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Money, consumer and complaints

Insurance: Choosing Cover, Making a Claim and Complaining

An independent, plain-English United Kingdom guide to insurance — what the words actually mean, how to work out what cover you need, how to answer an insurer's questions safely, how to make and evidence a claim, and what to do when a claim is delayed, undervalued or refused.

Reviewed August 2026

Start here

What insurance actually is

Insurance is an agreement in which you pay a premium and an insurer agrees to carry specified financial risks for you. If one of those specified things happens, and the policy conditions are met, the insurer pays, repairs, replaces or provides a service instead of you having to find the money yourself.

The important word is specified. Insurance does not cover every loss, every disappointment or every unexpected bill. Whether something is covered depends on:

  • the policy wording — the full document, not just the advertising
  • the information you supplied when you bought or renewed the policy
  • the policy limits, including limits on individual items
  • the excess you must pay towards each claim
  • the exclusions — the things the policy says it does not cover
  • the conditions — the things you must do, such as reporting promptly or locking doors
  • the circumstances of the claim itself

This is why the cheapest policy can be poor value. A low premium often means a higher excess, lower limits, more exclusions, fewer add-ons or stricter conditions. If the policy excludes the very thing you were worried about, the saving is not a saving at all. The sensible order is to decide what risk you are protecting against first, then compare policies that genuinely cover it, and only then compare price.

Sixpence Support UK CIC is completely independent. We do not sell, arrange or recommend insurance, we do not rank insurers, and we receive no commission or referral payment from anyone mentioned on this page.

Key points

  • Decide what risk needs covering before you compare prices.
  • Read the main exclusions and limits, not only the headline cover.
  • Answer the insurer's questions carefully and honestly.
  • Check whether you already have cover through another policy, an employer, a bank account, a credit card or a membership.
  • Keep your policy documents and your evidence somewhere you can find them.
  • Report incidents promptly — delay is a common reason claims are disputed.
  • Get urgent repairs authorised where the policy requires it, but never delay action needed to keep people safe.
  • Complain if a claim is handled unfairly — complaining is free and you do not need a paid firm.
  • Check any firm on the FCA Firm Checker before you pay anybody.
  • Sixpence Support UK does not sell or recommend policies.
Plain English

Essential insurance words explained

Insurance documents use a small number of words over and over again. Once these make sense, most policies become far easier to judge. The examples below are illustrations only and do not describe any particular company's product.

Premium

The amount you pay for the cover, either as one annual payment or in monthly instalments. A premium reflects the insurer's view of the risk, the level of cover, the excess and any add-ons.

Excess

The amount you pay towards each claim before the insurer pays anything. If a repair costs £400 and the excess is £250, the insurer would normally pay £150. A high excess lowers the premium but makes small claims pointless.

Compulsory and voluntary excess

The compulsory excess is set by the insurer and cannot be removed. The voluntary excess is the extra amount you choose to accept in return for a lower premium. They usually add together, so check the total you would pay on a claim.

Policy limit

The maximum the insurer will pay under the policy, or under a particular section of it. Cover for contents, legal costs, alternative accommodation and personal belongings often each have their own separate limit.

Single-item limit

The maximum payable for any one item unless it has been listed separately. A policy might have a large overall contents limit but only pay a much smaller amount for one ring, laptop or bicycle. Valuable items usually need to be specified by name.

Exclusion

Something the policy does not cover at all. Common examples are wear and tear, gradual damage, poor maintenance, deliberate acts and certain high-risk activities. Exclusions are as important as the cover itself.

Endorsement

A change written into the policy that adds, removes or alters cover for your particular circumstances — for example a requirement to fit a specific type of lock, or an exclusion added because of a known issue such as previous subsidence.

Condition

Something you must do for cover to work properly, such as reporting a theft to the police, setting an alarm, keeping a property maintained, or telling the insurer about relevant changes. Breaking a condition can affect a claim.

Sum insured

The amount the property or possessions are insured for — for example the cost of rebuilding a house, or the cost of replacing the contents. It should reflect the real figure, not a guess.

Underinsurance

Where the sum insured is lower than the true value. Some policies reduce the payment proportionally, so insuring contents for half their real value can mean receiving roughly half of an otherwise valid claim, even for a small loss.

New-for-old cover

The insurer pays to replace an item with a new equivalent, without deducting for age or wear. Clothing and linen are often excluded from new-for-old terms.

Indemnity or current-value cover

The insurer pays what the item was worth immediately before the loss, taking age and condition into account. A ten-year-old sofa is paid at ten-year-old value, which is usually far less than a new one.

Waiting period

A period after the policy starts during which certain claims cannot be made — often used in pet, dental and health-related policies.

Deferral period

Mainly used in income protection: the time you must be unable to work before benefit begins. A longer deferred period usually means a lower premium but a longer gap in income.

No-claims discount

A reduction earned for claim-free years, most familiar in motor insurance. It can sometimes be protected for an extra premium, though protection usually limits the number of claims rather than preventing the overall price from rising.

Add-on

Optional extra cover bought alongside the main policy — for example breakdown, legal expenses, home emergency, personal belongings or excess protection. Add-ons can be valuable or can duplicate cover you already hold.

Beneficiary

The person or people who receive the payment from a life or protection policy. Who receives the money, and how quickly, can depend on whether the policy is written in trust — a subject that needs specialist advice.

Underwriting

The process by which an insurer decides whether to offer cover, on what terms and at what price. It may involve questions about health, occupation, claims history, the property or the vehicle.

Pre-existing condition

A medical or other condition that existed before the policy began. Different policies define this in different ways, and the definition matters enormously in travel, health and pet insurance.

Cooling-off period

A short period after buying, and usually after renewal, in which you can cancel and receive a refund, often minus a charge for cover already provided and sometimes an administration fee. The exact period and charges depend on the product and the policy, so check your own documents.

Renewal

The point at which the policy ends and a new period of cover is offered, usually with a new price and sometimes with changed terms. Many policies renew automatically unless you act.

Cancellation

Ending the policy before the end of the period of cover. Charges, refund calculations and notice periods vary, and cancelling a policy is not the same as cancelling a monthly payment.

Broker, insurer and intermediary

The insurer carries the risk and decides claims. A broker or intermediary arranges or sells the policy and may handle administration. If something goes wrong it matters which one is responsible, because your complaint should go to the firm that did the thing you are complaining about — and sometimes to both.

Before you buy

Deciding whether you actually need a policy

Not all insurance is essential. Some is legally required, some is required by a contract, some is genuinely valuable, and some duplicates cover you already have. Working through the questions below is usually more useful than comparing prices straight away.

  • Is it legally required? Motor insurance for a vehicle used or kept on a road is the clearest example, as is employers' liability insurance for most businesses with employees.
  • Is it required by a mortgage, lease, tenancy, loan or contract? Buildings insurance is commonly a mortgage condition, and leases often require particular arrangements.
  • How serious would the loss be? Insurance is most useful for losses you could not absorb — a house fire, a serious illness abroad, a liability claim.
  • Could you replace or repair it yourself? If yes, and comfortably, the policy may not be worth the premium.
  • Do you already have cover? Check other policies, an employer's benefits, a packaged bank account, a credit card, a union or a membership organisation.
  • Do the exclusions make it unsuitable? Cover that excludes your actual risk is not protection.
  • Do the premium and excess make small claims impractical? If the excess is close to the value of the item, the policy may achieve very little.
  • Would savings do the job? For minor risks, an emergency fund can be a reasonable alternative — though it cannot replace legally required cover or protect against very large losses.
Home

Buildings insurance

Buildings insurance normally covers the structure of the property and its permanent fixtures. Exact cover varies between policies, so always check your own wording.

What buildings insurance normally protects

The walls, roof, floors, ceilings and permanent fixtures such as fitted kitchens, fitted bathrooms and built-in wardrobes. Garages, outbuildings, boundary walls, gates, fences, drives and paths may be included, limited or excluded depending on the policy.

Rebuilding cost versus market value

Buildings cover should be based on the cost of rebuilding, including demolition, site clearance, professional fees and meeting current building rules — not the price the property would sell for. In some areas rebuilding costs more than market value; in others, less.

Storm, fire, flood, subsidence and escape of water

These are the classic insured events, but each has conditions. Storm damage usually requires genuinely severe weather rather than gradual deterioration. Flood cover may be affected by the property's flood history. Subsidence normally carries a much higher excess. Escape of water covers the damage caused by a leak, but the failed pipe or appliance itself is often excluded as wear and tear.

Alternative accommodation

Many buildings policies pay for somewhere to live if the home cannot be occupied after an insured event. There is normally a limit, and it may be expressed as a percentage of the sum insured. Ask early if you may need it, and keep receipts.

Trace-and-access cover

The cost of finding and getting to a leak — lifting floors, removing tiles — can be significant. Some policies include trace-and-access cover with its own limit; others exclude it. It is worth checking before you need it.

Accidental damage options

Standard buildings cover often excludes accidental damage such as a foot through a ceiling or a drill through a pipe. Accidental damage is frequently an optional extra with its own terms.

Unoccupied-property conditions

Most policies restrict cover when a property is left unoccupied beyond a stated number of consecutive days, and may impose conditions such as draining systems, keeping heating at a minimum temperature or arranging inspections. This matters after a bereavement, a hospital stay, a move or a long trip. Tell the insurer rather than assuming cover continues unchanged.

Home-working considerations

Ordinary office-style work at home is often acceptable, but business stock, business equipment, business visitors and business liability may not be covered by a standard home policy. Check before assuming.

Leasehold and shared buildings

In blocks of flats the buildings insurance is usually arranged by the freeholder or the management company and paid for through the service charge. Leaseholders should ask for a copy of the policy summary and schedule so they know what is covered, what the excess is and who to contact.

Underinsurance and mortgage requirements

Rebuilding costs change over time. A sum insured set years ago may now be too low, which can reduce a payment. Lenders commonly require buildings cover to be in place as a condition of the mortgage, and may ask for evidence.

Home

Contents insurance

Contents insurance covers the things you would take with you if you moved. A landlord's buildings policy does not normally protect a tenant's belongings, which is one of the most common and most costly misunderstandings in household insurance.

Furniture, possessions, theft and damage

Typical cover includes furniture, appliances, clothing, electrical items and personal possessions against events such as fire, theft, flood and escape of water. Damage caused by pets, and general wear and tear, are usually excluded.

Single-item and valuables limits

Check the single-item limit and the overall limit for valuables such as jewellery, watches, art and collections. Items above the limit normally need to be listed individually, sometimes with a valuation.

Items away from home

Cover for possessions outside the home — phones, laptops, handbags, jewellery — is often an optional extra called personal possessions or personal belongings cover. Without it, a theft in the street may not be covered at all.

Bicycles and mobility equipment

Bicycles frequently have their own limit and security conditions, such as a specified type of lock. Wheelchairs, scooters and other mobility equipment may be covered, limited or excluded, and specialist cover sometimes suits better. See our Mobility Aids, Disability Equipment and Home Adaptations page.

Accidental damage

Spilled paint, a cracked television screen or a dropped laptop are usually only covered if accidental damage cover is included. It is often optional.

Shared accommodation, students and tenants

Some policies exclude theft by a person lawfully in the property, or require forcible entry, which matters in house-shares. Students may be covered by a parent's policy for items in halls, but limits and conditions apply. Tenants should arrange their own contents cover rather than relying on the landlord's policy.

Evidence of ownership and high-value items

Receipts, bank or card statements, photographs, serial numbers, valuations and original packaging all help. Keep a simple digital record, backed up somewhere other than the house — a photograph of each room and a list of serial numbers takes very little time and makes claims far easier.

New-for-old versus current value

Check which basis applies. A new-for-old policy replaces items with new equivalents; a current-value policy deducts for age and wear, which can be a considerable difference on furniture and electronics.

Home

Renters, leaseholders and shared ownership

Where more than one party is involved in a building, insurance responsibilities can be confusing. The general picture is set out below, but your own tenancy or lease governs your position, and we cannot interpret an individual lease.

  • Contents cover for tenants is your responsibility, not the landlord's.
  • Landlords normally insure the building and their own fixtures and furnishings, and may have landlord liability cover.
  • Buildings insurance in blocks is usually arranged by the freeholder or a management company and recharged through the service charge.
  • Ask for the insurance documents — leaseholders are commonly entitled to a summary of the policy; ask in writing if it is not supplied.
  • Excess disputes arise in blocks when a large excess is passed to one leaseholder; check who is contractually liable and complain if the handling looks unfair.
  • Improvements and adaptations you have paid for may not be covered by the freeholder's policy — check and tell your own insurer if needed.
  • Shared ownership usually leaves the occupier responsible for contents and often for buildings-related obligations set out in the lease.
  • Water leaks affecting neighbours are generally dealt with through liability cover and only where someone is legally responsible — being the source of a leak does not automatically mean fault.
  • Alternative accommodation may be provided by the buildings policy, the contents policy, or neither; find out early.
  • Complaints about insurance arranged by another party can still be made — complain to the firm that arranged or handled it, and to the freeholder or managing agent about their own conduct.
Vehicles

Motor insurance

Motor insurance is the area where the law is strictest. Using a vehicle on a road or other public place without at least the legally required third-party insurance is a criminal offence under the Road Traffic Act 1988, and keeping an uninsured vehicle without a Statutory Off Road Notification can also lead to penalties.

Third party, third party fire and theft, and comprehensive

Third party is the minimum required by law and covers injury or damage you cause to other people and their property, not your own vehicle. Third party, fire and theft adds cover for your vehicle being stolen or damaged by fire. Comprehensive also covers damage to your own vehicle. Comprehensive does not automatically include breakdown, legal expenses, a courtesy car or personal-accident benefits — these are separate and often optional.

Named drivers, main driver accuracy and 'fronting'

The policy should name the person who genuinely drives the vehicle most as the main driver. Deliberately naming a lower-risk person as the main driver — often a parent for a young driver — is known as fronting. It is a misrepresentation and can lead to a refused claim, a cancelled policy and, in serious cases, prosecution.

Business use, commuting and how the vehicle is used

Social use, commuting and business use are different categories. Driving to a single permanent workplace is usually commuting; visiting clients, sites or multiple workplaces is usually business use. Delivery and courier work almost always needs specialist cover. Check the certificate wording.

Modifications

Changes to the vehicle — including wheels, suspension, engine changes, body work, tow bars, roof racks, sign-writing and some accessibility adaptations — should be declared. Undeclared modifications are a frequent cause of disputes, even where they did not contribute to the incident.

Medical conditions and licence requirements

Some medical conditions must be reported to the DVLA (or the DVA in Northern Ireland), and insurers normally expect you to hold a valid licence and to have met any reporting duty. Failing to report a notifiable condition can affect both your licence and your insurance.

Courtesy cars, breakdown, legal expenses and uninsured-loss recovery

A courtesy car is usually only provided when an approved repairer carries out the repair, and rarely when the vehicle is written off or stolen. Breakdown cover, motor legal expenses and uninsured-loss recovery — which pursues your excess and other losses from an at-fault driver — are usually optional add-ons. Check whether you already hold them elsewhere.

No-claims discount and telematics

A no-claims discount builds with claim-free years and can be reduced by a claim, including some non-fault claims until costs are recovered. Telematics or "black box" policies monitor driving and may adjust the price, impose curfews or cancel the policy for repeated breaches — read those terms especially carefully.

Excesses, valuations and write-offs

Motor policies often combine a compulsory and a voluntary excess, and may add higher excesses for young or inexperienced drivers or for windscreen claims. If a vehicle is written off, the insurer normally pays its market value immediately before the loss, not what you paid or what a replacement is advertised for. If the offer looks low, gather evidence of comparable vehicles and ask for the valuation to be reconsidered — this is one of the most commonly disputed areas.

Mobility scooters and Motability vehicles

Mobility scooters and powered wheelchairs are a separate subject and are not covered by ordinary motor policies; specialist cover including third-party liability is widely available. Vehicles supplied through the Motability Scheme have their own arrangements — see our Motability page.

Travel

Travel insurance

The main purpose of travel insurance is medical emergencies abroad, which can cost far more than most people expect, particularly where repatriation is needed. Lost baggage matters, but the medical section is the part that protects you from catastrophic cost.

A GHIC or EHIC is not travel insurance

A UK Global Health Insurance Card or European Health Insurance Card can give access to state-provided healthcare in certain countries on the same basis as a resident. It does not cover private treatment, repatriation to the UK, cancellation, lost baggage or many other costs, and it does not apply everywhere. Carry both a card and appropriate insurance.

Medical emergencies and the assistance service

Most policies require you or someone with you to contact the insurer's 24-hour assistance service before or as soon as reasonably possible after emergency treatment, and certainly before repatriation or expensive treatment is arranged. Save the number in your phone and keep a paper copy in your luggage.

Cancellation and curtailment

Cancellation cover pays for non-refundable costs when you cannot travel for a reason listed in the policy, such as serious illness or bereavement. Curtailment covers cutting a trip short. Cover normally begins when the policy is bought, which is why buying at the time of booking — rather than just before departure — matters.

Delayed or missed departure and travel disruption

These sections usually require a minimum delay, evidence from the transport provider, and compliance with sensible timings. Disruption caused by strikes, weather or airspace closures may be covered, limited or excluded. Airline and package-travel rights may also apply separately.

Baggage, valuables and money

Expect single-item limits, valuables limits and conditions such as reporting theft to the local police within a set time and obtaining a written report. Valuables left in a vehicle or in checked luggage are often excluded.

Activities, sports, cruises and winter sports

Standard policies cover a limited list of activities. Skiing, diving, climbing, motorcycling, quad biking and many organised excursions may need an extra section. Cruise cover deals with cabin confinement, missed ports and shipboard medical costs. Winter-sports cover deals with equipment, piste closure and avalanche disruption.

Annual, single-trip, age limits and trip length

Annual policies usually cap the length of each trip and may exclude trips already booked before the policy started. Some policies apply upper age limits or higher premiums with age, and specialist insurers cover older travellers. Longer trips and working abroad usually need different products.

Alcohol, risk and travelling against medical advice

Claims arising when someone's judgement was impaired by alcohol or drugs are commonly excluded or reduced, though the wording matters and a single drink is not usually the test. Travelling against a doctor's advice, or travelling to receive treatment, is normally excluded.

Travel and health

Pre-existing medical conditions

This is the single most common reason travel and health claims fail. The rules are manageable once you understand what is being asked of you.

  • Definitions differ. An insurer may define a pre-existing condition by reference to treatment, medication, symptoms, tests or consultations within a stated period — read the policy's own definition.
  • Your duty is to take reasonable care when answering the questions the insurer actually asks. You are not required to volunteer unlimited medical history that was never requested.
  • Answer accurately and completely, including conditions that feel minor or historical if the question covers them.
  • Health can change after buying. Many travel policies require you to report a new diagnosis, new symptoms, a change of medication or a new referral before you travel.
  • Waiting for tests, results or treatment is often treated as an undiagnosed condition and may be excluded — ask before booking.
  • Mental-health conditions should be declared where asked. Cover is available and blanket refusals are increasingly uncommon, though terms vary.
  • Pregnancy is not usually an illness for insurance purposes, but complications, multiple births and late-stage travel are treated specially, and airlines have their own rules.
  • Disability does not prevent obtaining travel insurance, and equipment cover can often be added or arranged separately.
  • Specialist insurers and medical screening services exist for people with serious or complex conditions, including cancer, heart conditions and transplants.
  • Ask for unclear questions to be explained in writing, and keep the answer. If a screening system will not let you record something accurately, contact the insurer directly.

If you are told that cover is unavailable, it is worth trying specialist providers and asking a medical-condition helpline rather than travelling uninsured.

Protection

Life insurance

Life insurance pays a sum of money when the insured person dies, if the policy is in force and the terms are met. It is protection, not saving. A life policy and a savings or investment product are not automatically the same thing, and some products combine features in ways that need careful reading.

Term assurance

Cover for a fixed number of years. If the person dies within the term, the policy pays; if not, the cover simply ends with no payment and no cash value. It is usually the cheapest way to protect a family or a mortgage for a defined period.

Level and decreasing cover

Level cover pays the same amount throughout the term. Decreasing cover reduces over time and is often used alongside a repayment mortgage, where the debt is also falling.

Whole-of-life policies

Designed to pay whenever the person dies rather than within a fixed term. Premiums are higher, and some versions are reviewable, meaning the premium or the sum assured can change at review dates. Over-50s plans are a distinct product with guaranteed acceptance, an initial period with no payment other than premiums returned, and the real possibility of paying in more than the policy pays out.

Beneficiaries and trusts

Without a valid arrangement, the payment usually forms part of the estate and may wait for probate. A policy written in trust can pay more quickly and to chosen people, and may affect inheritance tax. Trusts are a specialist subject — take regulated advice or speak to a solicitor.

Mortgage protection, joint and single policies

Lenders may require or suggest life cover, but you are generally free to arrange it elsewhere. A joint policy usually pays once, on the first death; two single policies cost more but can pay twice and are easier to separate later.

Health and lifestyle questions, exclusions and missed payments

Expect questions about health, family history, smoking, alcohol, weight, occupation and hazardous activities. Answer carefully; a claim is assessed against what was declared. Some policies exclude specific risks, and suicide is commonly excluded for an initial period. A missed premium can suspend or end the cover — contact the insurer immediately if payment is a problem.

Employer benefits and reviewing cover

Many employees already have death-in-service cover, which usually ends when the job does. Review cover after a birth, marriage, civil partnership, separation, a house move, a change in income or a change in health.

Protection

Critical-illness cover

Critical-illness cover pays a lump sum if you are diagnosed with one of the specific conditions listed in the policy, at the severity the policy defines. It is not general illness insurance.

  • Payment depends on the policy's precise definitions, which are medical and detailed.
  • Not every serious illness is covered — the list varies significantly between products.
  • Severity requirements often apply; early-stage or less severe forms may pay a reduced amount or nothing.
  • Survival periods are common, typically requiring the person to survive a set number of days after diagnosis.
  • Children's cover, where included, has its own definitions, limits and age ranges.
  • A diagnosis alone does not guarantee payment; the medical evidence must meet the definition.
  • Specialist reports and consultant evidence are often required, which takes time.

Critical-illness cover is not a substitute for income protection. One pays a lump sum for listed conditions; the other replaces part of your earnings when you cannot work, whatever the cause.

Protection

Income-protection insurance

Income protection replaces part of your earnings — typically a percentage rather than the full amount — when you are unable to work because of illness or injury, after a waiting period and for as long as the policy allows.

  • Waiting or deferred period: the gap before benefit starts, often chosen to match employer sick pay or savings.
  • Definition of incapacity: own occupation is the strongest; suited occupation and any occupation are more restrictive and much harder to claim under.
  • Benefit period: some policies pay for a limited period per claim, others until recovery, retirement or the end of the term.
  • Employer sick pay and Statutory Sick Pay affect what you need and when.
  • Self-employed people should check how earnings are evidenced, as benefit is usually based on proven income.
  • Existing health conditions may be excluded or attract higher premiums.
  • Rehabilitation and review: insurers usually expect reasonable engagement with treatment and may review a claim regularly.
  • Changes of occupation or earnings should be reported where the policy requires it.
  • Other income and benefits: a payment may interact with means-tested benefits. We cannot promise it will not affect them — check your position before relying on it.
Health

Private medical and dental insurance

Private medical insurance is generally designed for acute conditions — those expected to respond to treatment and improve. It sits alongside the NHS rather than replacing it, and NHS care remains available to you whether or not you hold a policy.

  • Outpatient and inpatient limits often differ, and outpatient cover is frequently capped.
  • Approved hospitals and clinicians may be restricted to a list; going outside it can reduce or remove payment.
  • Pre-authorisation is normally required before treatment — arranging it yourself first can leave you with the bill.
  • Chronic conditions are commonly excluded from ongoing treatment, though acute flare-ups may be covered.
  • Pre-existing conditions are handled by moratorium, full medical underwriting or continued personal medical exclusions — the basis matters.
  • Excesses and treatment caps apply per policy year or per condition.
  • Dental policies usually have waiting periods, annual limits and percentage contributions, and may distinguish routine, restorative and emergency treatment.
  • Cash plans are different again: they refund set amounts towards everyday costs such as dental check-ups, glasses and physiotherapy, and are not full medical insurance.

Private insurance does not guarantee faster or better treatment. Availability depends on the condition, the policy terms, the network and clinical circumstances, and complex or emergency care is often provided by the NHS regardless.

Pets

Pet insurance

Pet insurance varies more between products than almost any other type of cover, and switching insurer can have serious consequences.

  • Accident-only: injuries from accidents, usually not illness.
  • Time-limited: each condition is covered for a set period, commonly twelve months from first treatment, then excluded.
  • Maximum-benefit: a fixed amount per condition with no time limit, but once the amount is used the condition is excluded.
  • Lifetime: a limit that refreshes each policy year, provided the policy is renewed continuously — usually the most expensive and the most comprehensive.
  • Excesses and percentage contributions: older animals often attract a co-payment of a percentage of each claim in addition to the excess.
  • Pre-existing conditions are normally excluded, and insurers may look back through the animal's clinical history.
  • Bilateral conditions: a problem in one hip, eye, knee or ear can make the other side excluded too.
  • Dental treatment often requires evidence of annual check-ups and may exclude problems present at the start.
  • Hereditary and breed-related conditions may be limited or excluded.
  • Routine treatment — vaccination, neutering, flea and worm control, grooming, pregnancy — is normally excluded.
  • Age restrictions apply to new policies, and premiums usually rise steeply with age.
  • Direct payment to vets is not guaranteed and depends on the practice agreeing.
  • Renewal prices change, sometimes sharply after a claim.
  • Switching insurer normally means any condition already treated becomes pre-existing with the new insurer, so a cheaper policy can leave an ongoing illness uninsured.
Everyday items

Mobile-phone, gadget and appliance cover

These policies can be useful, but they are also the products most likely to duplicate cover you already have, and their excesses can make small claims poor value.

  • Accidental damage, theft and loss are separate risks — many policies cover damage and theft but exclude loss, which is the most common way phones disappear.
  • Unauthorised use after a theft is often covered only up to a small limit and only if the loss is reported to the network quickly.
  • Screen-only cover is sometimes cheaper but does nothing for other faults.
  • Proof of purchase and the device's serial or IMEI number are usually required.
  • Security conditions may require the device to be with you or locked away — items left in a bag, a car or a coat on a chair are commonly excluded.
  • Manufacturer warranties and retailer guarantees already cover faults, and your consumer rights against the seller for goods that are faulty or not as described exist regardless of any insurance.
  • Duplicate cover is very common through home contents policies with personal belongings cover, or through packaged bank accounts.
  • Replacements may be refurbished or a different model, and older items may be settled at reduced value.
Add-ons

Breakdown, home-emergency and legal-expenses cover

These may be sold as standalone products or added to a motor or home policy, through a bank account, or through a membership organisation. Check what you already have before buying again.

  • Call-out limits: a set number of call-outs per year, after which you pay.
  • Emergency definitions: home-emergency cover usually responds to sudden events that make a home unsafe or uninhabitable, such as a burst pipe or total loss of heating in cold weather.
  • Excluded maintenance: routine repairs, gradual faults, known problems and general upkeep are not emergencies and are normally excluded.
  • Approved contractors: using your own tradesperson without authorisation can void the claim, except where immediate action is needed for safety.
  • Parts and labour limits: cover is often capped at a modest figure, and the aim is to make things safe rather than to complete a full repair.
  • Waiting periods: new policies frequently have an initial period during which claims cannot be made.
  • Legal expenses: cover normally applies only where an insurer's panel considers the case has reasonable prospects of success, usually assessed at better than even.
  • Panel solicitors: you may be required to use the insurer's chosen firm, though rights to choose your own can arise once formal proceedings begin.
Later life

Funeral plans and funeral-related products

These products are often confused with one another, and the differences matter a great deal to families.

  • A prepaid funeral plan is a contract to provide specified funeral services. It is not necessarily the same as life insurance and does not pay a cash lump sum to relatives.
  • An over-50s life policy pays a fixed sum on death and can be used for anything. Premiums usually continue for many years, and the total premiums paid can exceed the eventual payment, particularly for people who live a long time.
  • Missed-payment rules differ sharply — some plans and policies end with no value after missed payments, others pause or reduce cover. Check before payments become difficult.
  • What the plan includes varies: some cover only the funeral director's services, leaving families to pay for burial or cremation fees, ministers, doctors' fees, flowers, a wake or a memorial.
  • Inflation and additional costs should be checked — ask specifically which third-party costs are guaranteed and which are only contributed towards.
  • Regulation and protection: prepaid funeral plan providers are regulated by the FCA. Check the firm on the FCA register before paying anything.
Work

Business and self-employment insurance

What a business needs depends on its activities, its workers, its contracts and its legal structure. This is a short orientation, not personalised advice.

  • Employers' liability is a legal requirement for most businesses that employ staff, with limited exceptions such as some family-only companies.
  • Public liability covers injury or damage caused to members of the public or their property; many venues and clients require it.
  • Professional indemnity covers claims arising from advice or professional services and is required by several regulators and many contracts.
  • Product liability matters if you make, sell or supply goods.
  • Business equipment and stock cover, including tools in transit and equipment kept at home.
  • Cyber cover for data breaches, ransomware and business email compromise.
  • Business interruption for lost income following an insured event — check what triggers it.
  • Vehicle and delivery use needs the correct motor cover, and courier or haulage work needs specialist policies and often goods-in-transit cover.
  • Home-working businesses should not assume a household policy covers business activity, stock or visitors.
  • Directors' and officers' cover protects individuals against claims relating to their conduct in managing a company.
  • Key-person and business-protection cover helps a business survive the death or serious illness of someone essential to it.
Fair treatment

Disability, illness and customers who need extra support

A disability or health condition does not automatically prevent somebody obtaining insurance. In particular circumstances, and within the limits set by equality law, insurers may lawfully take certain risk factors into account when setting terms, but they must not treat people unfairly or make assumptions.

Firms are expected to communicate clearly, to consider customers' needs and vulnerability, and to provide appropriate support — including when someone is ill, bereaved, in financial difficulty, has a cognitive impairment or is dealing with a distressing claim.

Adjustments you can ask for

  • Written communication instead of telephone calls
  • Large print, plain text, braille or audio documents
  • Relay services, a British Sign Language interpreter or a language interpreter
  • Extra time to respond, and no pressure to decide immediately
  • Having a trusted person with you, or speaking for you with your consent
  • Accessible documents and accessible online systems
  • Your communication preferences recorded on the file so you do not have to explain each time
  • Alternative ways to verify identity where the standard method is difficult
  • Medical questions handled respectfully and privately

Ask in writing, keep a copy, and repeat the request if it is not recorded. Not every request must be delivered exactly as asked, but a firm should consider it properly and explain any refusal. If adjustments are refused or ignored and you are disadvantaged, that can itself be part of a complaint.

Someone may authorise a trusted person to speak for them. For decisions rather than conversations, a formal authority such as a third-party mandate, power of attorney or another legal authority may be needed.

Checklist

Comparing policies properly

Questions to answer before you buy

  • What exactly must be covered for this policy to be worth having?
  • What is excluded, and does any exclusion hit my actual risk?
  • What is the total premium?
  • Is monthly payment a credit agreement?
  • What is the total annual cost if I pay monthly?
  • What excess applies to each type of claim?
  • What are the overall limits and the single-item limits?
  • Is there a waiting period before I can claim?
  • What evidence will I be expected to provide?
  • Must I use approved repairers, contractors or hospitals?
  • Is replacement new-for-old or current value?
  • Are the add-ons I actually need included, or extra?
  • Is this cover duplicated by another policy, an employer, a bank account or a membership?
  • What happens at renewal — does it renew automatically, and at what price?
  • How do I cancel, and what would it cost?
  • Is the firm authorised, and for what activities?
  • Is appropriate FSCS protection available for this product?
  • What support is available if I need help when claiming?
Paying

Monthly payments, credit and missed premiums

Paying monthly is often a credit agreement rather than simply spreading the cost. That has practical consequences.

  • The total cost is usually higher than paying annually, sometimes considerably.
  • Interest or charges should be shown as a rate and as a total amount — ask for both figures.
  • A missed payment can affect cover, and repeated missed payments can lead to the policy being cancelled.
  • Cancelling the credit agreement and cancelling the policy are separate things; stopping a direct debit does not reliably end either safely.
  • A cancelled policy may need to be declared to future insurers, which can affect price and availability.
  • If money is tight, contact the firm early. Insurers and brokers may be able to change the payment date, adjust cover, remove add-ons or agree an arrangement — but support is not guaranteed and depends on your circumstances.
  • Free debt advice is available and is always better than losing legally required cover.
Renewal

Auto-renewal, price changes and cancellation

Most personal insurance renews automatically. That is convenient for legally required cover and expensive for everything else if the price has risen unnoticed.

  • Read the renewal documents — the price, the excess, the limits and the terms can all change.
  • Compare the same level of protection before accepting a new price, not just the headline figure.
  • Tell the insurer about changes in circumstances — occupation, mileage, adaptations, home improvements, lodgers, health, a business at home.
  • Cooling-off rights usually allow cancellation shortly after buying or renewing with a refund for unused cover, less a charge for cover provided and sometimes a fee. The exact period and charges depend on the product and your policy.
  • Administration and short-period charges may apply when cancelling mid-term, and some policies retain the full annual premium if a claim has been made.
  • Refunds are calculated in different ways; ask for the figure in writing before you cancel.
  • Cancelling a direct debit does not cancel the policy. You may still owe the premium and may be recorded as having a cancelled policy.
  • Keep legally required cover in place — never cancel motor insurance before replacement cover starts.
  • Get written confirmation of any cancellation, refund or change.

We do not quote specific cancellation periods or charges here, because they depend on the product and on your individual policy. Check your own documents and ask the firm to confirm in writing.

Your duty

Giving information to the insurer

For ordinary personal insurance, the Consumer Insurance (Disclosure and Representations) Act 2012 replaced the old duty to volunteer everything with a clearer duty: you must take reasonable care not to make a misrepresentation when answering the insurer's questions. The insurer must ask; you must answer carefully and honestly.

  • Answer the questions actually asked, fully and accurately.
  • Ask for clarification if a question is unclear, and keep the reply.
  • Check assumptions and pre-filled answers — online forms and price-comparison journeys often assume things that are wrong for you.
  • Correct mistakes promptly if you spot them later; an early correction is far better than a dispute at claim time.
  • Keep a copy of the statement of fact, the schedule and anything you were asked.
  • Report relevant changes during the policy where the policy requires it.
  • Do not guess. If you do not know a date or a figure, say so and find out.

The law distinguishes between an honest and reasonable mistake, a carelessmisrepresentation and a deliberate or reckless one. Where a mistake was careless, the remedy is usually proportionate — for example the claim may be reduced, or the policy treated as it would have been on correct information — rather than automatic refusal. Deliberate dishonesty is treated far more seriously and can void the policy and lead to prosecution.

Do not assume that a forgotten detail automatically invalidates a policy. If an insurer relies on non-disclosure, ask which question was answered incorrectly, what the correct answer would have changed, and how the remedy was calculated. For business insurance, different rules apply under the Insurance Act 2015.

Claiming

Making a claim, step by step

  1. Make people safe and contact the emergency services where needed.
  2. Prevent further damage where it is reasonably possible and safe — turn off the water, board a broken window, move undamaged belongings.
  3. Contact the insurer or the assistance service as soon as you reasonably can, using the number on your documents.
  4. Check what the policy requires — reporting deadlines, police reference numbers, approved contractors.
  5. Record the claim reference and the name of the person you spoke to.
  6. Photograph and film the damage where it is safe, before anything is cleared.
  7. Keep receipts and evidence, including anything you have to spend because of the incident.
  8. Do not dispose of damaged items until the insurer authorises it, unless they are a health hazard — photograph them if they must go.
  9. Record every conversation and decision, with dates.
  10. Ask before arranging non-emergency repairs, and get authorisation in writing.
  11. Provide requested information promptly, and keep copies of everything you send.
  12. Ask for adjustments if the process is difficult because of illness, disability, bereavement or distress.
  13. Request written explanations of decisions, including which policy term is relied upon.
  14. Track temporary costs and losses — accommodation, travel, replacement essentials, time off work.
  15. Follow up when promised updates do not arrive, in writing, and say what you expect next.
Claiming

Evidence that may help

What is needed depends entirely on the claim, but the following is the sort of evidence that resolves disputes quickly.

  • The policy schedule and the full policy wording that applied at the time
  • Receipts, invoices and order confirmations
  • Bank or card statements showing purchases
  • Photographs and video of the damage, the scene and the items
  • Serial numbers, IMEI numbers and model details
  • Valuations for jewellery, art or collections
  • A police or crime reference number
  • Medical evidence, GP or hospital letters and prescriptions
  • Travel documents, boarding passes and written confirmation of delays
  • Repair estimates, ideally more than one
  • Witness names and contact details
  • Emails, letters and messages with the insurer, broker or contractor
  • A written timeline of events with dates and times
  • Call records, including dates, times and who you spoke to
  • Proof of maintenance — boiler services, electrical checks, roof work
  • Previous survey, inspection or valuation reports
Disputes

Common reasons claims are disputed

A rejection is not automatically correct simply because the insurer has quoted an exclusion. The exclusion has to actually apply to what happened, and the term must have been clearly presented.

The event is excluded

Ask which exclusion, in which section, and how it applies to the specific facts. Exclusions are often narrower than the summary letter suggests.

The loss exceeds a limit

Check whether an overall limit or a single-item limit is being applied, and whether the item should have been specified separately.

The excess removes most of the payment

Confirm which excesses have been applied and why — compulsory, voluntary and section-specific excesses can be combined incorrectly.

Alleged non-disclosure or misrepresentation

Ask for the exact question and your recorded answer, and what the insurer would have done with the correct answer. Careless mistakes usually attract a proportionate remedy, not automatic refusal.

Wear and tear or gradual damage

Insurance covers sudden, unexpected events. Insurers often argue that damage developed over time; independent evidence from a tradesperson or surveyor can rebut this.

Lack of maintenance

Service records, invoices and inspection reports are the answer here — keep them even when nothing is wrong.

An unoccupied property

Check the number of days the policy allows, and whether the insurer was told about a hospital stay, a bereavement, a long trip or a move.

Delay in reporting

If reporting was delayed, explain why — illness, hospital admission, bereavement, being abroad — and whether the delay caused the insurer any actual prejudice.

Unapproved repairs

Emergency work to make things safe is usually reasonable. Ask the insurer to consider the circumstances rather than applying a blanket rule.

Pre-existing conditions

Check the policy's own definition and the medical evidence relied upon, and challenge assumptions about causation where the new problem was unrelated.

Valuation disputes

Provide comparable evidence — advertised prices for similar vehicles, replacement costs for similar items, or an independent valuation.

Underinsurance

Ask how the sum insured was calculated, how the shortfall was assessed and how the reduction was applied.

Cancellation or missed payments

Ask for proof that the policy was validly cancelled and that you were notified properly before the incident.

A security condition was not met

Check what the endorsement actually required, whether it was clearly drawn to your attention, and whether the breach was connected to the loss.

Claiming under the wrong section

Sometimes a claim fails under one section but succeeds under another — for example accidental damage rather than escape of water. Ask the insurer to consider all applicable sections.

Disputes

Delays, poor repairs and undervaluation

Insurers are expected to handle claims promptly and fairly, to communicate clearly, and not to reject claims unreasonably. Where the handling itself causes harm, that is a legitimate complaint in its own right, separate from whether the claim is payable.

  • Ask for a written timescale and the name of the person responsible for the claim.
  • Request regular updates at agreed intervals, and confirm the arrangement by email.
  • Record additional losses caused by delay — extra accommodation, storage, travel, lost earnings, replacement essentials.
  • Report problems with insurer-appointed contractors to the insurer, not only to the contractor; the insurer chose them.
  • Consider a cash settlement carefully — it usually ends the insurer's responsibility for the quality of the work, so make sure the figure is adequate.
  • Challenge replacement quality where a repair or replacement is not of a reasonably similar standard to what you had.
  • Fair value for a written-off vehicle or destroyed property means what it was genuinely worth immediately beforehand; provide comparable evidence.
  • Get independent estimates where you disagree with the insurer's assessment.
  • Ask about temporary accommodation promptly if a home is uninhabitable, and keep receipts.
  • Escalate hardship and vulnerability explicitly — say clearly if there are children, older people, disabled people, health conditions or no heating involved.
  • Make a formal complaint once reasonable requests have not worked; do not keep chasing indefinitely.
Disputes

Challenging a rejected claim

A calm, evidence-led approach works better than anger, and costs nothing.

  1. Get the rejection in writing, with reasons.
  2. Ask for the exact policy term relied upon — the section, the wording and how it applies.
  3. Compare it with your schedule and policy wording for the period of cover in question.
  4. Check whether the term was made sufficiently clear when you bought or renewed, especially if it is unusual or onerous.
  5. Correct factual mistakes in the insurer's account, politely and specifically.
  6. Provide missing evidence rather than assuming they have it.
  7. Explain vulnerability or exceptional circumstances where they are relevant to what happened or to how you were treated.
  8. Ask for reconsideration, setting a reasonable deadline.
  9. Make a formal complaint if reconsideration fails.
  10. Keep the complaint concise and outcome-focused — a short timeline and a clear request beat a long narrative.
  11. Escalate to the Financial Ombudsman Service if you remain unhappy and your complaint is eligible.

Nobody can guarantee that a challenge will succeed. Many are resolved once the correct evidence is in front of the right person.

Complaints

Complaining to the insurer or broker

Complain first to the firm that did the thing you are complaining about — the insurer for claims decisions, the broker for how the policy was sold or administered, and sometimes both. Use the word complaint explicitly so it enters the firm's formal process.

What to include in your complaint

  • Your policy number and claim reference
  • A short, dated timeline of what happened
  • A clear statement of what went wrong
  • The evidence you rely on, listed and attached
  • The effect it has had on you — practical, financial and personal
  • Any adjustments you need, and anything making the situation urgent
  • The outcome you are asking for
  • A request for a final response in writing

Under the FCA's complaint-handling rules, firms must acknowledge and investigate complaints and are generally expected to issue a final response within eight weeks for most complaints, with a shorter period applying to certain payment-services complaints and other specific exceptions. If you do not receive a final response within the applicable period, or you are unhappy with the response you receive, you can normally take the complaint to the Financial Ombudsman Service. Check the current rules on the FCA and Financial Ombudsman websites, as timescales for particular products can differ.

Escalation

The Financial Ombudsman Service

The Financial Ombudsman Service settles individual disputes between consumers and financial firms, including insurers and brokers.

  • Complain to the firm first. The Ombudsman normally expects the firm to have had the chance to put things right.
  • It is free for eligible complainants, including consumers, small businesses, charities and trusts within its published size limits.
  • You can usually go to the Ombudsman once you have a final response, or once the applicable response period has passed without one.
  • There is a deadline after a final response — normally six months from the date of the firm's final response, alongside wider time limits running from the event complained about or from when you became aware of a problem. Check the current published limits before relying on any date.
  • Exceptional circumstances, such as serious illness, may allow a late complaint to be considered.
  • The Ombudsman considers the evidence, the law, regulators' rules and guidance, and what is fair and reasonable in all the circumstances.
  • It can require a firm to put matters right, which may include paying a claim, correcting records, compensating for loss and awarding an amount for distress and inconvenience.
  • Not every business or complaint falls within its jurisdiction — some larger businesses and some types of dispute are outside it, and court may be the route instead.

You do not need to pay a claims-management company. Complaining directly is free, and a paid firm would take a share of any award for work you can do yourself or with free help.

Checking

FCA Firm Checker, authorisation and clone firms

Before you pay anybody for insurance, check that the firm is authorised and that you are dealing with the real one.

  • Check the firm and its permissions on the FCA's Firm Checker or the Financial Services Register.
  • Match the telephone number, email address and website against the official details shown on the register — not the details in the message you received.
  • Do not rely on a firm-reference number given to you by a caller. Look the firm up independently.
  • Clone firms copy genuine business details, including names, registration numbers and website designs, changing only the bank details or contact number.
  • Be cautious about unexpected contact, especially calls, texts, emails and social-media messages offering cheap cover or claiming a refund is due.
  • Use contact details you found yourself, from your own documents or the official register.
  • Authorisation is not a recommendation. An authorised firm can still sell a policy that is wrong for you, and authorisation does not guarantee suitability.
Protection

FSCS protection

The Financial Services Compensation Scheme can protect customers if an authorised insurer fails and cannot meet its obligations. Whether you are covered, and how much protection applies, depends on the type of policy, when it was taken out and your own circumstances — some types of insurance are protected differently from others.

FSCS protection is not the same as compensation for an ordinary rejected or disputed claim. If a solvent insurer refuses your claim and you disagree, the route is a complaint and then the Financial Ombudsman Service, not the FSCS.

We deliberately do not reproduce compensation percentages or limits here, because they vary by product and change. Check the current position on the FSCS website or with its checking tool.

Safety

Insurance scams

  • Ghost brokers sell fake or invalid motor policies, often to young drivers, through social media or word of mouth. The victim is left uninsured, prosecuted and with the vehicle seized.
  • Clone firms imitate genuine authorised businesses.
  • Fake policy documents can look convincing — verify cover directly with the named insurer.
  • Unrealistically cheap cover is the most reliable warning sign of all.
  • Sellers who only exist on social media, with no registered address or FCA authorisation.
  • Requests to misstate your occupation, address, age, vehicle location or driving history — this is fraud, even when someone else typed it.
  • Payment to a personal bank account, or by transfer to a "colleague".
  • Upfront fees to release a claim payment — genuine insurers do not require this.
  • Fake claims-management firms promising guaranteed compensation for a fee.
  • Identity theft using documents supplied during a fake application.
  • Pressure to act immediately — urgency is a tactic.

Reporting across the UK: in England, Wales and Northern Ireland, report fraud to Action Fraud (online or by telephone); people in Northern Ireland can also report to the PSNI on 101. In Scotland, Action Fraud does not take reports — contact Police Scotland on 101, or 999 in an emergency. Suspected insurance fraud by others can also be reported confidentially to the Insurance Fraud Bureau.

Support

If somebody cannot manage the policy alone

Illness, disability, cognitive difficulties and bereavement all make insurance administration harder. A relative does not automatically have legal authority to act, and firms are right to check.

  • Trusted-person arrangements let a named person speak to the firm with the customer's consent, usually without authority to make decisions.
  • Third-party mandates give a wider, written permission to deal with the account.
  • Appointees exist for certain benefits and do not by themselves cover insurance matters.
  • Power of attorney — a lasting power of attorney in England and Wales, a continuing or welfare power of attorney in Scotland, or an enduring power of attorney in Northern Ireland — gives legal authority when properly registered.
  • Executors and administrators deal with policies after a death, with the appropriate evidence of authority.
  • Communication support should be requested and recorded, as set out earlier on this page.
  • Capacity concerns should be raised carefully; capacity is decision-specific and can change.
  • Safeguarding: if you suspect someone is being pressured into buying, cancelling or claiming, or that their money is being taken, raise it with the firm and with the local authority safeguarding team, and with the police where there is a crime.
Bereavement

Insurance after a death

Insurance is rarely the first thing on anyone's mind after a death, but a few decisions are time-sensitive.

  • Life-insurance claims usually need the death certificate, the policy details and evidence of who is entitled to claim. A policy in trust may pay before probate.
  • Home insurance is the urgent one: a property left empty may breach the unoccupancy terms within weeks. Tell the insurer straight away and ask what conditions apply.
  • Motor insurance does not usually allow others to drive the vehicle after the policyholder's death — check before anyone moves it, and consider a SORN if it will stand unused.
  • Notify each insurer — home, motor, travel, pet, health, breakdown — and ask what happens to premiums and refunds.
  • Executors and administrators will be asked for evidence of authority; keep certified copies ready.
  • Keep necessary cover active. Do not cancel policies quickly to save money without checking what protection is lost.
  • Funeral plans should be located early, because they affect the funeral arrangements themselves.
Checklist

Final insurance checklist

Seventeen questions worth asking

  • What risk am I protecting against?
  • Is insurance legally or contractually required?
  • Do I already have this cover somewhere else?
  • What are the main exclusions?
  • What excess applies?
  • Are the limits high enough, including single-item limits?
  • Have I answered every question carefully and honestly?
  • Is monthly payment costing me more, and is it credit?
  • Is the insurer or broker authorised by the FCA?
  • Are the contact details genuine and independently checked?
  • What evidence should I keep, and where?
  • How do I claim, and what number do I call out of hours?
  • What support or adjustments can I request?
  • What happens at renewal?
  • How do I cancel, and what would it cost?
  • Where do I complain if something goes wrong?
  • Who can help me for free if I get stuck?
Official sources

Official resources

Related pages

Other Sixpence Support UK pages

Important — please read

Sixpence Support UK CIC provides independent information and signposting only. It:

  • does not sell, arrange or recommend insurance
  • does not receive commission, affiliate income or referral payments
  • does not provide regulated financial advice
  • does not interpret individual policies, leases or contracts
  • cannot guarantee the outcome of any claim or complaint
  • does not replace a regulated insurance adviser, a solicitor or the Financial Ombudsman Service

Insurance rules, regulatory timescales and compensation limits change. Always check the current position on the official FCA, Financial Ombudsman Service, FSCS, MoneyHelper and GOV.UK pages, and read your own policy documents, before making a decision.

Reviewed August 2026

References
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  5. [5] Financial Conduct Authority. Protect yourself from scams and clone firms · 2026
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