Dr.Thomas (Special Correspondent)
C
oncerns Over Insurance Claim Denials:A Call for Regulatory Action
Insurance companies are increasingly under scrutiny for what some describe as professional tactics to avoid paying out claims,despite collecting substantial premiums from policyholders each year.
These companies often cite technical reasons to deny coverage, leaving customers frustrated and financially burdened.
Among the most debated offerings is a policy advertised with an appealing tagline:coverage for all pre-existing illnesses after a waiting period of two or three years.
While this promise attracts many consumers,the reality of claiming benefits can be far less straightforward.
The design of these policies has been called into question as potentially misleading.Companies collect significant premiums with the assurance of future coverage,yet they frequently find ways to reject claims when the time comes.
A recent incident involving TATA AIG,a prominent insurance provider, exemplifies this issue.In this case,a policyholder disclosed all existing illnesses when purchasing the policy.
Three years later, when the individual was admitted to the hospital, their claim was denied.The reason?.
The pre-existing conditions were not entered into the company’s system—a technicality that nullified the coverage.
Such denials,critics argue, are not accidental but part of a deliberate strategy.By relying on simple oversights or procedural loopholes,insurance companies can evade their obligations while continuing to profit from premiums.
This raises serious concerns about transparency and accountability in the insurance industry.For the affected policyholder,what seemed like a safety net turned into a source of betrayal after years of dutiful payments.
This is not an isolated incident but a pattern that demands attention.The government and insurance regulatory authorities must step in to investigate these practices and ensure that companies honor their commitments.
Policies should be clear,fair,and designed to protect consumers—not to exploit them through technical excuses.
Until stronger oversight is in place,customers remain vulnerable to a system that appears to prioritize profits over promises.
When employees aim to achieve their sales targets,they promise and convince customers.However,when customers need to communicate especially during hospital admissions or claim denials the employees become unreachable,and there is no way to contact them.
