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: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Karnataka. BHOPAL Office of the Insurance Ombudsman, Xxxxx Vihar Complex, 2nd Xxxxx, 0, Xxxxxxx Xxxxx, Opp. Airtel Office, Near New Market, Bhopal – 462 003. Tel.: 0755 - 0000000 / 0000000 Fax: 0755 - 2769203 Email: xxxxxxxxxx.xxxxxx@xxxx.xx.xx Madhya Pradesh Chattisgarh. BHUBANESHWAR Office of the Insurance Ombudsman, 00, Xxxxxx xxxx, Xxxxxxxxxxx – 751 009. Tel.: 0674 - 0000000 /0000000 Fax: 0674 - 2596429 Email: xxxxxxxxxx.xxxxxxxxxxx@xxxx.xx.xx Orissa. CHANDIGARH Office of the Insurance Ombudsman, S.C.O. No. 101, 102 & 103, 2nd Floor, Batra Building, Sector 17 – D, Chandigarh – 160 017. Tel.: 0172 - 0000000 / 0000000 Fax: 0172 - 2708274 Email: xxxxxxxxxx.xxxxxxxxxx@xxxx.xx.xx Punjab, Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh. CHENNAI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx Court, 4th Floor, 000, Xxxx Xxxxx, Xxxxxxxxx, XXXXXXX – 000 018. Tel.: 044 - 00000000 / 00000000 Fax: 044 - 24333664 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Tamil Nadu, Pondicherry Town and Karaikal (which are part of Pondicherry). DELHI Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Building, Asaf Xxx Xxxx, Xxx Xxxxx – 110 002. Tel.: 011 - 00000000/23213504 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx Delhi. GUWAHATI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx, 5th Floor, Nr. Panbazar over bridge, S.S. Road, Guwahati – 781001(ASSAM). Tel.: 0361 - 0000000 / 0000000 Fax: 0361 - 2732937 Email: xxxxxxxxxx.xxxxxxxx@xxxx.xx.xx Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura. HYDERABAD Office of the Insurance Ombudsman, 6-2-46, 1st floor, "Moin Court", Lane Opp. Saleem Function Palace, A. C. Guards, Lakdi-Ka-Pool, Hyderabad - 500 004. Tel.: 040 - 00000000 / 00000000 Fax: 040 - 23376599 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Andhra Pradesh, Telangana, Yanam and part of Territory of Pondicherry. JAIPUR Office of the Insurance Ombudsman, Xxxxxx Xxxxx – II Bldg., Gr. Floor, Xxxxxxx Xxxxx Xxxx, Jaipur - 302 005. Tel.: 0141 - 2740363 Email: Xxxxxxxxxx.xxxxxx@xxxx.xx.xx Rajasthan. ERNAKULAM Office of the Insurance Ombudsman, 2nd Floor, Pulinat Bldg., Opp. Cochin Shipyard, M. G. Road, Ernakulam - 682 015. Tel.: 0484 - 0000000 / 0000000 Fax: 0484 - 2359336 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Kerala, Lakshadweep, Mahe-a part of Pondicherry. KOLKATA Office of the Insurance Ombudsman, Hindustan Bldg. Annexe, 4th Floor, 4, C.R. Avenue, KOLKATA - 700 072. Tel.: 033 - 00000000 / 00000000 Fax : 033 - 22124341 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx West Bengal, Sikkim, Andaman & Nicobar Islands. LUCKNOW Office of the Insurance Ombudsman, 6th Floor, Xxxxxx Xxxxxx, Phase-II, Xxxxx Kishore Road, Hazratganj, Lucknow - 226 001. Tel.: 0522 - 0000000 / 0000000 Fax: 0522 - 2231310 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Districts of Uttar Pradesh : Laitpur, Jhansi, Mahoba, Hamirpur, Banda, Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh, Jaunpur,Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur, Lakhimpur, Bahraich, Barabanki, Raebareli, Sravasti, Gonda, Faizabad, Amethi, Kaushambi, Balrampur, Basti, Ambedkarnagar, Sultanpur, Maharajgang, Santkabirnagar, Azamgarh, Kushinagar, Gorkhpur, Deoria, Mau, Ghazipur, Chandauli, Ballia, Sidharathnagar. MUMBAI Office of the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S. V. Road, Santacruz (W), Mumbai - 400 054. Tel.: 022 - 00000000 / 00000000 Fax: 022 - 26106052 Email: xxxxxxxxxx.xxxxxx@xxxx.xx.xx Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane. NOIDA Office of the Insurance Ombudsman, Xxxxxxx Xxxxx Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0000-0000000 / 2514252 / 2514253 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx State of Uttaranchal and the following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, Bulandshehar, Etah, Kanooj, Mainpuri, Mathura, Meerut, Moradabad, Muzaffarnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad, Firozbad, Gautambodhanagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli, Rampur, Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, Saharanpur. PATNA Office of the Insurance Ombudsman, 1st Floor,Kalpana Arcade Building,, Bazar Samiti Road, Bahadurpur, Patna 800 006. Tel.: 0000-0000000 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx Bihar, Jharkhand. PUNE Office of the Insurance Ombudsman, Xxxxxx Xxxxxxx Xxxx., 3rd Floor, C.T.S. No.s. 195 to 198, N.C. Xxxxxx Road, Xxxxxxx Xxxx, Pune – 411 030. Tel.: 000-00000000 Email: xxxxxxxxxx.xxxx@xxxx.xx.xx Maharashtra, Area of Navi Mumbai and Thane excluding Mumbai Metropolitan Region. Annexure 2
Appears in 2 contracts
Samples: www.tataaia.com, www.tataaia.com
Insurance Ombudsman. Where In case you are dissatisfied with the redressal provided by the Company is not satisfactory despite the escalation above, the customer may represent the case to the Ombudsman for Redressal decision/resolution of the grievancecompany, you may approach the Insurance Ombudsman located nearest to you (please refer to Appendix I or visit our website xxx.xxxxxxxxxxxx.xxx) if it your grievance pertains to to: − insurance claim that has been rejected or dispute of a claim on legal construction of the following: - Delay policy; − delay in settlement of claim - Partial or total rejection of claimsettlement; - Dispute − 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 or − non-receipt of your insurance policy 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(313(3) of the Insurance Ombudsman RulesRedressal of Public Grievances Rules 1998, 2017; the complaint to the Ombudsman can be made: • Only − only if the grievance has been rejected by the Grievance Redressal Machinery grievance redressal machinery of the Insurerinsurer; or • the complainant had not received any reply − within a period of one month after year from the Insurer received his representationdate of rejection by the insurer; or • the complainant and − if it is not satisfied with simultaneously under any litigation. Risk Factors / Disclaimers This policy is underwritten by Birla Sun Life Insurance Company Limited (BSLI) and is a traditional participating whole life insurance plan. All terms & conditions are guaranteed throughout the reply given policy term, except for the bonuses which will vary from policy year to him policy year depending on prevailing economic conditions. BSLI reserves the right to recover levies such as the Service Tax levied by the Insurerauthorities on insurance transactions. Annexure If there be any additional levies, they too will be recovered from you. Insurance is the subject matter of the solicitation. NOTWITHSTANDING ANYTHING CONTAINED IN THIS POLICY DOCUMENT, THE PROVISIONS HEREIN SHALL STAND ALTERED, AMENDED, MODIFIED OR SUPERCEDED TO SUCH EXTENT AND IN SUCH MANNER AS MAY BE REQUIRED BY ANY CHANGE IN THE APPLICABLE LAW (INCLUDING BUT NOT LIMITED TO ANY REGULATIONS MADE OR DIRECTIONS / INSTRUCTIONS OR GUIDELINES ISSUED BY THE IRDA) OR ANY OTHER COMPETENT AUTHORITY OR AS MAY BE NECESSARY UNDER A JUDGEMENT OR ORDER /DIRECTION/ INSTRUCTION OF A COURT OF LAW. Schedule A The percentages for Guaranteed Surrender Value as a percentage of premiums paid and as a percentage of accrued regular bonuses are as given below As a percentage of premiums paid* Policy Year Premium Paying Term 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 1 2 3 4 5 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 - - 30 50 50 30 50 50 30 50 50 30 50 50 30 50 50 30 50 50 6789 10 50 50 54 59 63 50 50 54 58 61 50 50 53 57 60 50 50 53 56 59 50 50 53 55 58 50 50 53 55 58 50 50 52 55 57 50 50 52 54 56 50 50 52 54 56 50 50 52 54 56 50 50 52 54 55 50 50 52 53 55 50 50 52 53 55 50 50 52 53 55 50 50 51 53 54 50 50 51 53 54 50 50 51 53 54 50 50 51 53 54 50 50 51 52 54 50 50 51 52 53 50 50 51 52 53 50 50 51 52 53 50 50 51 52 53 50 50 51 52 53 50 50 51 52 53 50 50 51 52 53 11 12 13 14 15 67 71 76 80 80 65 69 73 76 80 63 67 70 73 77 62 65 68 71 74 61 64 66 69 72 60 63 65 68 70 59 62 64 66 68 59 61 63 65 67 58 60 62 64 66 58 59 61 63 65 57 59 61 62 64 57 58 60 62 63 56 58 59 61 63 56 58 59 61 62 56 57 59 60 61 55 57 58 60 61 55 57 58 59 60 55 56 58 59 60 55 56 57 58 60 55 56 57 58 59 54 56 57 58 59 54 55 56 58 59 54 55 56 57 58 54 55 56 57 58 54 55 56 57 58 54 55 56 57 58 16 17 18 19 20 80 80 80 77 80 80 75 77 80 80 73 75 78 80 80 71 73 75 78 80 69 71 74 76 78 68 70 72 74 76 67 69 71 73 74 66 68 69 71 73 65 67 68 70 72 64 66 67 69 71 64 65 67 68 70 63 64 66 67 69 62 64 65 66 68 62 63 64 66 67 61 63 64 65 66 61 62 63 64 66 60 62 63 64 65 60 61 62 63 64 60 61 62 63 64 59 60 61 62 63 59 60 61 62 63 59 60 61 62 63 58 59 60 61 62 21 22 23 24 25 80 80 80 78 80 80 76 78 80 80 75 76 78 80 80 73 75 77 78 80 72 74 75 77 78 71 73 74 76 77 70 71 73 74 76 69 70 72 73 75 68 70 71 72 73 68 69 70 71 73 67 68 69 70 72 66 67 68 70 71 66 67 68 69 70 65 66 67 68 69 64 66 67 68 69 64 65 66 67 68 64 65 65 66 67 63 64 65 66 67 26 27 28 29 30 80 80 80 79 80 80 77 79 80 80 76 77 79 80 80 75 76 77 79 80 74 75 76 78 79 73 74 75 76 78 72 73 74 75 77 71 72 73 74 76 70 71 73 74 75 70 71 72 73 74 69 70 71 72 73 68 69 70 71 72 68 69 70 71 72 31 32 33 34 35 80 80 80 79 80 80 78 79 80 80 77 78 79 80 80 76 77 78 79 80 75 76 77 78 79 74 75 76 77 78 73 74 75 76 77 73 73 74 75 76 36 37 38 39 40 80 80 80 79 80 80 78 79 80 80 77 78 79 80 80 (PPT+1) years to end of Policy Term 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 *excluding any premiums paid towards rider benefit/s, underwriting extra and service tax As a percentage of accrued regular bonuses Policy Premium Paying Term Year 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 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- - - - - - - - - - - - - - - - - - - - - - - - 2 - - - - - - - - - - - - - - - - - - - - - - - - - -27- N-19 Ground Floor, 00/00, 00xx Xxxx Xxxx, XX Xxxxx, Xxx Xxxxx, Xxxxxxxxx – 560 078. Tel.: 080 - 00000000 / 26652049 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Karnataka. BHOPAL Office of the Insurance Ombudsman, Xxxxx Vihar Complex, 2nd Xxxxx, 0, Xxxxxxx Xxxxx, Opp. Airtel Office, Near New Market, Bhopal – 462 003. Tel.: 0755 - 0000000 / 0000000 Fax: 0755 - 2769203 Email: xxxxxxxxxx.xxxxxx@xxxx.xx.xx Madhya Pradesh Chattisgarh. BHUBANESHWAR Office of the Insurance Ombudsman, 00, Xxxxxx xxxx, Xxxxxxxxxxx – 751 009. Tel.: 0674 - 0000000 /0000000 Fax: 0674 - 2596429 Email: xxxxxxxxxx.xxxxxxxxxxx@xxxx.xx.xx Orissa. CHANDIGARH Office of the Insurance Ombudsman, S.C.O. No. 101, 102 & 103, 2nd Floor, Batra Building, Sector 17 – D, Chandigarh – 160 017. Tel.: 0172 - 0000000 / 0000000 Fax: 0172 - 2708274 Email: xxxxxxxxxx.xxxxxxxxxx@xxxx.xx.xx Punjab, Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh. CHENNAI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx Court, 4th Floor, 000, Xxxx Xxxxx, Xxxxxxxxx, XXXXXXX – 000 018. Tel.: 044 - 00000000 / 00000000 Fax: 044 - 24333664 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Tamil Nadu, Pondicherry Town and Karaikal (which are part of Pondicherry). DELHI Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Building, Asaf Xxx Xxxx, Xxx Xxxxx – 110 002. Tel.: 011 - 00000000/23213504 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx Delhi. GUWAHATI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx, 5th Floor, Nr. Panbazar over bridge, S.S. Road, Guwahati – 781001(ASSAM). Tel.: 0361 - 0000000 / 0000000 Fax: 0361 - 2732937 Email: xxxxxxxxxx.xxxxxxxx@xxxx.xx.xx Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura. HYDERABAD Office of the Insurance Ombudsman, 6-2-46, 1st floor, "Moin Court", Lane Opp. Saleem Function Palace, A. C. Guards, Lakdi-Ka-Pool, Hyderabad - 500 004. Tel.: 040 - 00000000 / 00000000 Fax: 040 - 23376599 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Andhra Pradesh, Telangana, Yanam and part of Territory of Pondicherry. JAIPUR Office of the Insurance Ombudsman, Xxxxxx Xxxxx – II Bldg., Gr. Floor, Xxxxxxx Xxxxx Xxxx, Jaipur - 302 005. Tel.: 0141 - 2740363 Email: Xxxxxxxxxx.xxxxxx@xxxx.xx.xx Rajasthan. ERNAKULAM Office of the Insurance Ombudsman, 2nd Floor, Pulinat Bldg., Opp. Cochin Shipyard, M. G. Road, Ernakulam - 682 015. Tel.: 0484 - 0000000 / 0000000 Fax: 0484 - 2359336 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Kerala, Lakshadweep, Mahe-a part of Pondicherry. KOLKATA Office of the Insurance Ombudsman, Hindustan Bldg. Annexe, 4th Floor, 4, C.R. Avenue, KOLKATA - 700 072. Tel.: 033 - 00000000 / 00000000 Fax : 033 - 22124341 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx West Bengal, Sikkim, Andaman & Nicobar Islands. LUCKNOW Office of the Insurance Ombudsman, 6th Floor, Xxxxxx Xxxxxx, Phase-II, Xxxxx Kishore Road, Hazratganj, Lucknow - 226 001. Tel.: 0522 - 0000000 / 0000000 Fax: 0522 - 2231310 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Districts of Uttar Pradesh : Laitpur, Jhansi, Mahoba, Hamirpur, Banda, Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh, Jaunpur,Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur, Lakhimpur, Bahraich, Barabanki, Raebareli, Sravasti, Gonda, Faizabad, Amethi, Kaushambi, Balrampur, Basti, Ambedkarnagar, Sultanpur, Maharajgang, Santkabirnagar, Azamgarh, Kushinagar, Gorkhpur, Deoria, Mau, Ghazipur, Chandauli, Ballia, Sidharathnagar. MUMBAI Office of the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S. V. Road, Santacruz (W), Mumbai - 400 054. Tel.: 022 - 00000000 / 00000000 Fax: 022 - 26106052 Email: xxxxxxxxxx.xxxxxx@xxxx.xx.xx Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane. NOIDA Office of the Insurance Ombudsman, Xxxxxxx Xxxxx Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0000-0000000 / 2514252 / 2514253 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx State of Uttaranchal and the following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, Bulandshehar, Etah, Kanooj, Mainpuri, Mathura, Meerut, Moradabad, Muzaffarnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad, Firozbad, Gautambodhanagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli, Rampur, Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, Saharanpur. PATNA Office of the Insurance Ombudsman, 1st Floor,Kalpana Arcade Building,, Bazar Samiti Road, Bahadurpur, Patna 800 006. Tel.: 0000-0000000 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx Bihar, Jharkhand. PUNE Office of the Insurance Ombudsman, Xxxxxx Xxxxxxx Xxxx., 3rd Floor, C.T.S. No.s. 195 to 198, N.C. Xxxxxx Road, Xxxxxxx Xxxx, Pune – 411 030. Tel.: 000-00000000 Email: xxxxxxxxxx.xxxx@xxxx.xx.xx Maharashtra, Area of Navi Mumbai and Thane excluding Mumbai Metropolitan Region. Annexure 2
Appears in 1 contract
Samples: General
Insurance Ombudsman. Where In case You are dissatisfied with the redressal provided by the Company is not satisfactory despite the escalation above, the customer may represent the case to the Ombudsman for Redressal decision/resolution of the grievanceCompany, You may approach the Insurance Ombudsman located nearest to You (please refer to Appendix I or visit our website xxx.xxxxxxxxxxxxxxxxxxxxxxxxxxx.xxx) if it Your grievance pertains to to: insurance claim that has been rejected or dispute of a claim on legal construction of the following: - Delay Policy; delay in settlement of claim - Partial or total rejection of claimsettlement; - Dispute dispute with regard to premium; - Misrepresentation or non-receipt 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 Your Policy 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 RulesRules 2017, 2017; the complaint to the Ombudsman can be made: • Only only if the grievance has been rejected by the Grievance Redressal Machinery grievance redressal machinery of the Insurerinsurer; or • the complainant had not received any reply within a period of one month after year from the Insurer received his representationdate of rejection by the insurer; or • the complainant and if it is not satisfied with simultaneously under any litigation. Risk Factors / Disclaimers This Policy is underwritten by Xxxxxx Xxxxx Sun Life Insurance Company Limited (ABSLI) and is a non-linked non – participating term insurance plan issued under IRDA (Non Linked Insurance Products) Regulations 2013. All terms & conditions are guaranteed throughout the reply given Policy term. ABSLI reserves the right to him recover levies such as the GST levied by the Insurerauthorities on insurance transactions. Annexure 1 - If there be any additional levies, they too will be recovered from you. NOTWITHSTANDING ANYTHING CONTAINED IN THIS POLICY DOCUMENT, THE PROVISIONS HEREIN SHALL STAND ALTERED, AMENDED, MODIFIED OR SUPERCEDED TO SUCH EXTENT AND IN SUCH MANNER AS MAY BE REQUIRED BY ANY CHANGE IN THE APPLICABLE LAW (INCLUDING BUT NOT LIMITED TO ANY REGULATIONS MADE OR DIRECTIONS / INSTRUCTIONS OR GUIDELINES ISSUED BY THE IRDAI) OR ANY OTHER COMPETENT AUTHORITY OR AS MAY BE NECESSARY UNDER A JUDGEMENT OR ORDER /DIRECTION/ INSTRUCTION OF A COURT OF LAW. SAMPLE List of Ombudsman NAMES OF OMBUDSMAN AND ADDRESSES OF OMBUDSMAN CENTRES Office of the Ombudsman Contact Details Areas of Jurisdiction of Office Union Territory,District) AHMEDABAD Office of the Insurance Ombudsman, Xxxxxx Xxxxxxx Building, 6th 2nd floor, Tilak MargXxxxxx House, Relief RoadNear C.U. Shah College, 0, Xxxxxx Xxxxxx, Xxxxxx Xxxx, Ahmedabad – 380 001014. Tel.. : 079 - 00000000/02/05/06 Email00000000 / 00000000 Fax : 079 - 27546142 Email : xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Gujarat, Dadra & Nagar Haveli, Daman and Diu. Diu BENGALURU Office of the Insurance Ombudsman, Xxxxxx Xxxxxx Building,PID No. 5700-27- N-19 Ground Floor00-X-00 Xxxxxx Xxxxx, 00/00, 00xx Xxxx Xxxx, XX Xxxxx, Xxx Xxxxx, Xxxxxxxxx – 560 078. Tel.. : 080 - 00000000 / 26652049 EmailEmail : xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Karnataka. Karnataka BHOPAL Office of the Insurance Ombudsman, Xxxxx Vihar Complex, 2nd XxxxxFloor, 0, Xxxxxxx Xxxxx, Opp. Airtel Office, Near New Market, Bhopal – 462 003. Tel.. : 0755 - 0000000 / 0000000 FaxFax : 0755 - 2769203 EmailEmail : xxxxxxxxxx.xxxxxx@xxxx.xx.xx Madhya Pradesh Chattisgarh. Chattisgarh BHUBANESHWAR Office of the Insurance Ombudsman, 00, Xxxxxx xxxx, Xxxxxxxxxxx – 751 009. Tel.. : 0674 - 0000000 /0000000 FaxFax : 0674 - 2596429 Email0000000 Emai : xxxxxxxxxx.xxxxxxxxxxx@xxxx.xx.xx Orissa. Orissa CHANDIGARH Office of the Insurance Ombudsman, S.C.O. NoXx. 101000, 102 000 & 103000, 2nd Floor0xx Xxxxx, Batra BuildingXxxxx Xxxxxxxx, Sector 17 Xxxxxx 00 – DX, Chandigarh Xxxxxxxxxx – 160 017017 Tel. Tel.: 0172 - 0000000 / 0000000 FaxFax : 0172 - 2708274 EmailEmail : xxxxxxxxxx.xxxxxxxxxx@xxxx.xx.xx Punjab, Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh. Chandigarh CHENNAI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx Court, 4th Floor, 000, Xxxx Xxxxx, Xxxxxxxxx, XXXXXXX – 000 018600 018 Tel. Tel.: 044 - 00000000 / 00000000 FaxFax : 044 - 24333664 EmailEmail : xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Tamil Nadu, Pondicherry Town and Karaikal (which are part of Pondicherry). ) DELHI Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Building, Asaf Xxxx Xxx XxxxRoad, Xxx Xxxxx New Delhi – 110 002. Tel.. : 011 - 00000000/23213504 Email00000000 / 00000000 Fax : 011 - 23230858 Email : xxxxxxxxxx.xxxxx@xxxx.xx.xx Delhi. Delhi GUWAHATI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx, 5th Floor, Nr. Panbazar over bridge, S.S. Road, Guwahati – 781001(ASSAM). Tel.. : 0361 - 0000000 / 0000000 Fax: 0361 - 2732937 Email2132205 Email : xxxxxxxxxx.xxxxxxxx@xxxx.xx.xx Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura. Tripura HYDERABAD Office of the Insurance Ombudsman, 6-2-46, 1st floor, "Moin Court", Lane Opp. Saleem Function Palace, A. C. Guards, Lakdi-Ka-Pool, Hyderabad - 500 004. Tel.. : 040 - 00000000 / 00000000 FaxFax : 040 - 23376599 EmailEmail : xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Andhra Pradesh, Telangana, Yanam and part of Territory of Pondicherry. Pondicherry JAIPUR Office of the Insurance Ombudsman, Xxxxxx Xxxxx – II Bldg., Gr. Floor, Xxxxxxx Xxxxx Xxxx, Jaipur - 302 005. Tel.. : 0141 - 2740363 EmailEmail : Xxxxxxxxxx.xxxxxx@xxxx.xx.xx Rajasthan. Rajasthan ERNAKULAM Office of the Insurance Ombudsman, 2nd Floor, Pulinat Bldg., Opp. Cochin Shipyard, M. G. Road, Ernakulam - 682 015. Tel.. : 0484 - 0000000 / 0000000 FaxFax : 0484 - 2359336 EmailEmail : xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Kerala, Lakshadweep, Mahe-a part of Pondicherry. Pondicherry KOLKATA Office of the Insurance Ombudsman, Hindustan Bldg. Annexe, 4th Floor, 4, C.R. Avenue, KOLKATA - 700 072. Tel.. : 033 - 00000000 / 00000000 Fax : 033 - 22124341 EmailEmail : xxxxxxxxxx.xxxxxxx@xxxx.xx.xx West Bengal, Sikkim, Andaman & Nicobar Islands. Islands LUCKNOW Office of the Insurance Ombudsman, 6th Floor, Xxxxxx Xxxxxx, Phase-II, Xxxxx Kishore Road, Hazratganj, Lucknow - 226 001. Tel.. : 0522 - 0000000 / 0000000 FaxFax : 0522 - 2231310 EmailEmail : xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Districts of Uttar Pradesh : Laitpur, Jhansi, Mahoba, Hamirpur, Banda, Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh, Jaunpur,, Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur, Lakhimpur, Bahraich, Barabanki, Raebareli, Sravasti, Gonda, Faizabad, Amethi, Kaushambi, Balrampur, Basti, Ambedkarnagar, Sultanpur, Maharajgang, Santkabirnagar, Azamgarh, Kushinagar, Gorkhpur, Deoria, Mau, Ghazipur, Chandauli, Ballia, Sidharathnagar. Sidharathnagar MUMBAI Office of the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S. V. Road, Santacruz (W), Mumbai - 400 054. Tel.. : 022 - 00000000 / 00000000 FaxFax : 022 - 26106052 EmailEmail : xxxxxxxxxx.xxxxxx@xxxx.xx.xx Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane. Thane NOIDA Office of the Insurance Ombudsman, Xxxxxxx Xxxxx Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0000-0000000 / 2514252 / 2514253 EmailEmail : xxxxxxxxxx.xxxxx@xxxx.xx.xx State of Uttaranchal and the following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, Etah, Bulandshehar, Etah, Kanooj, Mainpuri, Mathura, Meerut, Moradabad, Muzaffarnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad, Firozbad, Gautambodhanagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli, Rampur, Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, Saharanpur. Saharanpur PATNA Office of the Insurance Ombudsman, 1st Floor,, Kalpana Arcade Building,, Bazar Samiti Road, Bahadurpur, Patna - 800 006. Tel.: 0000-0000000 Email: Email:- xxxxxxxxxx.xxxxx@xxxx.xx.xx Bihar, Jharkhand. States of Bihar & Jharkhand PUNE Office of the Insurance Ombudsman, Xxxxxx Xxxxxxx Xxxx., 3rd 2nd Floor, C.T.S. No.s. 195 to 198, N.C. Xxxxxx Road, Xxxxxxx Xxxx, Pune – 411 030030 Tel. Tel.: 000-00000000 EmailEmail : xxxxxxxxxx.xxxx@xxxx.xx.xx Maharashtra, Area of Navi Mumbai and Thane excluding Mumbai Metropolitan Region. Annexure 2Region SAMPLE ANNEXURE A
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Samples: General
Insurance Ombudsman. Where In case you are dissatisfied with the redressal provided by the Company is not satisfactory despite the escalation above, the customer may represent the case to the Ombudsman for Redressal decision/resolution of the grievancecompany, you may approach the Insurance Ombudsman located nearest to you (please refer to Appendix I or visit our website xxx.xxxxxxxxxxxx.xxx) if it your grievance pertains to to: − insurance claim that has been rejected or dispute of a claim on legal construction of the following: - Delay policy; − delay in settlement of claim - Partial or total rejection of claimsettlement; - Dispute − 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 or − non-receipt of your insurance policy 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(313(3) of the Insurance Ombudsman RulesRedressal of Public Grievances Rules 1998, 2017; the complaint to the Ombudsman can be made: • Only − only if the grievance has been rejected by the Grievance Redressal Machinery grievance redressal machinery of the Insurerinsurer; or • the complainant had not received any reply − within a period of one month after year from the Insurer received his representationdate of rejection by the insurer; or • the complainant and − if it is not satisfied with simultaneously under any litigation. Risk Factors / Disclaimers This policy is underwritten by Birla Sun Life Insurance Company Limited (BSLI) and is a traditional participating whole life insurance plan. All terms & conditions are guaranteed throughout the reply given policy term, except for the bonuses which will vary from policy year to him policy year depending on prevailing economic conditions. BSLI reserves the right to recover levies such as the Service Tax levied by the Insurerauthorities on insurance transactions. Annexure If there be any additional levies, they too will be recovered from you. Insurance is the subject matter of the solicitation. NOTWITHSTANDING ANYTHING CONTAINED IN THIS POLICY DOCUMENT, THE PROVISIONS HEREIN SHALL STAND ALTERED, AMENDED, MODIFIED OR SUPERCEDED TO SUCH EXTENT AND IN SUCH MANNER AS MAY BE REQUIRED BY ANY CHANGE IN THE APPLICABLE LAW (INCLUDING BUT NOT LIMITED TO ANY REGULATIONS MADE OR DIRECTIONS / INSTRUCTIONS OR GUIDELINES ISSUED BY THE IRDA) OR ANY OTHER COMPETENT AUTHORITY OR AS MAY BE NECESSARY UNDER A JUDGEMENT OR ORDER /DIRECTION/ INSTRUCTION OF A COURT OF LAW. Schedule A – The percentages for Guaranteed Surrender Value as a percentage of premiums paid and as a percentage of accrued regular bonuses are as given below - As a percentage of premiums paid* Policy Policy Term Year 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 1 - List - - - - - - - - - - - - - - - - - - - - 2 - - - - - - - - - - - - - - - - - - - - - 3 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 4 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 5 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 6 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 7 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 8 54 54 53 53 53 53 52 52 52 52 52 52 52 52 51 51 51 51 51 51 51 9 59 58 57 56 55 55 55 54 54 54 54 53 53 53 53 53 53 53 52 52 52 10 63 61 60 59 58 58 57 56 56 56 55 55 55 55 54 54 54 54 54 53 53 11 67 65 63 62 61 60 59 59 58 58 57 57 56 56 56 55 55 55 55 55 54 12 71 69 67 65 64 63 62 61 60 59 59 58 58 58 57 57 57 56 56 56 56 13 76 73 70 68 66 65 64 63 62 61 61 60 59 59 59 58 58 58 57 57 57 14 80 76 73 71 69 68 66 65 64 63 62 62 61 61 60 60 59 59 58 58 58 15 80 80 77 74 72 70 68 67 66 65 64 63 63 62 61 61 60 60 60 59 59 16 - 80 80 77 75 73 71 69 68 67 66 65 64 64 63 62 62 61 61 60 60 17 - - 80 80 77 75 73 71 70 69 68 67 66 65 64 64 63 63 62 62 61 18 - - - 80 80 78 75 74 72 71 69 68 67 67 66 65 64 64 63 63 62 19 - - - - 80 80 78 76 74 73 71 70 69 68 67 66 66 65 64 64 63 20 - - - - - 80 80 78 76 74 73 72 71 70 69 68 67 66 66 65 64 21 - - - - - - 80 80 78 76 75 73 72 71 70 69 68 68 67 66 66 22 - - - - - - - 80 80 78 76 75 74 73 71 70 70 69 68 67 67 23 - - - - - - - - 80 80 78 77 75 74 73 72 71 70 69 68 68 24 - - - - - - - - - 80 80 78 77 76 74 73 72 71 70 70 69 25 - - - - - - - - - - 80 80 78 77 76 75 73 73 72 71 70 26 - - - - - - - - - - - 80 80 79 77 76 75 74 73 72 71 27 - - - - - - - - - - - - 80 80 79 77 76 75 74 73 72 28 - - - - - - - - - - - - - 80 80 79 77 76 75 74 73 29 - - - - - - - - - - - - - - 80 80 79 78 76 75 74 30 - - - - - - - - - - - - - - - 80 80 79 78 77 76 31 - - - - - - - - - - - - - - - - 80 80 79 78 77 32 - - - - - - - - - - - - - - - - - 80 80 79 78 33 - - - - - - - - - - - - - - - - - - 80 80 79 34 - - - - - - - - - - - - - - - - - - - 80 80 35 - - - - - - - - - - - - - - - - - - - - 80 (Policy Term+1) 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 years to age 100 *excluding any premiums paid towards underwriting extra, rider/s benefit or service tax As a percentage 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 accrued regular bonuses Policy Policy Term Year 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 1 - 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: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Karnataka. BHOPAL Office of the Insurance Ombudsman, Xxxxx Vihar Complex, 2nd Xxxxx, 0, Xxxxxxx Xxxxx, Opp. Airtel Office, Near New Market, Bhopal – 462 003. Tel.: 0755 - 0000000 / 0000000 Fax: 0755 - 2769203 Email: xxxxxxxxxx.xxxxxx@xxxx.xx.xx Madhya Pradesh Chattisgarh. BHUBANESHWAR Office of the Insurance Ombudsman, 00, Xxxxxx xxxx, Xxxxxxxxxxx – 751 009. Tel.: 0674 - 0000000 /0000000 Fax: 0674 - 2596429 Email: xxxxxxxxxx.xxxxxxxxxxx@xxxx.xx.xx Orissa. CHANDIGARH Office of the Insurance Ombudsman, S.C.O. No. 101, 102 & 103, 2nd Floor, Batra Building, Sector - - - - - - - - - - - - - - - 2 - - - - - - - - - - - - - - - - - - - - - 4 5 4 4 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 5 6 5 4 4 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 6 8 6 5 4 4 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 7 9 8 6 5 4 4 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 8 11 9 8 6 5 4 4 3 3 2 2 2 2 2 2 2 2 2 2 2 2 9 13 11 9 8 6 5 4 4 3 3 2 2 2 2 2 2 2 2 2 2 2 10 16 13 11 9 8 6 5 4 4 3 3 2 2 2 2 2 2 2 2 2 2 11 19 16 13 11 9 8 6 5 4 4 3 3 2 2 2 2 2 2 2 2 2 12 23 19 16 13 11 9 8 6 5 4 4 3 3 2 2 2 2 2 2 2 2 13 28 23 19 16 13 11 9 8 6 5 4 4 3 3 2 2 2 2 2 2 2 14 33 28 23 19 16 13 11 9 8 6 5 4 4 3 3 2 2 2 2 2 2 15 40 33 28 23 19 16 13 11 9 8 6 5 4 4 3 3 2 2 2 2 2 16 - 40 33 28 23 19 16 13 11 9 8 6 5 4 4 3 3 2 2 2 2 17 – D, Chandigarh – 160 017. Tel.: 0172 - 0000000 / 0000000 Fax: 0172 - 2708274 Email: xxxxxxxxxx.xxxxxxxxxx@xxxx.xx.xx Punjab, Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh. CHENNAI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx Court, 4th Floor, 000, Xxxx Xxxxx, Xxxxxxxxx, XXXXXXX – 000 018. Tel.: 044 40 33 28 23 19 16 13 11 9 8 6 5 4 4 3 3 2 2 2 18 - 00000000 / 00000000 Fax: 044 - 24333664 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Tamil Nadu, Pondicherry Town and Karaikal (which are part of Pondicherry). DELHI Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Building, Asaf Xxx Xxxx, Xxx Xxxxx – 110 002. Tel.: 011 - 00000000/23213504 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx Delhi. GUWAHATI Office of the Insurance Ombudsman, Xxxxxx Xxxxxx, 5th Floor, Nr. Panbazar over bridge, S.S. Road, Guwahati – 781001(ASSAM). Tel.: 0361 40 33 28 23 19 16 13 11 9 8 6 5 4 4 3 3 2 2 19 - 0000000 / 0000000 Fax: 0361 - 2732937 Email: xxxxxxxxxx.xxxxxxxx@xxxx.xx.xx Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura. HYDERABAD Office of the Insurance Ombudsman, 6-2-46, 1st floor, "Moin Court", Lane Opp. Saleem Function Palace, A. C. Guards, Lakdi-Ka-Pool, Hyderabad - 500 004. Tel.: 040 - 00000000 / 00000000 Fax: 040 40 33 28 23 19 16 13 11 9 8 6 5 4 4 3 3 2 20 - 23376599 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Andhra Pradesh, Telangana, Yanam and part of Territory of Pondicherry. JAIPUR Office of the Insurance Ombudsman, Xxxxxx Xxxxx – II Bldg., Gr. Floor, Xxxxxxx Xxxxx Xxxx, Jaipur - 302 005. Tel.: 0141 - 2740363 Email: Xxxxxxxxxx.xxxxxx@xxxx.xx.xx Rajasthan. ERNAKULAM Office of the Insurance Ombudsman, 2nd Floor, Pulinat Bldg., Opp. Cochin Shipyard, M. G. Road, Ernakulam - 682 015. Tel.: 0484 - 0000000 / 0000000 Fax: 0484 40 33 28 23 19 16 13 11 9 8 6 5 4 4 3 3 21 - 2359336 Email: xxxxxxxxxx.xxxxxxxxx@xxxx.xx.xx Kerala, Lakshadweep, Mahe-a part of Pondicherry. KOLKATA Office of the Insurance Ombudsman, Hindustan Bldg. Annexe, 4th Floor, 4, C.R. Avenue, KOLKATA - 700 072. Tel.: 033 - 00000000 / 00000000 Fax : 033 - 22124341 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx West Bengal, Sikkim, Andaman & Nicobar Islands. LUCKNOW Office of the Insurance Ombudsman, 6th Floor, Xxxxxx Xxxxxx, Phase-II, Xxxxx Kishore Road, Hazratganj, Lucknow - 226 001. Tel.: 0522 - 0000000 / 0000000 Fax: 0522 40 33 28 23 19 16 13 11 9 8 6 5 4 4 3 22 - 2231310 Email: xxxxxxxxxx.xxxxxxx@xxxx.xx.xx Districts of Uttar Pradesh : Laitpur, Jhansi, Mahoba, Hamirpur, Banda, Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh, Jaunpur,Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur, Lakhimpur, Bahraich, Barabanki, Raebareli, Sravasti, Gonda, Faizabad, Amethi, Kaushambi, Balrampur, Basti, Ambedkarnagar, Sultanpur, Maharajgang, Santkabirnagar, Azamgarh, Kushinagar, Gorkhpur, Deoria, Mau, Ghazipur, Chandauli, Ballia, Sidharathnagar. MUMBAI Office of the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S. V. Road, Santacruz (W), Mumbai - 400 054. Tel.: 022 - 00000000 / 00000000 Fax: 022 - 26106052 Email: xxxxxxxxxx.xxxxxx@xxxx.xx.xx Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane. NOIDA Office of the Insurance Ombudsman, Xxxxxxx Xxxxx Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0000-0000000 / 2514252 / 2514253 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx State of Uttaranchal and the following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, Bulandshehar, Etah, Kanooj, Mainpuri, Mathura, Meerut, Moradabad, Muzaffarnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad, Firozbad, Gautambodhanagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli, Rampur, Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, Saharanpur. PATNA Office of the Insurance Ombudsman, 1st Floor,Kalpana Arcade Building,, Bazar Samiti Road, Bahadurpur, Patna 800 006. Tel.: 0000-0000000 Email: xxxxxxxxxx.xxxxx@xxxx.xx.xx Bihar, Jharkhand. PUNE Office of the Insurance Ombudsman, Xxxxxx Xxxxxxx Xxxx., 3rd Floor, C.T.S. No.s. 195 to 198, N.C. Xxxxxx Road, Xxxxxxx Xxxx, Pune – 411 030. Tel.: 000-00000000 Email: xxxxxxxxxx.xxxx@xxxx.xx.xx Maharashtra, Area of Navi Mumbai and Thane excluding Mumbai Metropolitan Region. Annexure 2- - - 40 33 28 23 19 16 13 11 9 8 6 5 4 4 23 - - - - - - - - 40 33 28 23 19 16 13 11 9 8 6 5 4 24 - - - - - - - - - 40 33 28 23 19 16 13 11 9 8 6 5 25 - - - - - - - - - - 40 33 28 23 19 16 13 11 9 8 6 26 - - - - - - - - - - - 40 33 28 23 19 16 13 11 9 8 27 - - - - - - - - - - - - 40 33 28 23 19 16 13 11 9 28 - - - - - - - - - - - - - 40 33 28 23 19 16 13 11 29 - - - - - - - - - - - - - - 40 33 28 23 19 16 13 30 - - - - - - - - - - - - - - - 40 33 28 23 19 16 31 - - - - - - - - - - - - - - - - 40 33 28 23 19 32 - - - - - - - - - - - - - - - - - 40 33 28 23 33 - - - - - - - - - - - - - - - - - - 40 33 28 34 - - - - - - - - - - - - - - - - - - - 40 33
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Samples: General
