Free mock test

What you should do if your insurance claim is rejected? Ask any Questions on Insurance Dispute and settlement

50

Top Questions on Insurance Claims, Complaints and Dispute Resolutions


Q1. In which office of IRDAI, an aggrieved Policy Holder can lodge a complaint against an Insurance Company?


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Q2. Advice us the time limit within which, an aggrieved Policy Holder should approach a Court of Law against the decision of an Insurance Company?


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Q3. Who is the officer that is required to be appointed by all Insurance company, to independently deal with all policy holder's complaint?


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Q4. Who is and what is Nodal Officer, that is required to be designated by all Insurance Company in India, and what is his role in dealing with customer complaint?


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Q5. A Policy holder failed to submit his grievance with an ombudsman within the stipulated time of 1 year, what you can suggest him, as next best option?


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Q6. What are the legal matters, that an Lok Adalat, can deal with?


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Q7. What is the maximum amount of claim, that can be awarded by ombudsman, in case of a grievance frm a policy holder?


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Q8. If a policy-holder wishes to file a complaint with national commission, then what is the amount of fees, payable by him or her?


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Q9. Where a policy holder can lodge complaint in IRDAI office?


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Q10. Where an appeal can be lodged, against the decision of Court of Small causes?


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Q11. Can an Arbitrator may pass an onder ex-parte?


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Q12. Which are the Courts for adjudiction of industrial disputes?


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Q13. Can a foreign Arbitration Award enforced in India?


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Q14. Please give details of various Consumer Dispute Redressal agencies set-up in India under the Consumer Protection Act, 2019


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Q15. What the rights that can be protected under Consumer Protection Act, 2019


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Q16. What are the cases that can be referred to Lok Adalat?


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Q17. What will an Policy holder can do, if his request for assignment of an Insurance Policy is reejected by his Insurance Company?


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Q18. What do you mean by Alternative Dispute Resolution (ADR)?


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Q19. Can a party to the dispute, challenge an Arbitration Award, that goes against him and if yes, where?


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Q20. How many Arbitrator need to be appointed?


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Q21. What is conciliation of dispute?


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Q22. In which dispute redressal mechanism, advocates are not allowed to represent the complainant?


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Q23. Give atleast 1 option, where a policy holder can approach to settle the matter with Insurance Company, for settling dispute, out of the Court?


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Q24. Name the tribunal for handling Insurance dispute matters.


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Q25. How Arbitration can help settling Insurance Dispute matters?


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Q26. Can a foreign body or a foreigner, appointed as an Arbitrator to settle an Insurance Dispute case?


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Q27. Discuss the history of Lok Adalat.


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Q28. Trace-out the earliest evolution of Arbitration process in India


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Q29. Unsatisfied from which Court, an individual can go to the Supreme Court?


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Q30. What is the Court fee required to initiate a case in Lok Adalat?


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Q31. What is the fee payable for Arbitration, when the sum in dispute is Rs. 5 Lakh.


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Q32. How and where Insurance Omnbudsmans are appointed?


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Q33. Can and on which grounds, an Arbitration Award, can be challenged?


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Q34. List the name of bodies/machineries that may organise Lok Adalats in India:


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Q35. Who conducts Lok Adalats in India?


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Q36. Who is considered as father of Lok Adalat?


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Q37. Where you can file an appeal if you are not serviced with the information/documents sought under RTI Act?


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Q38. Does Ombudsmans recommendations or award is final and bound to an Insurance Company?


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Q39. Lok Adalats have been given statutory status under the ______


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Q40. If the insurer become insolvent, what is the first line of option available to an insured?


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Q41. Which stand an insurance company will take, if there is dispute over the claim between two or more parties?


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Q42. Who cannot be a claimant in case of a claim in a Life Insurance Policy?


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Q43. What is the stipulated period, within which, a claim under a Life Assurance Policy, shall be paid by an insurance company?


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Q44. Which one of the following, is a Central Repository of insurance grievance data?


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Q45. What is the fee amount required to file a complaint with a Consumer Court?


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Q46. Information sought under RTI Act, need to be furnished by respective authority within ___


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Q47. What is the procedure to sought information under RTI Act, from public authorities of the Governemnt of India or the State Government?


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Q48. How many years old information can be asked under the Right to Information Act 2005?


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Q49. A duplicate Policy document shall be furnished at request by the Insurance Company within _______


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Q50. What is the fee for getting information under RTI Act?


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Q51. How incontestable clause helps a policy holder?


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Q52. What to do if an insurer denies renewal of a policy?


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Q53. Can a policy taken under Married Women's Property (M.W.P.) Act, be surrendered?


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Q54. Which Life insurance is considered as the best tool to protect the dependent family members.


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Q55. Can I assign a policy taken under MWP Act 1874.


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Q56. Who is an Annuitant?


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Q57. What is Annuity?


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Q58. Is Annuities are insurance contract?


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Q59. What are the factors that determines the Annuity Value?


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Q60. If the Life-Assured had been missing, what is the additional document required to be submitted for settlement of claim?


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Q61. You being an insurance agent, has been approached by a person who is nearing retirement. What kind of annuity plan you should suggest him?


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Q62. In annuities, when annutization starts ?


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Q63. Can a Member/s who exit a group insurance because of retirement/resignation continue the insurance plan of his own name?


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Q64. How the sum insured is determined for each member in a group life policy?


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Q65. What is Free cover limit in Group Life Plan?


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Q66. In annuities, when annutization starts ?


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Q67. One of the criteria used in underwriting Group life policy is "Active-at-Work" what does it means?


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Q68. Which one is cheaper Group Life Policy or Individually sponsored Life Policy?


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Q69. Is gratuity become payable in case of dismissal of employment, fraud, theft, assault, rape, or molestation.


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Q70. Where or in which organisation Payment of Gratuity Act, 1972 is mandatorily applicable?


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Q71. Is gratuity is taxable?


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Q72. What is correct formula for gratuity calculation?


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Q73. In what type of Pension Scheme, the pension amount is known before-hand and does not effect due to volatility in the market?


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Q74. Does Top-Ups in ULIP will also attract Lock-in-Period of 5 years?


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Q75. What will happen if a ULIP Holder fails to pay premium in a year?


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Q76. With regards to ULIP, what does "Premium-Holiday" means?


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Q77. What is Net Asset Value (NAV) in ULIP?


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Q78. What is correct formula to calculate Total Fund Value?


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Q79. How Unit Price in ULIP is calculated in Expropriation Method?


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Q80. Does ULIP declare bonus?


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Q81. What happen if you fail to pay a premium in ULIP within stipulated time?


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Q82. Can Discounted ULIP can be revived?


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Q83. When is the Proposer is generally required to provide Age-Proof?


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Q84. What are usual Policy conditions in a Insurance Policy


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Q85. Is there a chance of getting the insurance claim in case of policy for which premium payment has been stopped?


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Q86. If a proposal received from a person with terminal cancer, what will usually be response of an underwriter


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Q87. Which one is cheapest form of Life Insurance?


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Q88. Does Subrogation principle applies in Life Insurance?


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Q89. When a Policy lapses, who gets benefited?


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Q90. What is special Revival Scheme (SRV)?


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Q91. Which policies, usually does Not have loan facility?


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Q92. What is Bancassurance?


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Q93. In what situation, fore-closure of a life insurance policy can be initiated by the Insurer?


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Q94. In case of un-natural death or accidental death, what additional documents required to be submitted for claim process?


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Q95. If an insured wants to cancel a policy, what documents required to submitted?


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Q96. Intimation of death need to be given within how many days of death of the insured?


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Q97. What is Settlement Option in Life Policy?


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Q98. What is usual death claim settlement ratio in India?


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Q99. When a claim is considered as Early Death Claim? And how such cases are considered by an Insurance company?


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Q100. Can I take insurance on the life of my parents even if they are not dependent to me?


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