Insurance claim
Insurance claim
I had taken insurance policy while purchasing a commercial vehicle its recently met with Accident and its under repair from past 40days and i claimed for insurance policy under loss of employment. C
7 months ago
A. Dear Client,
The Motor Vehicles Act, 1988, makes the insurance of motor vehicles compulsory. The owner of every motor vehicle is bound to insure his vehicle against third-party risk. It covers the vehicle for damages against accidents, fire, natural disasters, and theft among others, and also covers any injury to the owner. It also covers any damages and injuries caused to the third party. A personal accident insurance policy provides protection against death, permanent total or partial disabil ...ReadMore
Insurance fraud
We had a insurance back in 2021 .My father got a call from a company One-Day .they said that you will get back your insurance money if you pay 40k when my father paid that they say now you need to pa
7 months ago
A. Dear client,
Section 45 of Insurance Act provides that an insurance policy cannot be avoided after expiry of three years on the basis of mis-statement, or untrue statement, unless insurers are able to establish;
1. That the statement was inaccurate or false;
2. That such statement was on a material matter or that the statement suppressed facts which was material to disclose;
3. That the statement was fraudulently made by the insured;
4. That the insured knew at the time of making the statement t ...ReadMore
Insurance team not paying
My dad is travelled out of India as part of a group travel. He fell sick and the entire hospital charges are not covered saying its not a part of the group travel policy
7 months ago
A. Dear client,
Travel insurance offers protection against financial risks and covers your medical expenses if you fall sick while travelling. But it depends on the insurer and the policy.
Insurance rejection
I have corporate insurance and have raised post hopitalization claim which was cancelled. Again i have raised the same claim after few days and it got approved. Both the claims are same for same amoun
7 months ago
A. Dear client,
You can file a case against TPA for mentally disturbing you regarding the insurance claim. You can demand them to compensate for this.
LIC is not giving me the amount promised at Maturity
My LIC Afent made me take 4 LUC Policies and also give me a table that after 12 years I get 11 Lakhs back but now on maturity they are giving only half the amount. What should I do. Pls advise
8 months ago
A. Dear Client,
If the LIC Policy is matured without any interruption in payment of regular premium, then the policyholder is eligible for full maturity value as assured in the Policy. Misinformation or misguidance by a licensed/authorized agent to the policyholder in the course of the sale of policy/promotion of insurance business is termed as professional misconduct as per IRDA(Licensing of Insurance Agents) Regulations, 2000. So, you can lodge a complaint against the concerned Agent to the Insur ...ReadMore
WRONG NOMINEE NAME
My Grandmother has invested some amount where she had made me nominee but In Place of my real name (Name mentioned in my Documents) my nick name has been given. Now whats the procedure to get my name
8 months ago
A. Hi client,
You have to contact the institution/ authority by making an application. They will ask for some strict documentation.Like affidavit/ declaration that you are the same person.
It might take some time but hopefully will be granted.
Thanks and Regards
Reimbursement claim
My reimbursement claim has been rejected for not submitting the original bill..I have inform them that I have misplaced the original bill that's why submitted with a duplicate bill but still they are
8 months ago
A. Dear Claim,
In case of misplaced or loss of the original document/bill, Insurer accepts the duplicate copy of the bill if it is certified by the bill issuing authority as certified to be true and processes the claim for reimbursement. You may escalate your grievance before the Grievance Redressal Officer of the Insurance Company for redressal of your grievance and if your claim is denied then you can file a complaint before the Consumer Court claiming the reimbursement and compensation for haras ...ReadMore
Insurance Broker Miscommunication: Need Help with Denied Treatment Coverage
An insurance broker confirmed to me via email that a treatment was covered, but after availing the treatment, the insurance company denied payment. Now the broker is not taking responsibility for thei
8 months ago
A. Dear Client,
Misleading information by an Insurance agent or broker is termed as professional misconduct under Regulation 21, Schedule - III of IRDA (Insurance Brokers) Regulations, 2002. So on repudiation of a claim by the Insurance Company, you may file a complaint against the Insurance Broker for professional misconduct to the concerned Insurance Company and IRDA for redressal of your grievance.
THIRD PARTY INSURANCE
INSURANCE AMOUNT PAID TO FAKED PERSON WITH THE HELP OF LAWER
8 months ago
A. Dear Client,
If you are aware of the identity particulars of that fake person and supporting documents of payment of insurance premium to him then file a criminal suit for cheating u/s.420 IPC and for the involvement of the concerned Lawyer in said crime, make a complaint against him for professional misconduct to the concerned Bar Association and State Bar Council.
HEALTH INSURANCE PORTING - REJECTION OF CLAIM
The family health insurance policy taken from National Insurance Co. in the year 2005, renewed without any break, was ported to Manipal Signa in the year 2019. A claim was made in June 2023, but was r
8 months ago
A. Dear client,
send a legal notice to the Insurance Company and file a complaint u/s.35 of the CPA, 2019 against the Insurance Company Manipal Sigma for deficiency in service and unfair trade practise, requesting the total amount admissible under the policy as well as compensation for harassment and litigation costs. The complaint must be filed with the Consumer Court within two years after the date of the cause of action, i.e. the claim's rejection.
