Bima Samadhan: Trusted for Insurance Grievance & RTI: Unmasking the Insurance Mystery: A Doctor's Fight for Fairness

Thursday, 28 September 2023

Unmasking the Insurance Mystery: A Doctor's Fight for Fairness


A Doctor's Quest for Fair Insurance:

In the bustling landscape of India, where dreams of owning a home are woven into the fabric of life, a determined female doctor embarked on a journey that would reveal the complexities of insurance. This is the compelling narrative of her unwavering pursuit of justice and transparency in the intricate world of Indian insurance.

Introduction:

Life's milestones often begin with a dream, and for many, owning a home in India is a cherished aspiration. In August 2019, a dedicated female doctor took the first step toward this dream by applying for a home loan from Bajaj Housing Finance Ltd (BHFL). What started as a straightforward process soon transformed into a labyrinthine odyssey, unveiling a web of insurance intricacies that would test her resolve.

The Journey Begins:

The story unfolded with an innocuous email from BHFL, presenting the terms and conditions of the home loan. All that was required was a simple "OK" to proceed. Unbeknownst to her, concealed within those terms was a surprising revelation—a substantial insurance premium of ₹13 lakhs. This insurance had been quietly added without prior notice, an unexpected cost of her loan. Driven by her need for the loan, she reluctantly gave her consent via email.

As the tale continued, she encountered an unexpected twist. Despite meticulously submitting all the necessary documents, BHFL inexplicably declined the loan, withholding her processing fee. Undaunted, she championed the cause for a refund of the unjustly forfeited fee, leading to a fresh housing loan offer without any processing fee, funded by the amount she had previously paid.

The Plot Thickens:

Then, in February 2020, another email arrived, this time from a Bajaj Finance executive. It offered a loan, but with a caveat—a processing fee of ₹6,22,500. When she questioned this fee, she was told it wasn't for processing but was, in fact, an insurance premium for the "Bajaj Suraksha" product, supposedly mandatory for the housing loan.

Here's where the narrative takes an intriguing turn. No one had taken the time to explain this insurance product to her. No proposal form had been completed or authorized, and the subject of premiums remained unaddressed. It seemed as though this insurance had materialized out of thin air.

The Unveiling:

Soon, she stumbled upon an unsolicited loan of ₹6,37,502 in her name, stealthily debited as a processing fee for financing the "Bajaj Suraksha" product. This loan was linked to a separate account, confirmed through a WhatsApp conversation that revealed its sole purpose was to finance the insurance premium.

In November 2020, she decided to close her home loan due to transparency concerns. To her astonishment, there would be no refund for the loan linked to "Bajaj Suraksha." She reluctantly paid ₹6,10,354 for account closure, on top of the eight EMIs she'd already paid.

A Call for Justice:

But she wasn't one to surrender easily. She raised concerns about the undisclosed insurance policy through various channels with BHFL, receiving inconsistent responses. Some cited the expiration of the free-look period, while others argued that only ₹1 had been disbursed, with the remaining ₹6.37 lakhs categorized as a "Processing fee" for the "Bajaj Suraksha" insurance product.

Multiple complaints were filed with Bajaj Allianz Life Insurance (BALIC). Initially, assistance was denied, but later, they agreed to policy surrender and provided the surrender value. However, they refused to disclose the actual premium received for the insurance and its current surrender value.

The Quest Continues:

This complex and frustrating journey led her to submit a comprehensive complaint, raising questions about the issuance of an insurance policy without authorization, the absence of a medical examination for a substantial sum assured, and the non-disclosure of policy documents.

A Message to Others:

In a world where consumer rights and financial transparency are paramount, her unwavering quest for justice serves as a powerful reminder of the need for strict regulatory oversight and accountability in the Indian insurance industry. Her determination to seek clarity and fairness resonates with all who value transparency and fairness in financial transactions.

And to others facing similar situations, "Be vigilant, ask questions, and stand up for your rights. Let her journey be a lesson in insurance fairness for all."

Disclaimer: The blog is based on the written complaint, supported by evidence submitted by the victim to the insurers. There is no intention to defame anyone named in this blog. The insurers are also victims in such cases, and we highlight these cases just to make others aware of prevalent frauds.

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