Individual insurance policyholders may soon have a better deal when it comes to addressing their grievances around deficiencies in services on part of insurers, agents, brokers, and other intermediaries.
This is because the latest amendments to the Insurance Ombudsman Rules, notified by finance ministry on Tuesday, has enlarged the scope of complaints to Ombudsmen from only disputes earlier to deficiencies in service.
The Department of Financial Services in the Finance Ministry has brought comprehensive amendments to the Insurance Ombudsman Rules 2017 with a view to improve the working of the Insurance Ombudsman mechanism to facilitate resolution of complaints regarding deficiencies in insurance services in a timely, cost effective and impartial manner.
Also now insurance brokers have been brought within the ambit of the Ombudsman mechanism, by empowering the Ombudsmen to pass awards against insurance brokers as well.
Under the amended rules, the timeliness and cost-effectiveness of the mechanism has been substantially strengthened. Policyholders will now be enabled for making complaints electronically to the Ombudsman and a complaints management system will be created to enable policyholders to track the status of their complaints online, an official release said.
Further, the Ombudsman may use video-conferencing for hearings. To enable access to relief through the Ombudsman mechanism even when there is vacancy in the office of a particular Ombudsman, provision has been made for giving additional charge to another Ombudsman, pending the filling of the vacancy, the release added.
A number of amendments have been made for securing the independence and integrity of the Ombudsman selection process, while also building in safeguards to secure the independence and impartiality of the appointed persons while serving as Ombudsmen. Further, the selection committee will now include an individual with a track record of promoting consumer rights or advancing the cause of consumer protection in the insurance sector.
The Ombudsman mechanism was administered by the Executive Council of Insurers, which has been renamed as the Council for Insurance Ombudsmen, the release added.