Legal Updates 10 August 2026
Insurer Rejects Surgery Claim
A consumer forum ordered Niva Bupa Health Insurance Ltd to pay Rs 2.65 lakh to a woman, ruling that insurers can't restart waiting periods after a policyholder has already served the waiting period for a specific condition, in this case an ovarian cyst surgery, the woman had filed a complaint against the insurer for rejecting her claim citing a waiting period, the forum ruled in her favor stating that the insurer's decision was unfair and ordered them to pay the claimed amount along with interest
A woman has won a case against *Niva Bupa Health Insurance Ltd* after the insurer rejected her claim for ovarian cyst surgery citing a waiting period.
The consumer forum ruled that the insurer's decision was unfair and ordered them to pay the claimed amount of Rs 2.65 lakh along with interest.
- The woman had filed a complaint against the insurer for rejecting her claim for the surgery,
- The insurer had cited a waiting period for the claim,
- However, the forum ruled that the insurer cannot restart waiting periods after a policyholder has already served the waiting period for a specific condition
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