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trissan B

1 reviews | Active since Jul 2013

08 May 2019, 07:17

Payout dissatisfaction

I have got a pmd policy ref no LL ********** 15 for my parents for about 8 years now initially when I took out the policy it was R32500 with waiting periods of 3 years for existing conditions, i then in 2015 upgraded the policy to 70000 my mum has passed away on the 31st of March 2019 I submitted my claim one week after my mum had passed away, it was such a difficult task to get all required documents as prime meridian needed my mother's local clinic file i had to personally go to the clinic and wait for 2 days to get the clinic to release the file at a cost of R620 where I paid my myself and pmd refunded me to speed up the process as pmd was not getting any joy from the clinic, please note the inconvenience of my time as pmd was not able to obtain the file, on the 2nd May I received a message to say Simone Erasmus will be handling my claim, all documents have now been submitted to pmd, I then was contacted by Simone Erasmus yest to confirm that all documents are in order however only R32500 will be paid out as my mum had high blood pressure in 2014 prior to the upgrade time of 2015, at the time of the upgrade why wernt the necessary doctors reports requested this is now extremely unfair as I was under no impression that my mum had high blood pressure my premiums were paid every month according to my knowledge my mum did not receive pressure medication regularly, we are not aware of the problems that may occur after, the policy has been taken out such a long time ago even if my mum had high blood pressure the waiting periods are long over, I have endured a very difficult year and now the inconvenience pmd has put me through, I have had this policy for such a long time all waiting periods should have long passed now, I honestly feel ********** by pmd as my premiums were paid and now excuses are being made to not pay out the full amount, no calls are received during the duration of the policy to declare any illnesses or sicknesses however claim time becomes a problem, this has been a very painstaking task for me as with dealing with the loss of my mum and now to deal with claim as I thought that my policy was in good hands. As a loyal customer I feel extremely dissatisfied with the service there is no remorse from your staff and pmd cannot even obtain necessary documents on their own how *********** is their service after approximately 8 long years of taking the policy this is now extremely unfair to bring about disclosure of illnesses as waiting periods have long exceeded, I am not accepting the payout of R32500 and i will go to all forms of social media to expose pmd for the horrible service.

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Replies (2)
Prime South Africa
Prime South Africa's reply09 May 2019, 09:03
Official
 Dear Trissan B 

Thank you for your post received on 9 May 2019. 

We are truly sorry to learn of your dissatisfaction. We will be conducting a thorough investigation into your concern to better understand what took place and find the best possible solution. 

We undertake to give you preliminary feedback by no later than 13 May 2019. 

Assuring you of our continued best endeavours on your behalf. 
 Kind regards, The PMD Team. 
Prime South Africa
Prime South Africa's reply10 May 2019, 13:32
Official
Dear Trissan B, 

We wish to extend our heartfelt sympathy for the loss of your mother as we understand that this is a trying time. Thank you for taking the time to alert us of your discontent. 

As with all life insurance products, it is imperative that all previous illnesses and hospitalisations are disclosed at application or upgrade stage and a failure to do so is specifically excluded for cover. 

We regret your unease regarding the approved amount of the claim. Prime Meridian Direct prides itself on the unprecedented lengths to which it goes to ensure that its clients fully understand the products that they purchase. Your PMD policy document is really easy to read and understand, so you will quickly remember that the responsibility lies with you to disclose accurate information.

Our Market Conduct Department will provide you with a more detailed explanation regarding the outcome of your claim.

Assuring you of our continued best endeavours on your behalf. 

Kind regards, 
The PMD Team