icon Non Payment of full amount on maturity by Kotak life insurance as per bond terms

Dear Sir/Madam, I am not satisfied with the response from Kotak life insurance on maturity benefits as they have not paid as per bond paper terms and conditions. As per ter


A. Dear Sir,
Such instances are more in Private Sector Banks. Better you approach ombudsman of insurance and if not resolved in your favour then approach consumer forum if not resolved then finally you may approach High Court.

PLEASE GIVE ME RATING AS RANK 5

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icon Medical claim got Repudiation for Crosspathy, what to do?

As per policy, crosspathy is not payable .Hence the claim is being denied under clause no 3.25 of the policy. MEDICAL PRACTITIONER is a person who holds a valid registration from the Medical Council


A. Hi,
If the policy was repudiated for crosspathy, then you will have to approach the consumer forum, and present your case that the repudiation was not valid as the clause of crosspathy was not violated by you. Please consult with an advocate personally, he will advise you further.
If you like my answer, please rate me.

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Latest Response 2 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

icon 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


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

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Latest Response 2 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

icon 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


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.
If you find my answer helpful then kindly rate me.

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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

Pardeep Kumar Dhiman  Dhiman

Pardeep Kumar Dhiman Dhiman

icon 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


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.

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Latest Response 2 years ago
Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

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Pardeep Kumar Dhiman  Dhiman

Pardeep Kumar Dhiman Dhiman

Sidhaarth  S

Sidhaarth S

icon 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


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.

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Latest Response 2 years ago
Pardeep Kumar Dhiman  Dhiman

Pardeep Kumar Dhiman Dhiman

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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

icon ??????????? rejection

1. महोदय आप द्वारा मेरे अनुरोध को सिर्फ एक क्लॉज का आधार लेकर रिजेक्शन का निर्


A. Dear Sir,
Please simply your question in one paragraph.

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icon 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


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.

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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

icon 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


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.

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Latest Response 2 years ago
Ankur Goel @ Complete Law Shield

Ankur Goel @ Complete Law Shield

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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

ARSHAD ALI ZAIDI ADVOCATE

ARSHAD ALI ZAIDI ADVOCATE

icon 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


A. which pre existing disease you not declared ?

Star health got previous claims details from Oriental.

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Latest Response 2 years ago
Ankur Goel @ Complete Law Shield

Ankur Goel @ Complete Law Shield

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Ayantika Mondal @ Prime Legal

Ayantika Mondal @ Prime Legal

Sidhaarth  S

Sidhaarth S