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B009🏦 Banking & Finance

Health insurance claim delayed beyond 30 days

What you need to know

Under IRDAI regulations, insurers must settle health insurance claims within 30 days of receiving all documents. Delays beyond 30 days attract interest at 2% above bank rate.

Your rights

1

Claim settlement within 30 days of document submission

2

Interest on settlement delayed beyond 30 days

3

IRDAI complaint for delay

4

Insurance Ombudsman complaint

What you should do now

Action first
1

Submit complete documents and track the 30-day clock

  • Ensure all required documents are submitted — get written acknowledgment with date
  • 30-day clock for settlement starts from this date
2

If not settled within 30 days

  • File complaint with Insurance Ombudsman — delay beyond 30 days entitles you to interest

Acts applicable

IRDAI Health Insurance Regulations 2016

central

Claim settlement within 30 days of document receipt

Where to complain

Consumer complaint portal: e-jagriti.gov.in (replaced edaakhil.nic.in as of Jan 2025). Labour complaints: col.gujarat.gov.in. All links verified June 2026 via web search against official government sources.