Insurance Ombudsman Sample Clauses

Insurance Ombudsman. Where the redressal provided by the Company is not satisfactory despite the escalation above, the customer may represent the case to the Ombudsman for Redressal of the grievance, if it pertains to the following: - Delay in settlement of claim - Partial or total rejection of claim; - Dispute with regard to premium; - Misrepresentation of policy terms and conditions; - Legal construction of the policy in so far as dispute related to claim; - Grievance relating to policy servicing; - Issuance of policy which is not in conformity with proposal form; - Non- issuance of your insurance document; and - Any other matter resulting from the violation of provisions of the Insurance Act, 1938 or the regulations, circulars, guidelines or instructions issued by the IRDAI from time to time or the terms and conditions of the policy contract, in so far as they relate to issues mentioned hereinabove. Please refer to our website xxx.xxxxxxx.xxx for further details in this regard. The list of Ombudsman address is attached as Xxxxxxxx 0 The complaint should be made in writing duly signed by the complainant or through his legal heirs, nominee or assignee, and shall state clearly the name and address of the complainant, the name of the branch or office of the insurer against whom the complaint is made, the facts giving rise to the complaint, supported by documents, the nature and extent of the loss caused to the complainant and the relief sought from the Insurance Ombudsman. As per provision 14(3) of the Insurance Ombudsman Rules, 2017; the complaint to the Ombudsman can be made: • Only if the grievance has been rejected by the Grievance Redressal Machinery of the Insurer; or • the complainant had not received any reply within a period of one month after the Insurer received his representation; or • the complainant is not satisfied with the reply given to him by the Insurer. Annexure 1 - List of Ombudsman NAMES OF OMBUDSMAN AND ADDRESSES OF OMBUDSMAN CENTRES Office of the Ombudsman Details Jurisdiction of Office Union Territory,District) AHMEDABAD Office of the Insurance Ombudsman, Xxxxxx Xxxxxxx Building, 6th floor, Tilak Marg, Relief Road, Ahmedabad – 380 001. Tel.: 079 - 00000000/02/05/06 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Gujarat, Dadra & Nagar Haveli, Daman and Diu. BENGALURU Office of the Insurance Ombudsman, Xxxxxx Xxxxxx Building,PID No. 57-27- N-19 Ground Floor, 00/00, 00xx Xxxx Xxxx, XX Xxxxx, Xxx Xxxxx, Xxxxxxxxx – 560 078. Tel.: 080 - 00000000 / 26652049 Email: xx...
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Insurance Ombudsman. If you are still dissatisfied with the resolution provided, you may opt to approach the Office of the Insurance Ombudsman, provided the same is under their purview. Click here to know the guidelines for taking up a complaint with the Insurance Ombudsman.
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Insurance Ombudsman. You can approach the Insurance Ombudsman depending on the nature of grievance and financial implication, if any. Information about Insurance Ombudsmen, their jurisdiction and powers is available on the website of the Insurance Regulatory and Development Authority of India (IRDAI) at xxx.xxxxx.xxx.xx, or of the General Insurance Council at xxx.xxxxxxxxxxxxxxxxxxxxxxx.xxx.xx, the Consumer Education Website of the IRDAI at xxxx://xxx.xxxxxxxxxxxx.xxx.xx, or from any of Our Offices. The contact details of the Insurance Ombudsman offices are as below- Areas of Jurisdiction Office of the Insurance Ombudsman Gujarat , UT of Dadra and Nagar Haveli, Daman and Diu Office of the Insurance Ombudsman, JeevanPrakash Building, 6th floor, TilakMarg, Relief Road, Ahmedabad – 380 001. Tel.: 079 - 00000000/02/05/06 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Karnataka Office of the Insurance Ombudsman, JeevanSoudhaBuilding,PID No. 57-27-N-19, Ground Floor, 19/19, 24th Main Road,JP Nagar, Ist Phase, Bengaluru – 560 078. Tel.: 080 - 00000000 / 26652049 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Madhya Pradesh and Chhattisgarh Office of the Insurance Ombudsman, JanakVihar Complex, 2nd Floor, 6, Xxxxxxx Nagar, Opp. Airtel Office, Near New Market, Bhopal – 462 003. Tel.: 0755 - 0000000 / 0000000 Fax: 0755 - 2769203 Email: xxxxxxxxxx.xxxxxx@xxxx.xx.xx Odisha Office of the Insurance Ombudsman, 62, Forest park, Bhubneshwar – 751 009. Tel.: 0674 - 0000000 /0000000 Fax: 0674 - 2596429 Email: xxxxxxxxxx.xxxxxxxxxxx@xxxx.xx.xx Punjab , Haryana, HimachalPradesh, Jammu and Kashmir, UT of Chandigarh Office of the Insurance Ombudsman, S.C.O. Xx. 000, 000 & 000, 0xx Xxxxx, Xxxxx Building, Sector 17 – D, Chandigarh – 160 017. Tel.: 0172 - 0000000 / 0000000 Fax: 0172 - 2708274 Email: xxxxxxxxxx.xxxxxxxxxx@xxxx.xx.xx Tamil Nadu, UT–Pondicherry Town and Karaikal (which are part of UT of Pondicherry) Office of the Insurance Ombudsman, Xxxxxx Xxxxxx Court, 0xx Xxxxx, 000, XxxxXxxxx, Xxxxxxxxx, XXXXXXX – 600 018. Tel.: 044 - 00000000 / 00000000 Fax: 044 - 24333664 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Delhi Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Building, Xxxx Xxx Road,New Delhi – 110 002. Tel.: 011 - 00000000/23213504 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx Assam , Xxxxxxxxx, Xxxxxxx, Xxxxxxx, Xxxxxxxxx Xxxxxxx, Xxxxxxxx and Tripura Office of the Insurance Xxxxxxxxx, Xxxxxx Xxxxxx, 5th Floor, Nr. Panbazar over bridge, S.S. Road, Guwahati – 781001(ASSAM). Tel.: 0361 - 0000000 / 2602205 Emai...
Sample 1
Insurance Ombudsman. In case you are dissatisfied with the decision/resolution of the company, you may approach the Insurance Ombudsman located nearest to you (please refer to Appendix I or visit our website xxx.xxxxxxxxxxxx.xxx) if your grievance pertains to: − insurance claim that has been rejected or dispute of a claim on legal construction of the policy; − delay in claim settlement; − dispute with regard to premium; or − non-receipt of your policy document. As per provision 13(3) of the Redressal of Public Grievances Rules 1998, the complaint to the Ombudsman can be made: − only if the grievance has been rejected by the grievance redressal machinery of the insurer; − within a period of one year from the date of rejection by the insurer; and − if it is not simultaneously under any litigation. Risk Factors / Disclaimers This policy is underwritten by Birla Sun Life Insurance Company Limited (BSLI) and is a non-participating traditional term insurance plan. All terms & conditions are guaranteed throughout the policy term. BSLI reserves the right to recover levies such as the Service Tax levied by the authorities on insurance transactions. If there be any additional levies, they too will be recovered from you. Insurance is the subject matter of the solicitation.
Sample 1

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