Question

A health insurance claim is lodged on 1st April and

Q: Answer-A health insurance claim is lodged on 1st April and settled on 30th May for ₹1.5 lakh. The policy st...

IRDAI mandates timely settlement. Delay beyond 30 days without valid reason is a breach.

settled on 30th May for ₹1.5 lakh. The policy states a 30-day claim settlement benchmark. Discuss the regulatory implications and policyholder grievance options.

A No violation

B Violation of TAT norms; customer can escalate to IRDAI

C Late payment fine applies

D Can reapply for claim

E No action required

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A health insurance claim is lodged on 1st April and

Solution