AD Celsolicitors
No win, no fee

Has your insurance claim been rejected?

Insurers decline life and critical illness claims more often than people realise — and a rejection is an opinion, not the final word. Many are overturned on appeal.

+44 20 3996 7792

Do I have a claim?

You may be able to claim if:

  • A life, critical illness or income protection claim has been declined or reduced
  • The insurer cited non-disclosure, a policy definition, or a pre-existing condition
  • You disagree with the decision, or were never given a clear explanation
  • The decision was made within the last six years

Free, no-obligation assessment

Life and Critical Illness Insurance Appeals

A life or critical illness policy is bought for the worst moment of your life. Being told at that moment that the insurer will not pay is devastating, and it usually arrives with dense wording implying the decision is final.

It is not. Declines commonly rest on alleged non-disclosure — something supposedly not mentioned when the policy was taken out — or on an argument that your condition does not meet the policy definition. Both are frequently contestable. The Consumer Insurance (Disclosure and Representations) Act 2012 substantially limits an insurer’s ability to refuse a claim over an innocent or irrelevant omission.

Grounds we challenge

Most declines fall into a small number of recognisable categories — and most of those are arguable.

Alleged non-disclosure

Where an omission was innocent, immaterial, or never properly asked about at application.

Policy definition disputes

Where the insurer argues your diagnosis falls outside the wording. Definitions are often narrower on paper than in practice.

Pre-existing condition arguments

Where an unrelated or long-resolved condition is used to refuse an unconnected claim.

Unclear or unfair terms

Terms that were not brought to your attention, or that are unfair under consumer protection law.

Procedural failures

Where the insurer failed to investigate properly, or gave no adequate reasons.

Delay and distress

Compensation where an insurer’s handling caused avoidable hardship at an already difficult time.

How your claim works

01

Get in touch

Tell us what happened in a free, no-obligation call. We will tell you honestly whether you have a claim.

02

We build your case

We gather evidence, arrange any assessment you need, and handle the other side entirely.

03

We negotiate

We put your case to the opponent and push for the full value of your claim — not a quick, low offer.

04

You get paid

Your compensation is paid to you, with our agreed fee deducted. No win means no fee at all.

Frequently asked questions

Usually not. Since 2012, insurers must show that a misrepresentation was careless or deliberate and that it actually mattered to their decision. An innocent omission, or one unrelated to the condition you are claiming for, will often not entitle them to refuse.

Ready to start your claim?

Speak to our team for free. We will tell you honestly where you stand — with no pressure and no obligation.

+44 20 3996 7792