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HEALTH INSURANCE CLAIM REJECTION CASES
Tata AIG rejected ₹30 lakh accidental death claim citing alcohol consumption by the insured pensioner; here’s why family won the caseA family's claim for accidental death insurance was rejected by Tata AIG due to alleged alcohol influence at the time of an accident. Howev...- US SEC seeks to close Elon Musk, Tesla settlement fundIn a filing in Manhattan federal court, the SEC asked a federal judge to close the Fair Fund, created after Musk settled the SEC case in 20...
- Health insurance claims: How the moratorium clause protects you after five yearsCutting through money jargon, one topic at a time. This week, Preeti Kulkarni explains how the moratorium clause in health insurance protec...
- Group health insurance claims: 5 common claim deductions and disputes employees should know aboutMost group plans cover pre-existing diseases from day one, and individual employees are not medically underwritten. Barring a few exception...
- Healthcare needs stronger partnerships between hospitals and insurersAditya Birla Health Insurance CEO and Manipal Hospitals MD-CEO argue that India's healthcare system must move beyond transactional relation...
- 81-year-old Bengaluru CA helps 8 companies send Rs 200 crore overseas, seeks protection from arrest after tax evasion probe, blames staff misused his digital signatureAn 81-year-old Bengaluru chartered accountant allegedly issued 163 Form 15CB certificates for eight companies involved in foreign remittanc...
- Go Digit posts 31% dip in net profit to Rs 142 croreThe company’s management had previously noted that in the last five years there has been no increase in third-party motor insurance rates, ...
- Travel insurer says no to toenail injury treatment of 62-year-old woman injured during US visit; court orders company to reimburse over Rs 89,000 for treatment in United States and pay Rs 30,000 as compensation for mental harassmentA 62-year-old woman successfully challenged her travel insurer after it denied reimbursement for a toenail injury. She sustained the injury...
- Insurance agent deposits Rs 35 lakh cash collected from policyholders in his bank account, gets tax notice; he fights and wins in ITAT JaipurPolicyholders gave Rs 35 lakh cash as insurance premiums which agent deposited in his bank a/c; Income Tax Dept sent agent notice for unexp...
- Planning robotic surgery? Your health insurer may pay only 50% of the hospital bill: Know what to checkRobotic surgery is increasingly covered by health insurance in India, but not without complications. Despite having a high sum insured, pol...
- How digital distribution shifts the balance of power towards the customerThe insurance sector grapples with pressing issues like mis-selling and customer complaints, which hinder the efficacy of policies. However...
- Should my OCI son continue his Indian health insurance policy or take a new one?ET Wealth Reader's Query: My son recently became an Overseas Citizen of India (OCI). Earlier, he had insurance coverage in India. Should he...
- The business of running a hospital: Balancing profitability, patient trust and scaleA hospital’s financial health depends on more than occupancy and revenue, requiring a careful balance of cost control, cash flow and patien...
- Does Snapchat cause depression, anxiety, eating disorders? A court trial that tells bold story against social media platformsSocial media companies face thousands of lawsuits in federal and state courts brought by individuals, school districts, municipalities and ...
- State-run general insurers to submit turnaround plansState-run general insurers must submit board-approved plans to the government for reducing unprofitable business segments. The government a...
- Meta settles with teen during trial testing claims social media caused depression, eating disordersMeta Platforms has settled with a teen plaintiff who accused the company of designing Instagram and Facebook to be addictive, causing her m...
- Bengaluru man buys health insurance for parents, pays premiums for three years, mother undergoes treatment but insurer rejects claim, gets relief in consumer courtA Bengaluru man who spent Rs 3.13 lakh on health insurance policies for his parents disputed Star Health's rejection of his mother's medica...
- Tree fell on their US home, but why did insurance reject their $85,000 claim? A court ruling reveals the costly mistake behind the disputeA tree damaged the Cains family's home, but their fight for nearly $86,000 in repairs ended in disappointment. State Farm disputed the cost...
- Health insurance claim settlement: Which insurers are fastest at paying approved claims?According to data from ILM Research (previously known as Beshak Research), 15 of 31 non-life insurers paid out over 95% of their approved h...
- ₹10 lakh dengue health claim rejected over 2-year waiting period for a spinal disc condition; here’s why the policyholder wonA significant ruling by the Delhi State Consumer Disputes Redressal Commission found in favor of a policyholder whose dengue hospitalisatio...
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