Health insurance claims not contestable after 8 years of premium payment

FCS Deepak Pratap Singh | Last updated: 16 November 2023

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New guidelines from the IRDAI state that health insurance claims cannot be contested by insurers after a policyholder has paid premiums for eight continuous years. This 'moratorium period' aims to simplify claim settlements. However, insurers can still contest claims if fraud is proven or if the claim relates to permanent exclusions specified in the policy contract.

As you are aware that Section 45 of the Insurance Act, 1938 provides that Policy not to be called in question on ground of mis-statement after two years. No policy of life insurance effected before the commencement of this Act shall after the expiry of two years from the date of commencement of this

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About the Author

FCS Deepak Pratap Singh

Associate Vice President - Secretarial & Compliance (SBI General Insurance Co. Ltd.)

Dear Friends, MyselfFCSDeepak P. Singh ( B.Sc.. LLB, FCS. FIII, CIAFP, CRMP, ID) , A Fellow Member of ICSI, Law Graduate ,Fellow Member of Insurance Institute of India, Certified Independent Director ,Certified Insurance Anti Fraud Professional , Certified Risk Governance Professional ( ICSI-III) and cleared Limited I ... Read more

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