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Misrepresentation, Non-Disclosure and Breach ... - Law Commission

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Section 4 Baseline analysis of insurance markets <strong>and</strong> the extent of non-disclosure<br />

4.3.2 How does the FOS classify the consumer’s<br />

behaviour where a critical illness claim is declined?<br />

Out of the 93 critical illness final decisions in the <strong>Law</strong> <strong>Commission</strong>’s survey,<br />

the issue of the consumer’s behaviour was relevant in 76 of them.<br />

Ombudsmen classified the consumer’s behaviour as follows:<br />

Table 12: Critical Illness non-disclosure <strong>and</strong> misrepresentation cases:<br />

classification of outcomes<br />

Number %<br />

Innocent: consumer wins 17 22<br />

Inadvertent: proportionate remedy<br />

applied<br />

8 11<br />

Reckless or deliberate: policy avoided 16 21<br />

Ombudsman does not classify, but policy<br />

nonetheless avoided<br />

35 46<br />

Total 76 100<br />

4.4 Elasticity of Dem<strong>and</strong><br />

In this section, we provide some information on the elasticity of dem<strong>and</strong> 8<br />

associated with each type of insurance in the retail market. We provide this<br />

information because it is possible that the change in the proposals suggested<br />

by the <strong>Law</strong> <strong>Commission</strong> may result in some increase in costs to insurers 9 that<br />

will in turn result in a reduction in the quantity of insurance dem<strong>and</strong>ed by<br />

consumers. The elasticity of dem<strong>and</strong> provides an estimate of how sensitive<br />

changes in the price of a product are to changes in the quantity dem<strong>and</strong>ed of<br />

that product.<br />

8 The price elasticity of dem<strong>and</strong> measures the percentage change in quantity dem<strong>and</strong>ed following a<br />

percentage change in the price of a good. For instance, if there is a 10% increase in the price of a good<br />

that results in a less than proportionate reduction in the quantity dem<strong>and</strong>ed of that good, then the<br />

good in question is described as inelastic. If the change in quantity dem<strong>and</strong>ed is greater (in<br />

proportionate terms) than the initial change in price, then the good is defined as being elastic. The<br />

change in the quantity dem<strong>and</strong>ed is made up of two elements - the substitution effect <strong>and</strong> the income<br />

effect. The substitution effect is always negative following an increase in price – <strong>and</strong> reflects the fact<br />

that the good in question is worse value for money than used to be the case. The income effect reflects<br />

the change in dem<strong>and</strong> for the good at every price resulting from the erosion of purchasing power<br />

following the increase in prices. For ‘normal’ goods, the income effect reinforces the substitution effect<br />

while for ‘inferior’ goods, the income <strong>and</strong> substitution effects operate in different directions<br />

9 Extreme changes to the legislation may mean that certain forms of insurance become too expensive for<br />

insurers to offer. The <strong>Law</strong> <strong>Commission</strong> does not propose extreme changes.<br />

London Economics<br />

June 2007 27

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