claiming income protection while off sick with depression.
My insurer says that they don't have enough medical evidence that I am not fit for work despite the fact that my GP says so. They want me to see their consultant now. I am worried about this and wonder what happens if this doctor disagrees (I am much better now than I was couple of months ago and hope to be able to return to work soon - my GP thinks that i am still unfit at the moment) is this is normal procedure? Thank you
Yes, this is quite normal practice, especially at the start of a claim. It may be for a number of reasons. The most common is to do with the wording of the Income Protection policy. There are basically three definitions that are used.
Own or suited occupation
It sounds as though the insurer is not convinced that you illness meets the definition of incapacity that the policy is based on.
Obviously 'own occupation' is the best definition because the policy will pay out if you are unable to carry out your own occupation.
The next best is 'own or suited' and it may be that the insurer is trying to confirm that you are not able to carry out any occupation for which you are suited.
The worst definition is 'any occupation' because you need to be really ill to be unable to carry out 'any occupation'.
Lastly it is in no one's interests to have you return to work too soon only to relapse as the insurer will them face paying the claim for longer and the doctor will have a patient who has relapsed and you will obvioulsy have gone backwards and thus are likely to take even longer to make a full recovery.
We wish you the best of luck and a speedy recovery. | 04.21.11 @ 16:42