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A. P. SAHI, BHARATKUMAR PANDYA
Prasouk Jain – Appellant
Versus
Niva Bupa Health Insurance Co. Ltd. – Respondent
ORDER :
This complaint has been filed alleging deficiency and unfairness on the part of the Insurance Company on the ground that the increase of premium during renewal has seen a hike of almost 93% over four years and these hikes are arbitrary compelling the complainant and other similar policy holders to pay an increased premium, which is being done under protest for the sake of continuity of the coverage.
2. It is also alleged that the aforesaid increase is contrary to the 10% cap provided for the senior citizens, which according to the complainant is contrary to the IRDAI circular dated 30.01.2025 and therefore non compliance thereof is yet another unfair trade practice on the part of the Insurance Company.
3. It is urged that the aforesaid conduct of the Insurance Company severely\affects, particularly the senior citizens and therefore this complaint alleging unilateral and arbitrary increase in renewal premium, which is not only unreasonable, but is also violative of the IRDAI regulations that deserves to be taken notice of and calling upon the Insurance Company to answer this complaint.
4. The contention is that the abrupt escalation and unprecedented and unlawful demands affe
(1) Shift in Pecuniary Jurisdiction Criteria – Under the 2019 Act, jurisdiction is no longer based on the “value of the claim” (the total amount of money the consumer is asking for). Instead, it is s....
Manifestly clear that since value of the service paid as consideration does not exceed Rs. 10 crores, this complaint does not come within the pecuniary jurisdiction of this Commission.
The jurisdiction of consumer commissions is determined solely by the value of consideration paid, not potential claims or compensation.
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