What you should do if your insurance claim is rejected? Ask any Questions on Insurance Claims- Dispute and settlement

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Top Questions on Insurance Claims, Complaints and Dispute Resolutions


Q1. In which office of IRDAI, an aggrieved Policy Holder can lodge a complaint against an Insurance Company?


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Q2. Advice us the time limit within which, an aggrieved Policy Holder should approach a Court of Law against the decision of an Insurance Company?


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Q3. Who is the officer that is required to be appointed by all Insurance company, to independently deal with all policy holder's complaint?


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Q4. Who is and what is Nodal Officer, that is required to be designated by all Insurance Company in India, and what is his role in dealing with customer complaint?


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Q5. A Policy holder failed to submit his grievance with an ombudsman within the stipulated time of 1 year, what you can suggest him, as next best option?


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Q6. What are the legal matters, that an Lok Adalat, can deal with?


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Q7. What is the maximum amount of claim, that can be awarded by ombudsman, in case of a grievance frm a policy holder?


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Q8. If a policy-holder wishes to file a complaint with national commission, then what is the amount of fees, payable by him or her?


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Q9. Where a policy holder can lodge complaint in IRDAI office?


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Q10. Where an appeal can be lodged, against the decision of Court of Small causes?


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Q11. Can an Arbitrator may pass an onder ex-parte?


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Q12. Which are the Courts for adjudiction of industrial disputes?


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Q13. Can a foreign Arbitration Award enforced in India?


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Q14. Please give details of various Consumer Dispute Redressal agencies set-up in India under the Consumer Protection Act, 2019


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Q15. What the rights that can be protected under Consumer Protection Act, 2019


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Q16. What are the cases that can be referred to Lok Adalat?


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Q17. What will an Policy holder can do, if his request for assignment of an Insurance Policy is reejected by his Insurance Company?


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Q18. What do you mean by Alternative Dispute Resolution (ADR)?


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Q19. Can a party to the dispute, challenge an Arbitration Award, that goes against him and if yes, where?


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Q20. How many Arbitrator need to be appointed?


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Q21. What is conciliation of dispute?


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Q22. In which dispute redressal mechanism, advocates are not allowed to represent the complainant?


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Q23. Give atleast 1 option, where a policy holder can approach to settle the matter with Insurance Company, for settling dispute, out of the Court?


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Q24. Name the tribunal for handling Insurance dispute matters.


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Q25. How Arbitration can help settling Insurance Dispute matters?


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Q26. Can a foreign body or a foreigner, appointed as an Arbitrator to settle an Insurance Dispute case?


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Q27. Discuss the history of Lok Adalat.


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Q28. Trace-out the earliest evolution of Arbitration process in India


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Q29. Unsatisfied from which Court, an individual can go to the Supreme Court?


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Q30. What is the Court fee required to initiate a case in Lok Adalat?


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Q31. What is the fee payable for Arbitration, when the sum in dispute is Rs. 5 Lakh.


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Q32. How and where Insurance Omnbudsmans are appointed?


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Q33. Can and on which grounds, an Arbitration Award, can be challenged?


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Q34. List the name of bodies/machineries that may organise Lok Adalats in India:


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Q35. Who conducts Lok Adalats in India?


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Q36. Who is considered as father of Lok Adalat?


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Q37. Where you can file an appeal if you are not serviced with the information/documents sought under RTI Act?


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Q38. Does Ombudsmans recommendations or award is final and bound to an Insurance Company?


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Q39. Lok Adalats have been given statutory status under the ______


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Q40. If the insurer become insolvent, what is the first line of option available to an insured?


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Q41. Which stand an insurance company will take, if there is dispute over the claim between two or more parties?


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Q42. Who cannot be a claimant in case of a claim in a Life Insurance Policy?


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Q43. What is the stipulated period, within which, a claim under a Life Assurance Policy, shall be paid by an insurance company?


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Q44. Which one of the following, is a Central Repository of insurance grievance data?


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Q45. What is the fee amount required to file a complaint with a Consumer Court?


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Q46. Information sought under RTI Act, need to be furnished by respective authority within ___


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Q47. What is the procedure to sought information under RTI Act, from public authorities of the Governemnt of India or the State Government?


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Q48. How many years old information can be asked under the Right to Information Act 2005?


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Q49. A duplicate Policy document shall be furnished at request by the Insurance Company within _______


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Q50. What is the fee for getting information under RTI Act?


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Q51. How incontestable clause helps a policy holder?


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Q52. What to do if an insurer denies renewal of a policy?


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Q53. Can a policy taken under Married Women's Property (M.W.P.) Act, be surrendered?


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Q54. Which Life insurance is considered as the best tool to protect the dependent family members.


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Q55. Can I assign a policy taken under MWP Act 1874.


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Q56. Who is an Annuitant?


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Q57. What is Annuity?


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Q58. Is Annuities are insurance contract?


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Q59. What are the factors that determines the Annuity Value?


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Q60. If the Life-Assured had been missing, what is the additional document required to be submitted for settlement of claim?


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Q61. You being an insurance agent, has been approached by a person who is nearing retirement. What kind of annuity plan you should suggest him?


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Q62. In annuities, when annutization starts ?


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Q63. Can a Member/s who exit a group insurance because of retirement/resignation continue the insurance plan of his own name?


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Q64. How the sum insured is determined for each member in a group life policy?


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Q65. What is Free cover limit in Group Life Plan?


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Q66. In annuities, when annutization starts ?


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Q67. One of the criteria used in underwriting Group life policy is "Active-at-Work" what does it means?


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Q68. Which one is cheaper Group Life Policy or Individually sponsored Life Policy?


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Q69. Is gratuity become payable in case of dismissal of employment, fraud, theft, assault, rape, or molestation.


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Q70. Where or in which organisation Payment of Gratuity Act, 1972 is mandatorily applicable?


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Q71. Is gratuity is taxable?


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Q72. What is correct formula for gratuity calculation?


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Q73. In what type of Pension Scheme, the pension amount is known before-hand and does not effect due to volatility in the market?


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Q74. Does Top-Ups in ULIP will also attract Lock-in-Period of 5 years?


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Q75. What will happen if a ULIP Holder fails to pay premium in a year?


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Q76. With regards to ULIP, what does "Premium-Holiday" means?


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Q77. What is Net Asset Value (NAV) in ULIP?


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Q78. What is correct formula to calculate Total Fund Value?


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Q79. How Unit Price in ULIP is calculated in Expropriation Method?


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Q80. Does ULIP declare bonus?


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Q81. What happen if you fail to pay a premium in ULIP within stipulated time?


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Q82. Can Discounted ULIP can be revived?


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Q83. When is the Proposer is generally required to provide Age-Proof?


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Q84. What are usual Policy conditions in a Insurance Policy


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Q85. Is there a chance of getting the insurance claim in case of policy for which premium payment has been stopped?


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Q86. If a proposal received from a person with terminal cancer, what will usually be response of an underwriter


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Q87. Which one is cheapest form of Life Insurance?


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Q88. Does Subrogation principle applies in Life Insurance?


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Q89. When a Policy lapses, who gets benefited?


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Q90. What is special Revival Scheme (SRV)?


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Q91. Which policies, usually does Not have loan facility?


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Q92. What is Bancassurance?


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Q93. In what situation, fore-closure of a life insurance policy can be initiated by the Insurer?


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Q94. In case of un-natural death or accidental death, what additional documents required to be submitted for claim process?


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Q95. If an insured wants to cancel a policy, what documents required to submitted?


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Q96. Intimation of death need to be given within how many days of death of the insured?


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Q97. What is Settlement Option in Life Policy?


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Q98. What is usual death claim settlement ratio in India?


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Q99. When a claim is considered as Early Death Claim? And how such cases are considered by an Insurance company?


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Q100. Can I take insurance on the life of my parents even if they are not dependent to me?


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