Bombay High Court Rules Against Time Limits on Health Insurance Claims
Insurance companies can't time bar health claims: Bombay HC
The Economic TimesImage: The Economic Times
The Bombay High Court ruled that insurance companies cannot deny health claim reimbursements solely based on time limits specified in policies. This decision, made on April 20, 2023, mandates that United India Insurance Company reimburse ₹1.13 lakh to a claimant within eight weeks, setting a precedent for future claims.
- 01The Bombay High Court ruled that time-bar clauses in insurance policies are void.
- 02Insurance companies cannot reject claims based on procedural delays.
- 03The ruling applies to both group and individual health policies.
- 04Claimants are entitled to reimbursement regardless of the time limits set in policies.
- 05Legal experts view this as a significant change for policyholders' rights.
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On April 20, 2023, the Bombay High Court issued a landmark ruling stating that insurance companies cannot reject health claim reimbursements solely based on the expiration of time limits outlined in their policies. The court directed United India Insurance Company to reimburse ₹1.13 lakh (approximately $1,400 USD) to CP Ravindranath Menon within eight weeks, along with annual interest at 6% from the date the claim became due. The insurance company had previously denied the claim, arguing it was time-barred as the policy required claims to be filed within 90 days. However, the court deemed such restrictions void under Section 28(b) of the Indian Contract Act, emphasizing that policyholders should not be penalized for procedural delays when they are entitled to benefits. This ruling is expected to provide clarity and protection for numerous policyholders, as it prioritizes their rights over arbitrary administrative deadlines, according to legal experts.
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This ruling empowers policyholders by ensuring they can claim legitimate medical expenses without fear of rejection due to time limits, potentially increasing trust in insurance providers.
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