icon Term life death claim

My friend died a few months back and had an insurance. Insurance company is doing the investigation. I have researched online that company’s has rejected the bigger claims on basis that information


A. Hi,
The insurance company is under the legal obligation to pay the insurance amount. The amount cannot be denied merely on the issue of blood pressure.
Lastly, You can sue your insurance company if they violate or fail the terms of the insurance policy. Common violations include not paying claims in a timely fashion, not paying properly filed claims, or making bad faith claims.


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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

Sidhaarth  S

Sidhaarth S

icon insurance company is selling the vehicle and showing it as total loss.

I got into an accident on 24th Jan 2021. I took my vehicle to service center they submitted the estimate of 5lakhs which is more then 75% of idv value. surveyor surveyed the vehicle and ask them to re


A. Hi,
Since you did not find approaching the IRDA beneficial, you can file a suit against the insurance company in the consumers court.

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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

icon Ravikant Ahuja

I met with an accident on 8th Jan 2021. I started the insurance claim formality immediately and car workshop vendor took my car on same day. Insurance company (edelweiss) took 24 days to provide go ah


A. Hi,
Serve them with legal notice to do their duty. If you wish to resolve the matter extra-judicially, you can approach the Insurance Ombudsman.
If you are seeking monetary compensation, you can file a suit in consumer Court.
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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

icon MTP cover under Medical Insurance

I am Severe Aortic Stenosis Patient, Got Pregnant in March20 but as per Doctor , i could not continue so she has done MTP and then my claim has approved by Insurance company as Doctor has mentioned on


A. Hi,
You will have to take this issue up with the company. Alternatively, you can file a suit in Consumer Court.
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Latest Response 3 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

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icon LIFE INSUARANCE COMPANY FORCING TO PAY PREMIUM

Dear sir, life Insurance Policy was issued from Paramecia Life insurance. We paid premium for year 2019-22 . Now we do not have fund to continue this policy as premium amount is huge and difficult to


A. Hi,
They cannot force you to continue paying. If they keep harassing you, you can file a complaint with the police and have an injunction passed against them.
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Latest Response 3 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

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icon Kalyan Ghosh

My brother has to take Anti VEGF (Vascular Endothelial Growth Factor)injections for Retina (Eye) Disease on regular basis in OPD in eye hospital Operation Theater. Each injection costs about Rs 30000


A. Hi,
This would depend on your specific insurance provider, and the terms of your brother's individual policy. You can see if it is covered by reading through its terms.
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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

icon About Corona rakshak policy

Insurable interest principle can be used in Health Policy. My corona rakshak policy claim is rejected because insurable interest.


A. Hi,
Usually, To buy insurance, you must have an insurable interest, but, more information is required to help you.
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Latest Response 3 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

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icon Health insurance claim covid positive

Filled a claim of 188000/ and insurance company only approved 73000/


A. Hi,
Need more information to help you out, why did company only approved this much amount.

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Latest Response 3 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

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A. Hi,
You should first enquire from the insurance company about why they rejected your claim, if they fail to provide you any reason for the same you may send them a legal notice and then, approach consumer forum.

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Latest Response 3 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

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icon Insurance Policy nominee Vs Legal heirs

My friends mother expired recently and his yelder sister of the age 25years old is nominee in her mother's insurance policy but in court heirship certificate he is also legal heir, so does he have rig


A. Dear Sir,
Nominee is not entitled for entire amount but after nominee receives entire amount it has to be distributed as per the norms of personal laws.

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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal