Bombay High Court strikes down health insurance forfeiture for late document submission — insurers must pay

A simple late invoice date can’t erase your claim
A Bombay High Court ruling has protected policyholders whose health insurance claims were rejected only because documents were submitted after a 90-day deadline. In the case of C.P. Ravindranath Menon and his wife, United India Insurance refused reimbursement of ₹1.13 lakh for domiciliary and OPD-related expenses during the policy period. The court held that clauses extinguishing rights due to procedural delay are void under Section 28 of the Contract Act, ordering payment within eight weeks plus 6% interest. Insurers may appeal to the Supreme Court.
- Bombay High Court ruled against rejection for delayed document submission
- The dispute involved ₹1.13 lakh for policy year 1 April 2021 to 31 March 2022
- Insurer cited a 90-day cut-off for bill submission under policy terms
- Court relied on Section 28 of the Contract Act and related Supreme Court reasoning
- Order required reimbursement within eight weeks plus 6% annual interest
- IRDAI rules caution insurers against closing claims just for delayed filings
This summarization was done by Beige for a story published on
The Economic Times
