Page 238 - Ebook health insurance IC27
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The Insurance Times
Consumers can appeal before the authorities if not satisfied with order
a. Before State commission - Appeal can be made against the order of district
forum within a period of 30 days, Subject to deposit a 50% of the amount awarded
or Rs. 25,000 whichever is less
b. Before National commission - Appeal can be made against the order of state
commission within a period of 30 days, Subject to deposit a 50% of the amount
awarded or Rs. 35,000 whichever is less
c. Before Supreme Court - Appeal can be made against the order of National
commission within a period of 30 days, Subject to deposit a 50% of the amount
awarded or Rs. 50,000 whichever is less
The district forum, the state commission or the national commission shall not admit
a complaint unless it is filed within two years from the date of which the cause of
action has arisen.
Q6. Write a note on Best practice survey on grievance redressal.
Ans. A best practice survey was carried out by CII Communication and Awareness
working group. These best practices have been circulated amongst the
insurance companies for their reference and for rating in terms of importance.
The best practice questionnaire was sent to all General Insurance practitioners,
of which only 40% had responded. There are some of the results noticed:
(i) Enhancement of adequate training facilities of agents,
(ii) Use of technology,
(iii) Reduction of post sales dissonance by providing clarity of information ,
grievance redressal system and service delivery against TATs.
242 Guide for Health Insurance