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Insurance ombudsman cannot dictate terms of insurance policy renewal: Kerala High Court

The Court made the observation while dismissing an appeal filed by one, NS Gopakumar (appellant) who had taken a medi-claim insurance policy from the Oriental Insurance company.

Initially, the annual premium amount for this policy was ₹7,172. However, when the appellant sought to renew his policy in 2018, he was informed that the premium payment had been increased to ₹19,587.

Objecting to this hike, the appellant approached the insurance ombudsman with a complaint. Although the complaint was initially dismissed, the matter was reconsidered by the insurance ombudsman following orders by the High Court to do so.

Upon reconsideration, the ombudsman directed the insurance company to renew the appellant’s medi-claim policy at the original premium rates.

This decision was challenged by the insurance company before the Kerala High Court. A single judge of the High Court ruled in the insurance company’s favour. The appellant filed a review petition against the single judge ruling, which was also dismissed.

Subsequently, the appellant approached the Division Bench of the High Court with an current appeal.

Source: Barandbench

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