Why Cancer Diagnoses May Not Meet Insurance Policy Definitions
The Australian Financial Complaints Authority (AFCA) ruled that Zurich’s denial of a trauma insurance claim was valid because the claimant’s bladder cancer met the policy’s specific exclusion for “carcinoma in situ.” This decision highlights how rigid policy definitions can conflict with serious medical diagnoses that require intensive treatment. Why did AFCA uphold Zurich’s claim denial? … Read more
