My humble request to all people who read this kindly let your society know this.Star health’s incurred claim ratio is 63% .That means they are charging 37 rs out of every 100 rs you pay as premium except tax. They should submit their performance statement to the irda frequently. Hence they cleverly cutting Money from each and every claim or clearly rejecting claims saying PED for maintaining the ICR at 63% . It is a carefully careless act. As per the law if customer has any complaints first they should forward it to the company. Now these guys are using it as an escape valve. If a customer is strong enough to go to all the way, they will settle the claim. They will reject many claims. But as you know, our country is underdeveloped and a huge number of people are uneducated or undereducated. Majority won’t complain.so, that money is their savings. Along with that these people will distroy the evidence intentionally. In the biginning with an intention to create a huge client base they had accepted every proposals without any underwriting. Hence the number of claims will be very high. But that isn’t the mistake of customer. Star health’s claim settlement ratio is 79.34% . That means out of every 100 claims they are rejecting 21 claims. In 2015, as per Mr Anand roy, star healths CSR was 93% .Then what happened within 5years.? All Indians suddenly became frauds.? These guys are cheating you people, realise. They had stolen my premium and team to silence me and torture me. That leads me not tohave premium enough to get my salaryeven after 8 years of hardwork. That leads me to commit suicide. when their vijilance people visited me I had informed them all the nasty things they are doing in office.Mr Jagannathan realised all their tricks are gonna out. He immediately sold out the company for 6500 crores.Their initial investment was only 600 crores. So, the profit is 5900 crores. He has saved his money, People don’t have any idea what the hell is going on. I have enough to say, but I think their is limit for letters in this platform. If anybody wants know more check on my Facebook profile ’sobha sobha’.Check the salary details.And realise where your money goes. I have been trying to speak up since sep 2017. But not any media willing to publish the issue. People should be careful. If anybody wanna know more please message or WhatsApp me to 974532xxxx
Some tricks: won’t issue acknowledgement letter while receiving claim form. Then they will remove MRI, x-ray films from claim form. After that they will ask for the films. You can’t give so that amount will be excluded.
Trick no 2: They amend the PED without the consent from customer even after 3rd year.
Trick no 3: silently promotes misselling.
Trick no 4:Rejects claim saying PED
I would like to say one of my experience. One of my agents customer, has a family optima policy, with a family size 1A+1C. Her son has RTI (respiratory tract infection).star heal has paid 2 or 3 times it’s claim in the previous years.I am a not a marketing personal, who only sale, I always advice and remind my agents and customers to keep a file on their medical insurance. I have asked this once agent the same and fortunately she kept all papers given to her. In 2013 her son had admitted for the same diease. we did the intimation, but cashless denied. When she called me I advised her to meet me in the office along with all documents especially the paper given to them while paying the previous claim for the same diease. She has came and I have filled all details as well as attached all the docs. Then we submitted it in the office. Since I have joined in the company I have continued to ask them for acknowledgement letter while submitting the claims. But they showed me their faces. After 3 weeks the child had hospitalised once again. That also had denied, she has come to office with the claim form. While she was sitting in front of me, one officerMr Nandakumar has called her and informed her her claim has rejected because it is pre existing.She has given the phone to me, I have talked him.He repeated the same reason. I talled him that I am talking to him sitting in front of the document which has been issued by the company to her while settling her previous claim for the same disease. For a while he became speachless and asked me to sent it along with a letter.I told him I have already sent it along with the claim form. But his tone has changed and he ordered me to sent it once again. I have sent it and both the claims have settled.
"SUCH POLICIES WILL BE CONSIDERED AS NULL AND VOID AB INITIO, ON THE GROUND OF SUPPRESSION OF METERIAL FACTS". This is the LAW WORDINGS ABOUT INFORMATION PEOPLE HAS GIVEN IN THE PROPOSAL FORM. WHETHER YOU HAVE FORGOTTEN TO SAY WHILE THE PROPOSAL FORM HAS WRITTEN, OR THE AGENT DIDN’T ASKED YOU, OR THEY DIDN’T HAVE WRITTEN IT IN THE PROPOSAL FORM TO SUPPRESS IT TO CONTRACT IT FOR COMMISSION, OR INSURANCE COMPANY USES IT FOR INCREASE THEIR INCOME. IF YOU CASE GOES TO THE COURT AND THE PREE EXISTING CONDITIONS AREN’T MENTIONED IN THE PROPOSAL FORM AND YOUR DOCUMENTS. THIS WILL BE THE FINAL WORDS. COMPANIES CLEVERLY USES IT TO REJECT CLAIMS. I AM REALLY SAD ABOUT THIS CHEATING.SO BE CAREFULL.
I HAD MORE THAN 70 AGENTS, MAJORITY OF THOSE PEOPLE ARE CONCERNED ABOUT THEIR COMMISSION. IF I SAY "NO" I HAD BEEN THEIR ENIMY. TOP OFFICIALS ARE ALL SUPPOTIVE TO THEM AND INSULTED ME. HENCE MY PEOPLE PLEASE BE CAREFULL, ONLY YOU CAN SAVE YOURSELF. I HAVE APPROCHED ALL THE MEDIA’S IN KERALA AND EVEN THE KERALA GOVERNMENT. ADD INTERESTS AND MONEY MATTERS THAN SOCIETIES WELL BEING. HENCE I WROTE HERE. INFORM YOUR LOCAL SOCIETY AND KEEP AWAY FROM THIS GUYS.