{"id":401144,"date":"2026-04-28T07:01:07","date_gmt":"2026-04-28T07:01:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/401144\/"},"modified":"2026-04-28T07:01:07","modified_gmt":"2026-04-28T07:01:07","slug":"woman-questions-prudentials-head-of-life-claims-in-lawsuit-seeking-brain-surgery-payout-as-insurer-responds","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/401144\/","title":{"rendered":"Woman questions Prudential&#8217;s head of life claims in lawsuit seeking brain surgery payout as insurer responds"},"content":{"rendered":"<p>SINGAPORE: A woman who is <a href=\"https:\/\/www.channelnewsasia.com\/singapore\/woman-sues-prudential-payout-stroke-aneurysm-6000751\" rel=\"nofollow noopener\" target=\"_blank\">suing Prudential Assurance Company Singapore for a payout<\/a> of more than S$100,000 (US$78,500) for brain aneurysm surgery on Tuesday (Apr 28) questioned the insurer&#8217;s head of life claims on the language used in her policy documents.<\/p>\n<p>Concurrently, Prudential issued a statement on the case for the first time, saying that it had sought to resolve the matter with the woman to no avail.<\/p>\n<p>The claimant, 45-year-old Cai Yunhong, had a stroke in 2023 from a ruptured aneurysm and underwent endovascular repair, which is not covered under the policy she purchased.<\/p>\n<p>She alleges that Prudential denied her claim in September 2023 because of a &#8220;single, buried clause&#8221; that defined brain aneurysm surgery as only the open-skull procedure of surgical craniotomy, a procedure she said was riskier and more invasive, with higher mortality rates.<\/p>\n<p>Ms Cai, also known as Tania, claims that Prudential &#8220;manipulated&#8221; the language of the contract &#8220;with the sole purpose to make financial gains&#8221;.<\/p>\n<p>On Tuesday, Ms Cai questioned Ms Tan Kah Tin, head of life claims at Prudential, on the language used in her policy documents.<\/p>\n<p>She had purchased an early critical illness policy from Prudential after being approached by Standard Chartered Bank in 2016.<\/p>\n<p>This was the Prulife Multiplier insurance policy with financial protection against death, disability, terminal illness and critical illness, with an early crisis cover multiplier supplementary benefit that provides a higher payout.<\/p>\n<p>Ms Cai put it to Ms Tan on Tuesday that there was no glossary section in the front of the policy documents clearly defining certain terms.<\/p>\n<p>Instead, the exclusions were found only on a &#8220;single page&#8221; in the last section of the documents, Ms Cai claimed.<\/p>\n<p>The judge interjected at several points to query what exactly Ms Cai was asking.<\/p>\n<p>At one point, Ms Cai said: &#8220;My claim is the policy is so convoluted and full of ambiguities. That is my claim. What I&#8217;m trying to establish is that if the express terms of the contract must be followed to a T, then no claims would be passed through.&#8221;<\/p>\n<p>Ms Cai also showed Ms Tan a section from the policy documents and asked if she agreed that endovascular surgery for stroke was not listed as an exclusion there.<\/p>\n<p>Ms Tan agreed, but added that it was not listed because her claim was under another section which was under a different clause, pointing out where that could be found.<\/p>\n<p>Ms Cai also asked why the &#8220;same plain English&#8221; used for heart aneurysms was not used for brain aneurysms.<\/p>\n<p>In response, Ms Tan said she could not comment as she was not the drafter of the policy documents.<\/p>\n","protected":false},"excerpt":{"rendered":"SINGAPORE: A woman who is suing Prudential Assurance Company Singapore for a payout of more than S$100,000 (US$78,500)&hellip;\n","protected":false},"author":2,"featured_media":401145,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[1349,134,12653,527,111,139,69],"class_list":["post-401144","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-court","tag-health","tag-health-insurance","tag-healthcare","tag-new-zealand","tag-newzealand","tag-nz"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/401144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=401144"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/401144\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/401145"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=401144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=401144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=401144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}