How to File a Complaint for a Mis-Sold Insurance Policy_ A Step-by-Step Guide
                     How to File a Complaint for a Mis-Sold
Insurance Policy: A Step-by-Step Guide
Have you ever felt duped after purchasing an insurance policy? Perhaps you were promised
returns that never actually became a reality, or the policy features weren't what the agent 
described. If you've been a victim of a mis-sold insurance policy, you're not alone—and more 
importantly, you have options to seek justice.
What Exactly is Insurance Mis-selling?
Mis-selling of insurance policy is when you're misled into buying a policy based on false
promises or incomplete information. Common examples include:
● Being sold Insurance policy as a fixed deposit
● Purchasing a policy with the promise of a loan that you never get
● Being assured of unrealistic returns like Gold Coin, Installation of tower, Foreign Trips, 
Jobs
● Sold a policy with an assurance to get money in lapsed policy
● Pre-exiting declared is not documented in the policy
● Having policy terms misrepresented
Your Step-by-Step Guide to Filing a Complaint
Step 1: Gather All Relevant Documents
Before proceeding with a mis-sold insurance policy complaint, you must collect the following 
documents:
● Your insurance policy document
● Premium receipts
● Any communication with the insurer or agent
● Notes about verbal promises made
● Details of how you came into purchasing a mis-sold insurance policy
Document inconsistencies between what was promised and what was delivered. This evidence 
will strengthen your case.
Step 2: Approach the Insurance Company First
Every insurer has a grievance redressal cell:
1. Draft a formal complaint letter detailing the mis-selling of insurance policy
2. Include copies of all supporting documents
3. Submit your complaint to the company's customer service department
4. Keep a record of the complaint number and date of submission
Insurance companies typically have 14 days to respond to your complaint. If this period has 
passed without any response, you can escalate the complaint
Step 3: Escalate to the Grievance Officer
If you don't receive a satisfactory response or no response at all after the 14 day period:
1. Approach the company's Grievance Officer
2. Send your complaint via email and registered post
3. Clearly reference your previous complaint
4. Request a timeline for resolution
Step 4: Approach the Insurance Ombudsman
If your issue still remains unresolved after 30 days:
1. Identify the Insurance Ombudsman for your region
2. Submit a written complaint with all previous correspondence
3. The Ombudsman can handle claims up to ₹30 lakhs
4. Their decisions are binding on insurance companies
The Ombudsman typically resolves complaints within three months, making this a relatively 
quick option.
Step 5: File a Complaint with Bima Bharosa
The Insurance Regulatory and Development Authority of India (IRDAI) provides another 
avenue:
1. Visit the IRDAI website or call their toll-free number (155255)
2. Register your complaint through Bima Bharosa
3. You'll receive a tracking number to monitor progress
4. IRDAI will forward your complaint to the insurance company, which must respond 
within 15 days
Step 6: Seek Consumer Court Redressal
If all your attempts at getting justice:
1. File a case in the consumer court based on the claim amount:
○ District Consumer Forum (up to ₹20 lakhs)
○ State Consumer Commission (₹20 lakhs to ₹1 crore)
○ National Consumer Commission (above ₹1 crore)
2. You may need legal representation for this step
How Insurance Samadhan Can Help
Navigating these processes can be complex and time-consuming. This is where specialist
services like Insurance Samadhan come in:
● Expert Guidance: With 100+ years of combined industry experience, their experts can 
quickly identify the best approach for your specific case.
● End-to-End Support: From documentation to representation, they handle all aspects of 
your complaint.
● Trackable Progress: Through their Polifyx App, you can monitor your case status in 
real-time.
● Refundable Fees: They offer a refund if your case doesn't get resolved so you only pay 
for results.
Prevention Tips for the Future
To avoid falling victim to mis-selling of insurance policy situations:
● Always read the policy document thoroughly before signing
● Get all promises in writing
● Use the 30-day free-look period to review your policy
● Verify agent credentials
● Research policy features independently
● Ask specific questions about returns, exclusions and conditions
Final Thoughts
If you've been a victim of a mis-sold life insurance policy, remember that you have multiple
options for redress. The key is to act promptly, document everything, and be persistent. Whether 
you choose to navigate the process yourself or seek professional help through services like
Insurance Samadhan, don't give up on receiving the fair treatment you deserve.
Insurance policies should provide protection and peace of mind—not frustration and financial 
loss. By knowing your rights and the proper channels for complaints, you're taking an important 
step toward holding insurers accountable and potentially helping others avoid similar situations.
Source URL : How to File a Complaint for a Mis-Sold Insurance Policy: 
A Step-by-Step Guide