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Dear client,

In most cases, life insurance policies cover death due to natural causes, illness, or accidents, unless stated otherwise in the policy terms and conditions. If your wife's policy does not have any specific exclusions related to LAMA discharges, it is unlikely that the insurance company would reject the claim solely based on that reason. Insurance companies typically investigate claims thoroughly to ensure all necessary information is provided, and they may require documentation suc

Dear Client,
Medico-Legal Certificate (MLC) is required in cases of a road accident or an incident that has led to injury or death. Sometimes patients are admitted straight to an emergency room for medical attention. In such cases. In government hospitals and most of the major private hospitals, a medico-legal register is maintained wherein accident cases are registered by hospital authorities at the time of admission/treatment and submitted to the local police station. Based on the report, the

Dear Sir,
There is one office called Insurance Ombudsman. You must exhaust remedy by approaching the said office and thereafter you can go to Consumer Court.

Dear Client,

This claim by your insurance company depends on two factors:-

1) What the rest of the treatments other than the monoclonal antibody injection were,
2) and Whether these rest of treatments are counted as Immunotherapy according to your insurance policy.

Companies usually have different insurance policies and they have varied definitions of what does and does not count as Immunotherapy.
If your insurance police has clauses that include certain treatments you got along with the mo

Dear Client,

The Motor Vehicle Act, 1988 empowers the Motor Accident Claims Tribunal to deal with the claims related to injury or loss of life/property resulting from a motor vehicle accident. To get the necessary compensation under the Act, when the Insurance Company rejected the claim for compensation for personal injury and damage of vehicle in a road accident, the aggrieved parties need to apply to the Motor Accidents Claim Tribunal. Section 166 of the Motor Vehicle Act,1988 and MV Centra

Hello,
An identifiable physical injury which is caused by a sudden, unexpected, specific event occurring at an identifiable time and place during the period of insurance and which results in the death, disablement or permanent total disablement of an insured person.

Hi client,

Not able to understand your problem. Kindly throw some more light in this.

Thanks and Regards
Simi Paul

Dear Client,

Since the health insurance policy of your mother was renewed continuously for more than 48 months from the date of inception, the policy covers all the PED as per the terms of the policy. Repudiation of claim on the ground of PED and cancellation of Renewal of policy after the expiry of look in period is not acceptable being unfair and arbitrary so far the provision of IRDA(Protection of Interest of Insured) Regulation, 2016 is concerned. Reach out to an Advocate experienced in con

Sir ESIC is governed by the State Govt and that there is an approval limit for specific disease hence

Dear Sir,
You may get issue a legal notice failing which approach Insurance Ombudsman to settle your claim otherwise approach Consumer Court.