icon Legal Liability for Helper Covered If Death occurs by Gun Firing

Motor Insurance Legal Liability for Helper Covered If Death occurs by Gun Firing, Helper just opened the door and running at that time One Fired in him and he died

3 Response(s)

3 months ago


A. Dear Client,
Motor insurance covered only accidental death and disabilities arising out of an accident duly reported and investigated by the concerned authorities. Death by gun firing does not come under the purview of accidental death, As such, a claim even if filed, may be repudiated by the Insurance Company.

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icon Review of award by Insurance Ombudsman

Complainant purchased the policy -ULIP plan on 24.11.2017. She paid premiums for 5 years i.e. till the lock in period. Thereafter, she applied for surrender due to her personal reasons and wanted to i

2 Response(s)

3 months ago


A. Dear Client,
An insurance policyholder can surrender, migrate and port his insurance policy or invest with another Insurer that suits his or her situation following the policy condition and regulations of the regulatory authority, IRDA. An Insurer cannot force an insured to migrate into their existing policies on surrender of an insurance policy. Such an action of an Insurance Company is termed an unfair trade practice and a violation of IRDA(Protection of Policyholder Interest) Regulations, 200 ...ReadMore

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icon Regarding refund of ported policies

I paid for insurance policies with Star Health Insurance by mistake, which have been ported to another insurance company as per portability guidelines. Payment was made on 11th oct and request for ref

3 Response(s)

5 months ago


A. Dear Sir,
You may approach insurance ombudsman if fail to get any positive result then approach Consumer Court.

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icon HEALTH INSURANCE PORTING - REJECTION OF CLAIM

The family health insurance policy taken from National Insurance Co. in the year 2005, renewed without any break, was ported to Manipal Signa in the year 2019. A claim was made in June 2023, but was r

3 Response(s)

8 months ago


A. Dear client,
send a legal notice to the Insurance Company and file a complaint u/s.35 of the CPA, 2019 against the Insurance Company Manipal Sigma for deficiency in service and unfair trade practise, requesting the total amount admissible under the policy as well as compensation for harassment and litigation costs. The complaint must be filed with the Consumer Court within two years after the date of the cause of action, i.e. the claim's rejection.

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icon Health Insurance company asking for the MLC certificate but hospital denying MLC

Health Insurance company asking for MLC as it is a road accident, So I requested Hospital for it but hospital that is not the case of MLC My father had a road accident due to driver turned the car in

3 Response(s)

10 months ago


A. 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 ...ReadMore

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icon insurance claim by third party

whether the third party of insurance can claim insurance before consumer court ? if not then which court?

3 Response(s)

10 months ago


A. 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.

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icon Cancellation

How to cancel the treatment in kolors and emi ?

2 Response(s)

10 months ago


A. Hi client,

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

Thanks and Regards
Simi Paul

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icon Less payment of expenses incurred for medical treatment

My wife medical expenses claim was under paid by ESI. What I should do. I incurred totally 5.7 lakh. Whereas received only 1.5 lakh.

3 Response(s)

10 months ago


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

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icon Motor Insurance Claim

Insurance purchased on 25-Nov-2022 valid for one year, Car accident happened on 17-Feb-2023. Immediately informed to agent & Branch manager & sent on email about accident & all other photos & document

3 Response(s)

11 months ago


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

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icon How to recover my money with policy agent

How to complain for recover my money with policy agent

3 Response(s)

11 months ago


A. Good evening!
The facts given are insufficient to provide any specific legal advice. Please contact an advocate or provide more details regarding the same.

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