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
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
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.
Other Responses
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 ...
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.
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
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
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 ...
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
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 ...
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
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 ...
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.
Sar Max insurance life mein meri ek policy hai jo ki mujhe pata nahin Thi 2015 Mein Mere father dwara Karai Gai Thi lekin iski Jankari Mujhko Kyon Nahin Di Gai usmein do kist Jama hai jo Bima company ...
Dear Client,
On default in payment of premium against the policy that stands automatically cancelled after a specific time or period as per the terms of the policy and the policyholder is not entitled to any refund from the said policy. You can renew the policy after paying the unpaid premiums if the Insurance company allows your appeal in terms of a policy condition. For further clarification, you need to visit the office of the Insurance 'Company.
INSURANCE AMOUNT PAID TO FAKED PERSON WITH THE HELP OF LAWER
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.
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 ...
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.
Other Responses
Can medical insurance be rejected for non disclosure of HIV but the patient died in hospital for brain stroke.
Dear Client,
Pre Existing Diseases (PED) are covered after completion of a lock-in period that varies depending upon the nature and category of diseases from 24 months to 48 months from the inception of the Health Insurance Policy that is renewed continuously for the lock-in period and thereafter. Insurers cannot refuse to sell you a plan or charge you more just because you have a pre-existing condition such as HIV, cancer, or even asthma. The few insurers provide coverage only to such persons
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