Wednesday, October 12, 2016

Options for unresolved or unsatisfactorily resolved complaints


  •  Insurance Ombudsman
  •  Only for personal lines of insurance 
  •  Complaint in writing should be made to the concerned Ombudsman as per the jurisdiction under RPG Rules,1998 
  •  Complaint must be grounds as per RPG Rules, 1998 
  •  Any partial or total repudiation of claims by an insurer 
  •  Any dispute about premium paid or payable in terms of the policy 
  •  Any dispute on the legal construction of the policies as far as it relates to claims 
  •  Delay in settlement of claims 
  •  Non-issue of any insurance document after payment of premium
IRDA does not act as an Appellate Authority on the decisions of Insurance Ombudsmen. 
  •  Consumer Forum or
  •  Any appropriate Court

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