Rank: Forum user
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Dear colleagues, if anyone knows the actual reasons behind this, please share.
The question I have is, given a recent shift in mental health awareness, and society being made to understand it wider implications, those effected, and those who come though it,
Why has Travel Insurance taken the line to be asking quite intrusive questions, at a time when we’re asking people to be more open, and accept help, which may include prescription drugs. People with mental health problems are protected by disability law so insurers can’t unfairly discriminate against them, yet it’s claimed some types of insurance will legitimately be more expensive for people with past or present mental illness due to there being a higher risk involved?
But it is now common place in the question set.
It’s appears almost as if we’re getting people to discuss their problems, seek professional guidance, and then find they are to be penalised for it?
Surely, unless medically unfit to travel, why would this impact upon travel risk? Under GDPR, is it reasonable to collect this data, and how is it being assessed?
Insurance industry comments welcome.
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Rank: Super forum user
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You have identified "recent" with regards to mental health issues - cancer has been a greater stigma for considerably longer and yet insurers are still allowed to weight premiums against sufferers, even for those in remission for several years and despite advances in treatment meaning significant improvement in long term prognosis. Insurance is a risk analysis and insurers accumulate vast amounts of data (all historical) with which their under-writers base decisions on what to cover and at what premium - only as newer data is added do the old preconceptions become diminished over time.
The "owners" of insurance are no longer the grand old names of the past but rather venture capatilists seeking to assure income with minimal pay out (one of their reasons for investing). Feel free to worry now but consider that one day our parliament will inadevertantley pass legislation such that anyone having undertaken a DNA profile will be obligated to provide such possibly negative information to any potential provider and even worse they may mandate we all submit to DNA profiling. GDPR is about the individual whereas insurance is about the collective e.g. male 18 year old drivers more likely to crash, cars in London are more likely to be stolen etc. all anonymised data and lawfully gathered from claim forms. The questions are to see which "data set" the proposer belongs to in order to determine risk and premium. Look then at what travel insurance is intended to cover from the health perspective - hospitalisation, treatment, repatriation - for the US where such costs are significantly higher than the rest of the world so are the premiums (a fit young healthy traveller pays more for a single US trip than a family annual policy for europe WITH pre-existing medical conditions including asthma and arthritis). For curtailment and cancellation there may be concern that the insured may have a turn or require treatment preventing travel meaning the insurer must pay out - given the higher (than "others") risk is it really unfair they weight premiums? There are plenty of providers and search sites available to obtain competitive quotation but remember no insurance is at the same price point for all persons irregardless of age, gender, medical history, genetic predisposition, employment or where they live.
Even our wonderful NHS has post code, age, weight and other life style limitations to treatments dependent upon the whims of the local comissioning groups and trusts - only absolute life saving treatment is guaranteed to all in all locations - is it unreasonable with this disparity insurers have reservations about the quality of mental health care provision?
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Rank: Super forum user
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You have identified "recent" with regards to mental health issues - cancer has been a greater stigma for considerably longer and yet insurers are still allowed to weight premiums against sufferers, even for those in remission for several years and despite advances in treatment meaning significant improvement in long term prognosis. Insurance is a risk analysis and insurers accumulate vast amounts of data (all historical) with which their under-writers base decisions on what to cover and at what premium - only as newer data is added do the old preconceptions become diminished over time.
The "owners" of insurance are no longer the grand old names of the past but rather venture capatilists seeking to assure income with minimal pay out (one of their reasons for investing). Feel free to worry now but consider that one day our parliament will inadevertantley pass legislation such that anyone having undertaken a DNA profile will be obligated to provide such possibly negative information to any potential provider and even worse they may mandate we all submit to DNA profiling. GDPR is about the individual whereas insurance is about the collective e.g. male 18 year old drivers more likely to crash, cars in London are more likely to be stolen etc. all anonymised data and lawfully gathered from claim forms. The questions are to see which "data set" the proposer belongs to in order to determine risk and premium. Look then at what travel insurance is intended to cover from the health perspective - hospitalisation, treatment, repatriation - for the US where such costs are significantly higher than the rest of the world so are the premiums (a fit young healthy traveller pays more for a single US trip than a family annual policy for europe WITH pre-existing medical conditions including asthma and arthritis). For curtailment and cancellation there may be concern that the insured may have a turn or require treatment preventing travel meaning the insurer must pay out - given the higher (than "others") risk is it really unfair they weight premiums? There are plenty of providers and search sites available to obtain competitive quotation but remember no insurance is at the same price point for all persons irregardless of age, gender, medical history, genetic predisposition, employment or where they live.
Even our wonderful NHS has post code, age, weight and other life style limitations to treatments dependent upon the whims of the local comissioning groups and trusts - only absolute life saving treatment is guaranteed to all in all locations - is it unreasonable with this disparity insurers have reservations about the quality of mental health care provision?
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Rank: Super forum user
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Mental health issues are often forgotten when looking at the risks covered by business travel insurance. I recently attended an event on international travel in connection with the Higher Education sector and I was told of a horror story involving an academic researcher who travelled to Jamaica for work. While there she had a mental health breakdown and she was hospitalised in Jamaica as result. The airlines would not let her travel home unless she was accompanied by a qualified mental health nurse and the University travel insurance policy would not cover this cost as it was “a pre-existing condition”. So the University in question had to fork out £30,000 to get the poor woman home. Edited by user 14 January 2019 09:49:44(UTC)
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Rank: Super forum user
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I'm sorry Tim, I don't quite get your point. If someone has a poor health history, with a condition which is likely to occur again, whether it be a fragile heart or fragile mental health, then the insurers are entitled to weight against it surely? The fact that mental health has been a subject with a stigma attached (wrongly) is neither here nor there. The proposer should be expected to disclose a past mental health condition in exactly the same way, and for exactly the same reasons as someone with a history of (say) blood clots, because they may have a higher risk of reoccurrence.
Insurers take each medical case on its merits and will underwrite accordingly. The alternative would be to increase everyone's premiums to cover the cost of such cases, and while part of me quite likes that idea from a social reform standpoint, I doubt it would be popular with many. Mind you, I'd happily pay an extra penny in the pound tax, if it went to fund the NHS, and many wouldn't.
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Rank: Super forum user
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Tim
You ask a wise question in relation to occupational health risks of a person with a reocrd of mental health problems travelling.
The technical answer to \is it reasonable to collect this data, and how is it being assessed?' is 'Yes, and the data is assessed in a variety of ways, good, bad and indifferent. The root challenge is the host of mental health conditions and how to relaibly, fairly and validly assess them; unless you gather information from co-operating employees, the task is simply impossible
As an OSH practitioner interested in refining and improving my thinking about such questions, I find 'Statistical Methods for Communication Science' (Andrew F Hayes, Routledge, 2015) and other titles by the same author worth the time and trouble in getting to grips with the far-reaching issues involved. In practice, the knowledge learned makes it relatively stratightforward to gather data on the quality of risk assessmsnet of an organization about the host of physical and mental and ergonomic risks in organizations I serve or avoid serving.
In the field of occupaitonal safety and health, there are few menaces worse than a CMIOSH who falsefly believes he/she understands the host of risks to which people for whom he/she is responsibile, and habitually blames others for uncontrolled problems of risk exposure, other than those who appointed him/her and assess his/her work performance
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 1 user thanked KieranD for this useful post.
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Rank: Forum user
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Thanks to all that have left comments. One of the points I'd like to raise is that of historical data. As for myself, I've a heart condition, which, when it occurred, saw me as a risk. Not nice, but fair enough. As years pass by, that risk/£ diminishes. However, with MH, I think many people have some form of episode at one time or another in their life times, realised or not. For those that seek professional/medical help for what is a temporary episode, they overcome, and get on with their lives. My point is; for the person with a medical history, in most cases, the questions are set with a time limit, with MH, they appear not. I came across one example of a man who declared a mild MH episode 6 years earlier, and found his premium bumped by 50%. https://www.bbc.co.uk/news/business-45259881 The question is; where is the evidence of potential reoccurrence in such an instance? The article mentions cancer sufferers as well. If people talking about MH is the first step to seeking help/recovery, why doesn't the industry set their questions with a time limit, which would pick up those with long term conditions anyway, and not penialise those with an historic episode, or possibly lead to people not declaring.
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Rank: Super forum user
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Travel insurance is a funny thing - having worked in the insurance industry my guess is that they are basing risk and therefore premiums on the likelihood of people travelling abroad and either attempting or succeeding in suicide.
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