care for my beloved Chihuahuas:

Romeo (Deceased): Claims for his gum disease (gingivitis) and subsequent heart failure were rejected. The company is using policy exclusions/waiting periods to avoid responsibility for claims related to senior pet conditions.

Duke (Currently Ill): Duke was recently admitted for a fever. The pre-authorization for his treatment has been rejected, with the company using the possibility of an unconfirmed tumour as a basis to trigger the unfair 12-month waiting period exclusion, even though the confirmed issue is currently an infection/fever.

Claim Card Issue: I was also explicitly told the claim card, which was a core reason for choosing ONEPLAN, would not work for hospital cover, undermining a key feature of the service I paid for.

3. Demanded Resolution

I demand that ONEPLAN/BRYTE immediately:

Re-evaluate and approve Duke's current claim for the fever and infection.

Provide a full, written explanation detailing why the 12-month waiting period and extensive exclusions were not disclosed during my verbal sign-up.

Given the failure to disclose material changes and the use of an unconscionable contract for senior pets, I demand a full, pro-rata refund of all premiums paid since January 25, 2025, and immediate cancellation of this policy based on misrepresentation.

I have collected all written rejections, WhatsApp correspondence, and the current policy documents to submit to the National Financial Ombud Scheme (NFO) and the FAIS Ombud for an official investigation into the sales process and policy fairness.

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Replies (1)
Oneplan Insurance
Oneplan Insurance's reply14 Nov 2025, 08:09
Official
Dear Yajna, 

Thank you for your message and for raising your concerns with us. We understand the seriousness of the matters you have highlighted, and we appreciate the opportunity to have a look into this matter and assist. 

Please note that all claims submitted to Oneplan are assessed fairly in accordance with the Terms and Conditions outlined in the policy schedule, which was provided to you upon activation of your cover. All information related to the claims process, including requirements regarding conditions, treatments, diagnoses, waiting periods, and exclusions, is fully detailed in the policy document. 

We have noted that a consultant from our Pet Hospital team has been in contact with you via WhatsApp, assisting and advising you throughout the processing of your claims and providing updates based on the information received from the treating veterinarian. 

Following receipt of the full clinical details from the vet, your claims were thoroughly reviewed. A formal repudiation letter, as well as a legal letter, has been sent to you outlining the reasons for the declined claims, with direct reference to the applicable clauses in the policy terms. 

Additionally, the Complaints Resolution Process has been provided to you, detailing the appropriate escalation channels should you wish to pursue the matter further. 

We must reiterate that all benefits, limitations, and waiting periods form part of the contractual agreement, and claims are assessed in accordance with what is stipulated in the policy schedule. 

Should you require any further clarity regarding the repudiation or specific policy clauses, please feel free to engage with us through the complaints channels already shared with you. 

Certain terms and conditions are always applicable, and these are included in all policy documents before and during your experience with us. We will assist with all we can in line with our terms and conditions. Oneplan subscribes to its TCF principles and will take all reasonable steps to ensure fair and equal treatment of all our clients. 

We understand that this may not be the outcome you were hoping for, but we trust that the above clarity helps explain how the benefits apply. Please be assured that one declined claim does not mean that future claims will not be covered. Each claim is assessed on its own merits and in accordance with the policy schedule. Should you need any further assistance, we are here to help. 

Kind regards, 
Oneplan.