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        Case ID :
        Corp. Laws, SEBI & IBC

        Complaint Resolution by Bima lokpal

        July 24, 2019

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        The Executive Council of Insurers (ECOI), established under the Insurance Ombudsman Rules, 2017 to set-up and facilitate the institution of Insurance Ombudsman in India, has informed that number of complaints (life and general insurance) received and resolved by Bima lokpal, Jaipur and Chandigarh during the period from 1stJuly 2018 to 30th June 2019 is as under-

        Bima Lokpal

        Complaints receivedduring 1.7.2018 to

        30.6.2019

        Complaints resolved during

        1.7.2018to 30.6.2019

        Details of complaints resolved

         

         

         

        Awards issued

        Withdrawal by the complainant

        Non-entertainable under the provisions of Insurance Ombudsman Rules 2017

        JAIPUR

        Life

        397

        377

        142

        37

        198

        General

        505

        456

        176

        41

        239

        Total

        902

        833

        318

        78

        437

        CHANDIGARH

        Life

        1631

        943

        123

        4

        816

        General

        925

        580

        72

        0

        508

        Total

        2556

        1523

        195

        4

        1324

         ECOI has also informed that:

        1. In terms of Rule 17(4) of the Insurance Ombudsman Rules 2017 “the Ombudsman shall finalise its findings and pass an award within a period of three months of the receipt of all requirements from the complainant.”
        2. In terms of Rule 16 (1) of the Insurance Ombudsman Rules 2017 “where a complaint is settled through mediation, the Ombudsman shall make a recommendation which it thinks fair in the circumstances of the case, within one month of the date of receipt of mutual written consent for such mediation and the copies of the recommendation shall be sent to the complainant and the insurer concerned”.

        This was stated by Shri Anurag Singh Thakur, Minister of State for Finance & Corporate Affairs in a written reply to a question in Rajya Sabha.

        Ombudsman timelines require awards within three months and mediation recommendations within one month after required submissions. Statistics for Bima Lokpal Jaipur and Chandigarh (1 July 2018-30 June 2019) show numbers of life and general insurance complaints received and resolved, with categories for awards, withdrawals, and non-entertainable matters. The statement highlights Rule 17(4), requiring finalisation and awarding within three months after receipt of all requirements, and Rule 16(1), requiring a mediation recommendation within one month of mutual written consent, with copies to complainant and insurer.
                          Cases where this provision is explicitly mentioned in the judgment/order text; may not be exhaustive. To view the complete list of cases mentioning this section, Click here.
                            Provisions expressly mentioned in the judgment/order text.

                                Ombudsman timelines require awards within three months and mediation recommendations within one month after required submissions.

                                Statistics for Bima Lokpal Jaipur and Chandigarh (1 July 2018-30 June 2019) show numbers of life and general insurance complaints received and resolved, with categories for awards, withdrawals, and non-entertainable matters. The statement highlights Rule 17(4), requiring finalisation and awarding within three months after receipt of all requirements, and Rule 16(1), requiring a mediation recommendation within one month of mutual written consent, with copies to complainant and insurer.





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                                ActsIncome Tax
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