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Insurance Ombudsman Report 2023-24: Health Insurer Complaints

4 September 20251 min read
REPORTS & INDEXESInsuranceOmbudsman Report2023-24: HealthInsurer Complaints4 September 2025safalsetu.com

Why in the news

More policyholders approached the Ombudsman over delayed or rejected health claims.

Key facts

InsurerComplaints
Star Health & Allied13,308
CARE Health3,718
Niva Bupa Health2,511
National Insurance / New India (public)2,196 / 1,602

Internal Ombudsman (IRDAI)

  • Settles claims up to ₹50 lakh inside the insurer; covers complaints unresolved after 30 days or rejected.
  • Excludes cases already before a court, consumer forum or Ombudsman.
  • Concern: it reports administratively to the MD/CEO, raising impartiality doubts.

Test yourself

1. Which insurer recorded the most complaints in the CIO 2023-24 report?

Star Health had 13,308 complaints.

2. Up to what claim value does the IRDAI internal ombudsman initiative cover?

It resolves complaints for claims up to ₹50 lakh.

3. What do the top three complaint-drawing insurers in the 2023-24 CIO report have in common?

The report observed all three are stand-alone health insurers.

This topic is part of Daily Current Affairs 3 September 2025 (15 topics).

All topics of the dayDay quizSeptember 2025

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