Mumbai Consumer Commission Pulls Up New India Assurance Over Undisclosed Cataract Claim Cap, Orders Balance Payment With Interest
Mumbai, August 11, 2026: The District Consumer Disputes Redressal Commission, Mumbai Suburban, has held The New India Assurance Company Ltd. and its third-party administrator, MD India Healthcare Services (TPA) Pvt. Ltd., guilty of deficiency in service and unfair trade practice for introducing a new restriction on cataract claims without adequately informing a long-standing policyholder. "The…
Mumbai's District Consumer Disputes Redressal Commission has ordered New India Assurance Company Ltd. and its third-party administrator, MD India Healthcare Services, to pay Rs 33,642 in unpaid cataract claim benefits to a long-standing policyholder, along with interest and compensation for mental anguish. The insurer introduced a new restriction limiting cataract-related claims to Rs 24,000 per eye in the 2012 policy, without properly informing the policyholder.
The policyholder, whose father underwent cataract surgeries in 2014, challenged the insurer's actions, arguing that the terms should have been disclosed prior to the policy renewal. The commission found the insurer guilty of deficiency in service and unfair trade practices, directing payment of the balance amount with 9% annual interest.
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