Health insurance rejected by saying reason of non disclosure, what legal action can be taken?
Dear sir, my brother got covid-19 on 16-05-2021 and got hospitalised on 20-05-2021. I applied for the cashless treatment and it got rejected by saying the non disclosure of pre existing disease .we to
2 years ago
A. hi,
If you move to a consumer court there are very less chances to win, as it was your insurance agent fault to not mention the earlier disease at the time of taking the policy and insurance. It would be suggested to file a complaint against the agent for such irresponsible act.
Thanks
Ayantika Mondal @ Prime Legal
How to take action against fraud insurance policy sold to me?
sir , I have been duped by fraud callers and sold policy of PNB metlife amounting to Rs. 1,50,000 each. I was being sold the policy on the pretext of loan and I didn't even checked the authenticity of
2 years ago
A. Hi,
If you are unhappy with your insurance company then you can approach the Grievance Redressal Officer of its branch or any other office that you deal with. The insurance company should resolve your complaint within a reasonable time. In case if it is not resolved within 15 days or if you are unhappy with their resolution you can approach the Grievance Redressal Cell of the Consumer Affairs Department of IRDAI.
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Medical Insurance claim has been rejected. What can do legally?
My medical insurence claim has been rejected by HDFC ERGO because I hospitalized during the previous where my Sum insured balance got exhausted. My 17 days hospitalization covered 7 before previous t
2 years ago
A. Hi,
As per your narration, the private corporation might have overlooked the billing history which is clearly a fault on their behalf. You may write a complaint addressed to the MD and the manager of your respective bank. Further, you can also file complaint before the consumer forum.
If you find my answer helpful then kindly rate me.
Ayantika Mondal @ Prime Legal
How to claim the insurance amount when the wrong nominee name is given
My wife delivered a baby boy and after 7 days she was expired . She was working in software firm where the employees had a term insurance benefit from company. She didn't changed the nominees post mar
2 years ago
A. Nominee sirf property ya money ka care taker hota hai. Uska malik nhi hota hai. Usko property ya dhan ko use karne ka bhi adhikar nhi hota hai.
Aap or aap ka beta aap ki wife dawara chodi gai dhan rashi ke absolute sawami hai. Isliye aap dhan rashi ko recover karne ke liye civil court me case file kar sakte hai. Jisme aap ko kamyabi milegi.
Pardeep Kumar Dhiman Dhiman
??????????? rejection
1. महोदय आप द्वारा मेरे अनुरोध को सिर्फ एक क्लॉज का आधार लेकर रिजेक्शन का निर्
2 years ago
A. Dear Sir,
Please simply your question in one paragraph.
Edelweiss life insurance claim rejected
My brother took edelweiss life insurance. He died after paying 1st premium . Company rejected claim because of not answering undertaking call from edelweiss company
2 years ago
A. If your claim is rejected at branch level then approach the higher authority at the company.if they too, then give an application before Bimalokpal(insurance ombudsman) of your area. If you not succeed ,the sue in the court.
Amrendra Kumar
Withdrawal of premium insurance
I purchased an insurance cum ULIP plan with gauranteed benefits with yearly premium ₹98k and death cover of ₹9.8 lakh only. After paying 1 premium, now I don't want to continue with it and the pol
2 years ago
A. you had 15 days to backout of policy if you not liked it.
after 1 year it is not possible.
But due to corona, policies are available for renewal after getting lapsed but depends on company.
It is advisable to pay for minimum number of years as per terms and conditions to surrender it.
Ankur Goel @ Complete Law Shield
Cancellation of insurance coverage
I have taken health insurance non stop from year 2015 to 2020 from oriental insurance company Ltd and in 2021 I switched to star health insurance they have cancelled my insurance cover on ground of no
2 years ago
A. which pre existing disease you not declared ?
Star health got previous claims details from Oriental.
Ankur Goel @ Complete Law Shield
Name different in PF account and Hospital records
I am writing for my cousin father. He have a name in certificate and same is mentioned in PF account. Later he have changed name and got new name in aadhar and also in Hospital records. He have got
2 years ago
A. Plz submitte his name change proof and related documents in insurense office
Then raise the claim procedure...
HARSH KUMAR MISHRA
REMOVING MY NAME FROM THE PANEL AFTER UTILISING SERVICE OF ME FOR 30YEARS
Sir, I Am A Private Professional Empanelled With All The Govt.General Insurance Companies From Last 32 Years. Before 3-4 Years, A Dispute Had Been Occured With The Officer Of National Insurance Compan
3 years ago
A. Hi,
We will need more details about the reasons for your dismissal to better answer you. If you believe you have been wrongly terminated from service, you can file a writ petition seeking relief in the High Court.
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Ayantika Mondal @ Prime Legal
Raghu Rajegowda