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What action can be taken against LIC for rejection of insurance


16-Nov-2023 (In Insurance Law)
Lic rejected my claim of my husbands term insurance plan on the ground that he was on medical leave of 12 days when he took the policy.he was only having fever and gastrointites problem.lic did all medical tests before doing the policy
Answers (2)

Answer #1
533 votes
With an objective to provide a forum for resolving disputes and complaints from the aggrieved insured public or their legal heirs against Insurance Companies, the Government of India, in exercise of powers conferred on it u/s 114(1) of Insurance Act, 1938 framed "Redressal of Public Grievances Rules, 1998", which came into force w.e.f. 11th November, 1998. These Rules aim at resolving complaints relating to the settlement of disputes with Insurance Companies on personal lines of insurance, in a cost effective, efficient and impartial manner. These Rules apply to all the Insurance Companies operating in General Insurance business and Life Insurance business, in Public and Private Sectors.

To implement the above Rules, the Institution of Insurance Ombudsman has been established and is functioning since 1999. The Ombudsman functions within a set geographical jurisdiction and can entertain disputes relating to partial/total repudiation of claims, delay in settlement of claims, any dispute on the legal construction of the policies in so far as such disputes relate to claims, disputes regarding premium paid or payable in terms of the policy and non-issuance of insurance documents.

The Insurance Ombudsman is provided with a Secretarial Staff by the Governing Body of Insurance Council and such staff is drawn from Insurance Companies. The total expenses on running the Institution are shared by all Insurance Companies, who are Members of the Insurance Council.
Answer #2
787 votes
If you are from punjab i can help u with settleing of ur dispute with lic amicably. The other option is remain with u is go in consumer court where u can get remedy against all ur defeated interests with lic

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