Fraud insurance Agent
Fraud insurance Agent
Lic agent sale a policy and after she fraud me sale other policy and then we need a money she said I not responsible for this what I am next
Posted Yesterday
A. Dear client,
If a LIC agent has defrauded you into buying a policy and is now denying responsibility when you want money, here are the legal actions possibly available. Firstly, it is necessary to lodge a complaint to the branch of the LIC in which the policy was purchased stating the fraud and enclosing all the documents as per the requirement. In the absence of a positive response, the problem should be taken to the LIC’s Grievance Redressal Officer. In case you do not receive a satisfactory ...ReadMore
Health insurance provider
What are some good health insurance providers? And what are the things to keep in mind before buying a health insurance so that the provider can't reject the claim afterwards?
1 week ago
A. Dear Client,
The things which need to be considered before buying a health Insurance are- A policy with a lesser premium can be good if it is offering you extensive coverage at a premium that you can pay. The other aspect is lesser premium at the cost of the insurance coverage. If you are aware of the waiting period clause then you would be in a better position to make a decision. The insurer will not accept any claim arising out of pre-existing illnesses or specific illnesses during this perio ...ReadMore
Vidhikarya
Health insurance claim rejected on the grounds of diabetes and it’s complications
Here’s a corrected version of your statement: My mother presented with shortness of breath and was found to have high blood pressure at admission. Later, her angiography revealed triple vessel dise
1 week ago
A. Dear Client,
The terms and conditions of an insurance policy are the most crucial and vital to go through before raising a claim against the policy. Based on the self-declaration of the policy buyer and post-medical tests of the insured wherever required, the risk and coverage are underwritten and the premium is calculated by the Actuaries of the Insurance Company following the guidelines of the regulatory authority IRDAI. Despite non-disclosure of Pre-Existing diseases (PED), some PEDs are co ...ReadMore
Life Insurance
I recent took out a home loan from HDFC bank. During completion of paperwork, representative from bank approached to provide Life cover linked to the Loan, to which I agreed. I was told that I would h
2 weeks ago
A. Dear Client,
Based on the self-declaration of the policy buyer and post-medical tests of the insured wherever required, the risk and coverage are underwritten and the premium is calculated by the Actuaries of the Insurance Company following the guidelines of the regulatory authority IRDAI. After confirmation and payment of the premium against an insurance policy, the risk and coverage cannot be reviewed or revised under any circumstances that prove dereliction and deficiency on the part of the ...ReadMore
Vidhikarya
Health Claim Rejection of newborn baby
My newborn baby had low sugar levels and had to stay in the hospital for an additional 3 days after delivery. However, my insurance company rejected the entire claim, stating that no treatment was pro
3 weeks ago
A. Dear Client,
Your query requires a little bit of information with regard to the grounds for the rejection of your claim by the Insurance Company. The terms and conditions of an insurance policy are the most crucial and vital to go through before raising a claim against the policy. Based on the self-declaration of the policy buyer, the risk and coverage are underwritten and the premium is calculated by the underwriter of the Insurance Company following the guidelines of the regulatory authority I ...ReadMore
Vidhikarya
Bike accident
Bike accident and front upper tooth is broken and 4 fingers are steeled on injury.what are the procedures for accident insurance claim and how long it will take to get it Sir? Procedure to claim insur
1 month ago
A. Dear Client,
In motor accident cases both the owner and driver of the vehicle are liable to face prosecution proceedings initiated before the Motor Accident Claim Tribunal once an FIR is lodged in the police station in hit and run case and the legal heirs of the deceased victim and the injured persons apply to the Tribunal under Section 166 of the Motor Vehicle Act, 1988 within six months of the occurrence of the accident. Section 164 of the Motor Vehicles Act, 1988 (as amended in 2019) deals w ...ReadMore
Vidhikarya
Tax implication
Sir please can you let me know as to what is the tax implication on a) surrender of ULIP policy bought in 2008 now c) partial withdrawal Thanks
2 months ago
A. Dear Client,
ULIPs, or Unit Linked Insurance Plans, combine insurance and investment. The taxability of ULIP on surrender depends on the holding period. If surrendered within five years, gains are taxable. The gains become tax-free if you stay invested for more than five years. Under Section 10(10D) of the Income Tax Act, 1961, the maturity proceeds of a ULIP policy are tax exempted. If your 2008 surrender comes under the ambit of the section, it is tax free. Partial withdrawals from a ULIP aft ...ReadMore
Vidhikarya
Resignation acceptance by HR and Manager than termination
Resignation acceptance by manager and HR than they termination
2 months ago
A. Dear Client,
Termination accepting the resignation and vice versa is tantamount to unfair labour practices as defined under Sec.2(ra) of the Industrial Dispute Act, 1947. Regardless of the terms and conditions of employment, such an action by an employer is unacceptable and impermissible under the law and deserves to be challenged before the concerned authority/Court. Termination without notice other than disciplinary action amounts to illegal termination and is defined as an industrial dispute ...ReadMore
Vidhikarya
Home loan insurance claim
Can I fight for my rights for the home loan insurance claim that I put up after death husband's sudden demise has got rejected.
2 months ago
A. Dear Client,
The premium of insurance against a home loan is born by the borrower. On the sudden demise of the borrower, the premium payable for renewal of insurance policy against a home loan might have been stopped which makes your claim repudiated/rejected by the Insurance Company. In the absence of ground behind the rejection of the insurance claim, nothing can be suggested at the moment. Reach out to an Advocate for guidance for advice and steps.
My mothers insurance claim was short settled & ICU charges was not considered
My mother was admitted to the hospital in ICU due to the low BP and heavy breathing. With my group policy the insurance provider has accepted the cashless claim and increased it in later days. But at
2 months ago
A. Dear Client,
Your situation highlights the inconsistency and unfairness in the insurance provider's handling of your mother's claim. Initially, they approved the cashless claim twice, indicating that ICU admission and the associated treatments were justified. Denying the reimbursement later and excluding significant charges like ICU, oxygen, and major medicines contradicts their earlier approvals and seems unjustifiable.
Under the Insurance Regulatory and Development Authority of India (IRDAI) g ...ReadMore
Vidhikarya
