Delayed Insurance Claims: Court Ruling Provides Hope for Policyholders
Missed insurance claim submission deadline? Don't worry, you are still eligible for reimbursement. Here's why
The Economic TimesImage: The Economic Times
A recent ruling by the Bombay High Court allows policyholders to claim reimbursements even after missing the 90-day submission deadline. The court found that delays in paperwork should not invalidate legitimate claims, emphasizing that insurers must assess claims based on their merits rather than procedural technicalities.
- 01The Bombay High Court ruled that delays in insurance claim submissions do not invalidate legitimate claims.
- 02Insurers must assess claims on their merits, not just on procedural grounds.
- 03The ruling stems from a case involving a ₹1.13 lakh claim by C.P. Ravindranath Menon against United India Insurance.
- 04The Insurance Regulatory and Development Authority of India (IRDAI) supports fair treatment of policyholders regarding claim submissions.
- 05Policyholders are encouraged to escalate claims through internal mechanisms and regulatory bodies if denied.
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In a significant ruling on April 20, 2026, the Bombay High Court determined that delays in submitting health insurance claims do not automatically invalidate them. This decision arose from a case involving C.P. Ravindranath Menon, whose claims totaling ₹1.13 lakh were rejected by United India Insurance due to a delay beyond the stipulated 90-day submission period. The court ordered the insurer to reimburse the amount and pay interest at 6% per annum. Advocates argue that insurers cannot rely solely on internal timelines to deny claims, as such practices may infringe on policyholders' rights under Section 28 of the Indian Contract Act. The ruling aligns with the Insurance Regulatory and Development Authority of India's (IRDAI) guidelines, which discourage the rejection of claims solely due to delayed submissions. Although the judgment is a positive development for policyholders, experts caution that many insurers may still initially deny claims based on contractual terms. Policyholders are advised to utilize internal complaint mechanisms and escalate grievances through the IRDAI or insurance ombudsman if necessary.
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This ruling empowers policyholders to pursue legitimate claims without fear of automatic rejection due to submission delays, potentially leading to higher claim settlements.
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