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Copyright 1996-2004 Elliott Publishing. All rights reserved.
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It Pays to
be Persistent
Fix My Trip · May 2, 2004
Q:
On August 12, 2003, while I was shopping for travel insurance to cover
a 14 day cruise that my wife and I were taking on Nov. 9, I noticed the
advertisement for Trip Assured, a travel insurance company which provides
insurance through my cruise agent, CruiseQuick.com.
When I determined that Trip Assured was at least $25 cheaper than any
of the other companies that I mentioned, I decided to book my insurance
with them. The insurance was to cover our full cost of the cruise, which
was approximately $2,000.
This proved to be
a huge mistake.
On Aug. 26, my youngest brother, who was 55, and thought to be in excellent
health, passed away after suffering a stroke.
After my brother's death, my mother began to suffer from depression, and
lack of appetite. After a few weeks, her weakened condition led her physician
to suggest that she be admitted to a nursing home, to build up her strength.
She entered a nursing home on Sept. 19. Her appetite and spirits remained
low, but there no signs that she didn't have long to live. With our cruise
getting closer, I made a call to Trip Assured on Oct. 21, so that I would
be well informed of what action to take if Mom's condition worsened before
the cruise, or while we were on the cruise.
The only advice that I received was to keep them informed if her condition
changed for the worse. No mention was made of cancellation penalties.
I told them that if they needed any additional information, they should
call me. They never did.
On Nov. 1, Mom suddenly developed internal bleeding. Since this seemed
to be really serious, we made the decision to drive to Massachusetts from
Florida the next day. I tried to call Trip Assured, but their phone wasn't
being answered outside of regular business hours. I was able to send them
a fax outlining the situation, and telling them that, unless she experienced
a remarkable recovery, which would allow us to get back to Florida within
a week, we'd have to cancel the cruise. When the bleeding developed, we
were already in the 100 percent cruise penalty phase. I told them that
if we had to do anything further, they should call me. I left them complete
contact information, including my cell phone number. They never called.
Mom was given several blood transfusions. The bleeding abated somewhat,
but did not stop. She died on Nov. 5, 2003. I informed Trip Assured of
her death on Nov. 6, and told them to call me if the needed any additional
information. They never called.
On Nov. 24, I submitted a complete claim package to Trip Assured, containing
all of the information that they requested, including the death certificate,
which stated that the cause of death was internal bleeding, and a statement
from her family physician that the cause of death was internal bleeding,
a condition that appeared on Nov. 1. He stated that this was a new, and
not a pre-existing condition. I stated in the package that if further
information or clarification was needed, they should call me. Again, no
one called.
On Dec. 5, I received a letter from Trip Assured, and a check for half
of the claimed amount. The check was stamped in bold letters: "Cashing
of this check is in full settlement of all of the obligations of this
contract". I did not cash the check.
This was their logic for paying only half of the claimed amount:
"Our contract states that members (policy holders) are obligated to mitigate
cost to Trip Assured, Inc. in the event of any such occurrence......when
you called on October 21, 2003 (the date that I called to seek advice
on what action I had to take in the event that Mom's health deteriorated
significantly, or her death occurred before or during our cruise) you
should have canceled your trip due to that being 19 days before your trip.
Any cancellation on a cruise more than 8 nights is 50% penalty if canceled
between 29 and 15 days before the trip."
I was more than a little dumbfounded by this statement, because all of
it was an outright lie. Prior to Nov. 1, when the internal bleeding started,
Mom was in no danger of dying, or even entering into the final stages
of life. Nov. 5, when she died, was well into the 100 percent cancellation
period, as was Nov. 1, when she became deathly ill. Moreover, absolutely
no mention was made that I had any intention of canceling the cruise during
this phone call.
Within four hours of receiving the letter, I sent an urgent fax to the
author of the letter at Trip Assured, telling them why they were incorrect,
and giving them a week to correct their errors, and pay me the remaining
amount due on the claim. I also demanded that they provide me with a recording
or transcript of the Oct. 21 phone call, but my request has been met with
silence. Their only response to my letter was to send me another letter
and tell me that my only options were to (1) Return the check, and ask
them for reconsideration, or (2) Return the check, plus $100, and ask
for binding arbitration by the American Arbitration Association.
Much against my will, I returned the check. Within it week, they sent
it back to me with a slightly reworded copy of their original letter,
telling me that their original decision stands. They did not contact me
to discuss the issue, nor did they contact the physician or extended care
facility. In other words, no review was done.
That's my sad story, Chris. I hope that you can help me.
-- Don Filiault
A: The more stories like yours I read, the more I'm convinced that
travel insurance is almost completely useless. Even if you get a full
refund on the $2,000 cruise, you will have spent so much time pursuing
Trip Assured that it will be little more than a psychological victory.
Your case is tragic because you lost two loved ones - your brother and
mother - only to have what appears to be a completely legitimate claim
denied. I've dealt with numerous disputes between travelers and insurance
companies, and standard operating procedure for these companies seems
to be to ignore the problem and hope it goes away.
Considering that many of the travelers who buy insurance are elderly,
and on fixed incomes, this "wait-it-out" approach strikes me as especially
opportunistic. As far as I can tell, the insurance companies either hope
customers like you will accept a partial settlement or won't have the
resources to pursue every remedy.
They underestimated you.
Although I contacted Trip Assured immediately after having received your
letter, I believe it was your persistence that led to the resolution.
Because, although you asked for my help, you also contacted almost every
state and federal agency with jurisdiction over travel and insurance;
you also wrote to other journalists and you hit the online bulletin boards
hard, spreading the word about Trip Assured.
Although I politely asked Trip Assured to look into your case, which may
have prompted it to review your request, the company soon realized it
had a major public-relations disaster on its hands.
In mid-February, you received a call from the chief executive's office
at Trip Assured. She told you that the company had reviewed your dispute
and "after considering the matter carefully" had decided to process the
full amount of your claim.
Trip Assured certainly got more than it bargained for. The Knoxville Better
Business Bureau and the Florida Financial Services Department continue
to investigate the agency, according to your records. And, of course,
now it has this story.
Incidentally, Trip Assured took the same approach with me when I contacted
it. It never returned my calls or e-mails requesting a comment for this
article and asking that it address your grievance. I can't say I'm surprised.
Next time, get a policy from a name-brand insurance company that you trust
- not some fly-by-night operation that offers the cheapest coverage.
Christopher Elliott
is the ombudsman for National Geographic Traveler. Do you have a trip
that needs fixing? E-mail him
or call him directly at (305) 453-4781. Your question may be published
in a future story. Fix My Trip appears weekly
on this site.
Get a look behind
the scenes at Fix My Trip. Check
out Elliott's Travel Notes blog.
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