229 Days Processing Without Notice — Breach of Insurance Act §§ 24-25 and Good Practice

9/10
Insurer: Gjensidige • Affected cases: gjensidige_sag4 • Legal basis: FAL § 24, FAL § 25, God forsikringsskik, Bekendtgørelse om god skik for forsikringsdistributører § 4

229 Days of Silence: Processing Time (EN)

What Happened

Gjensidige Case 4 (asbestos) was filed on May 21, 2025. Gjensidige did not make a decision until January 5, 2026 — 229 days later. Throughout this entire period, the Claimant received no information about the delay, no status updates, and no explanation.

Timeline

Date Event Days
May 21, 2025 Claim filed Day 0
June 2025 Sedgwick assessor inspection ~Day 30
July 2025 Mandate changed (retroactively) ~Day 45
Aug–Dec 2025 No communication Day 90–220
Jan 5, 2026 Rejection received Day 229

What the Law Says

The Danish Insurance Contracts Act (FAL) § 24 establishes that the insurer must pay the insurance benefit no later than 14 days after having been able to obtain the necessary information. This provision sets a concrete payment deadline and presupposes active case processing.

FAL § 25 imposes a guidance obligation on the insurer: The insurer must within 3 months of the claim provide the insured with written notice of the case progress and expected processing time.

The Executive Order on Good Practice for Insurance Distributors § 4 requires the insurer to act honestly, fairly and professionally in accordance with the customer's best interest.

Good insurance practice requires the insurer to: - Promptly acknowledge receipt of a claim - Inform about expected processing time - Provide ongoing status updates during delays - Communicate the reason for any delays

What Gjensidige Did — and Didn't Do

Gjensidige: - Sent no status update for 229 days - Did not inform about the delay - Gave no explanation for the extraordinary processing time - Made a decision without warning it was coming

Perspective

229 days is more than 7 months of silence. During that period, the Claimant did not know whether the case was being processed, forgotten, or actively sabotaged. This uncertainty is itself a burden — and it is imposed deliberately, as Gjensidige has no technical limitation preventing them from sending a status email.

For comparison: The Danish Insurance Complaints Board typically processes complaints within 3-6 months — and that involves a formal hearing of both parties.

← Catch-22: Impossible Requirements... All violations GDPR Breach: Gjensidige Compliance... →