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  • Insurance IRDAI asks insurers to comply with Ombudsman orders

    IRDAI asks insurers to comply with Ombudsman orders

    The insurance regulator has received complaints that many insurers are not paying heed to the orders and awards of Ombudsman, Consumer Forums and Motor Accident Claims Tribunals.
    Team Cafemutual Apr 1, 2016

    Miffed by the non-compliance of insurers with judicial bodies, IRDAI has issued a circular in which it has asked insurance companies to comply with the orders and awards passed by consumer forums, insurance Ombudsman and Motor Accident Claims Tribunals (MACT).

    The insurance regulator has received complaints from ombudsman and policyholders that many insurance companies are not complying with the orders and awards of these judicial bodies. In the circular, IRDAI said, “IRDAI has been receiving communications from certain Ombudsman to its notice the inordinate delay on the part of the insurance companies to implement the orders/awards of the Insurance Ombudsman. Similar complaints have also been received from the aggrieved policyholders on the issue.”

    IRDAI has asked insurers to comply with such orders and awards within the stipulated time frame. In case the time frame is not given by judicial bodies, insurers have been mandated to comply within 60 days from the date of such orders. ­­­­­­

    If insurers don’t want to settle the order, they will have to clarify their stand within the stipulated time to the complainants.­­

    In order to ensure compliance, the insurance regulator is planning to seek details of awards which are pending for compliance since the last three years. Also, IRDAI may request ombudsman office to share monthly statement on the status of compliance of its awards by the insurers.

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    3 Comments
    Dinesh Vaidya ADV · 8 years ago `
    Sir I have lodge complain IRDA for Br 924 Peabhu madam employee makr her own laws for LIC Policies.
    j.narendra kumar · 8 years ago `
    Honourable ombudsman had passed an award in my favour for $6542.58 on 21.01.2016 accordingly Bajaj Allianz general insurance co. Pune deposited Rs.2,67,400/ to my account which is equallent to $4130. Balance outstanding amount the insurer has promised to pay to hospitals directly . Though so far, I haven't got any communication from them.
    Rajiv · 7 years ago `
    Sir, my house and my brother house was damaged in chennai floods last year. Yet to receive the insurance amount from RoyalSundaram. Already the Insurance Ombudsman has passed the award in our favour but the insurance company has not yet complied with the order and are delaying. The timeline offered by The Insurance Ombudsman is over. My advice is not to go for RoyalSundaram insurance. They are not only incompetent but also their intent is questionable. This is from my personal experience and views. Imgaine it is 1 year and still they have not settled the claim even after the judgement from Insurance Ombudsman. their communication is worst. Think twice before you zero in on RoyalSundaram.
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