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Namaste, Rajesh

2 cases · 1 active · 1 resolved

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Every rejected claim deserves a second, legal opinion.

IN-2026-0147 · Filed 12 May 2026

Star Health & Allied Insurance — ₹4,80,000

Policy SH-88214-GJ · Ground: Pre-existing condition (health)

Strong · 82/100

Current forum

Insurance Ombudsman, Ahmedabad

Next date

4 Aug 2026

Your lawyer

Adv. Manasvi Thapar

12 May 2026
Case registered & documents verified
Policy, rejection letter and discharge summary uploaded. KYC completed via DigiLocker.
13 May 2026
AI triage — Strong case (82/100)
Rejection cites a pre-existing condition outside the policy's waiting period. Contestable under IRDAI PPHI Regulations 2024. Lawyer confirmed.
15 May 2026
Legal demand notice served
Notice sent by registered email and courier demanding settlement of ₹4,80,000 with 18% interest within 15 days.
2 Jun 2026
IGMS complaint escalated
Insurer's reply unsatisfactory. Complaint escalated on IRDAI Bima Bharosa; SLA triggered.
24 Jun 2026
Ombudsman complaint filed
Complaint filed before the Insurance Ombudsman, Ahmedabad. Awaiting hearing.
4 Aug 2026
Ombudsman hearing
Personal hearing listed. Adv. Thapar will appear with the claimant.