[Resolved]  Icici Lombard — Rejecting policy

I have submitted a proposal for family floater policy of ICICI Lombard through an agent, same day i paid the amount by Cheque for Rs. 16822/- for 2 year premium, after 25 days i got a cheque for Rs. 16822/- and a letter it shows my policy is cancelled. I don’t know with out approving a proposal how they can cancel it. After 5 days again i got a letter from ICICI Lombard that my policy is cancelled because Renal Failure of Spouse.

It is clearly mentioned in ICICI Lombard family floater plan that


Exclusions valid for the first 2 Years by ICICI Lombard

Treatment of the following diseases/illness/ailments
Cataract, Benign Prostatic Hypertrophy, Myomectomy, Hysterectomy unless because of malignancy, Hernia, Hydrocele, Fistula in Anus, Piles, Arthritis, Gout, Rheumatism, Joint replacement, unless due to accident, Sinusitis and related disorders, Stone in the urinary and biliary systems, Dilatation & Curettage, Skin and all internal tumors / cysts / nodules / polyps of any kind, including breast lumps, unless malignant / adenoids and hemorrhoids, Dialysis required for chronic renal failure, Surgery on tonsils, adenoids and sinuses and Gastric and duodenal ulcers.

If the Policy is renewed with us for two consecutive years, the above diseases/illness/ailments ( Dialysis required for chronic renal failure) will be covered from the 3rd year. If these are pre-existing diseases at the time of inception of the policy, the same will be covered from the 4th year onwards.

Permanent exclusions

Any illness/ disease/ injury/ pre-existing disease before the inception of the policy. However, this exclusion ceases to apply if the policy is renewed with the Company for 4 consecutive years (If they reject a policy like mine on the basis of renal failure for spouse then how can it be renewed for 4 consecutive years)

Any pre-existing illness - The claims arising on account of or in connection with any Pre-existing illness as defined in policy shall be excluded from the scope of cover under the policy until 48 months of continuous coverage have elapsed, since inception of the first individual health policy with the company

It is clearly mentioned in the website and brochure clearly that At the inception of policy Pre existing disease/ illness like Dialysis required for chronic renal failure will not be covered and the same will be covered form the 4th year onwards.

Please help me with a solution to get a mediclaim policy for my family.
Was this information helpful?
No (0)
Yes (0)
Aug 14, 2020
Complaint marked as Resolved 
Complaint comments 

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    code
    By clicking Submit you agree to our Terms of Use
    Submit
    ICICI Lombard
    customer care contact
    Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good a company is at responding and resolving complaints by granting from 1 to 5 stars for each complaint and then ultimately combining them all for an overall score.
    Read more
    73%
    Complaints
    1318
    Pending
    0
    Resolved
    941
    ICICI Lombard Phone
    1-800-209-8888
    1-800-2666
    ICICI Lombard Address
    ICICI Lombard House, Old Tata Press Building, Near Siddhivinayak Temple, 414, Veer Savarkar Marg, Prabhadevi, Mumbai, Maharashtra, India - 400025
    View all ICICI Lombard contact information