Everything you need to know about your statutory rights as an insurance policyholder.
1. Demand a formal rejection letter with specific policy clauses cited.
2. Do not accept verbal refusal from the surveyor or TPA.
3. Collect all hospital discharge notes, diagnostic bills, and policy schedules.
4. Register your grievance with Bima Nivaran for technical and legal review.
The Insurance Ombudsman is a quasi-judicial authority established by the Government of India to resolve individual policyholder disputes up to ₹50 Lakhs. The process is completely free for consumers, fast-tracked, and the Ombudsman's award is binding on the insurance company.
Under IRDAI Protection of Policyholders' Interests Regulations, an insurer must settle or reject a claim within 30 days from the date of receipt of the last necessary document. Any unjustified delay attracts statutory interest of 2% above the bank rate.
Yes. If an agent or bank representative deceived you regarding policy features, promised unrealistic returns, or forged documents, we can initiate a formal fraud and mis-selling escalation to compel the insurer to cancel the policy and return 100% of your premium.
Still Have Questions About Your Policy?
Our claims counselors are available on helpline +91 99996 09627 to assist you with free initial advice.
