Your travel insurer has rejected your claim. This guide walks you through the exact evidence each claim type needs, a clear appeals process, and where to escalate — from the insurer's grievance officer to the Insurance Ombudsman and consumer court.
Reviewed on: 2026-05-29.
Quick answer
A travel insurance rejection is not final. Within the first week: get the rejection in writing, identify the exact stated reason, and gather the specific documents for your claim type — a Property Irregularity Report (PIR) for baggage, airline/hotel refund correspondence for trip cancellation, and original hospital bills plus discharge summary for medical emergencies abroad. Within 30 days: file a formal written appeal with the insurer's Grievance Redressal Officer. If unsatisfied or no response in 30 days, escalate free of charge to the Insurance Ombudsman (handles claims up to Rs. 50 lakhs) or file on Bima Bharosa (bimabharosa.irdai.gov.in). RTI does not apply to private insurers — use IRDAI and consumer forum routes instead.
This guide is for Indian travellers — or their families — whose travel insurance claim has been rejected or substantially reduced by their insurer. It covers three distinct claim types:
The guide applies whether your policy was bought from a private insurer (HDFC ERGO, ICICI Lombard, Bajaj Allianz, Tata AIG, and similar) or a public-sector insurer (New India Assurance, Oriental Insurance, National Insurance, United India Insurance). The appeal process is the same for all; the RTI angle differs slightly and is explained in its own section below.
If your health insurance (not travel) claim was rejected, see the sibling guide on health insurance pre-existing disease claim rejection. For a general overview of insurance complaint processes, see how to file an insurance complaint with IRDAI.
Locate your rejection letter — if the insurer sent it by email or SMS, download and save it. If you only received a phone call, send an email to the insurer's customer service address asking them to confirm the rejection in writing with the exact reason. Pull out your policy document and read the relevant section: Inclusions, Exclusions, and the Claims Procedure section. Highlight the specific exclusion or procedure the insurer cited. Check whether the rejection reason actually matches what your policy says — you may find the insurer has applied a wrong or overreaching exclusion.
Gather every piece of supporting evidence (see the Documents checklist below for your specific claim type). Photograph or scan each document. Drafting your appeal letter is also a Saturday task — use the template in this guide. For trip cancellation: obtain a formal cancellation letter from the airline or hotel and any medical/official document confirming the covered reason (e.g., treating doctor's certificate, death certificate). For baggage claims: locate the PIR (Property Irregularity Report) the airline gave you at the baggage desk on arrival — if you do not have it, contact the airline's baggage division immediately and request the reference number and a copy of the PIR filed. For medical emergency: compile all original hospital discharge summaries, diagnosis notes, and itemised bills; get a certificate from the treating doctor confirming the treatment was an emergency.
Finalise your appeal letter and send it by email to the insurer's Grievance Redressal Officer (GRO) — the GRO's name, email, and address are required by IRDAI to be published on every insurer's website. Send with all scanned documents as attachments and mark the subject line: “Formal Grievance — Claim [Claim Number] — [Trip/Baggage/Medical]“. Keep a copy. Note the date of sending — the insurer is required to acknowledge grievances promptly and respond substantively. If you are still short of a document (e.g., waiting for PIR from the airline), send the letter anyway and state that the missing document will follow within a specified number of days.
| Document / Evidence | Trip Cancellation | Baggage (Loss/Delay/Damage) | Medical Emergency Abroad |
|---|---|---|---|
| Policy document and premium receipt | Required | Required | Required |
| Completed and signed claim form (insurer's format) | Required | Required | Required |
| Passport (copy of relevant pages showing travel dates and stamps) | Required | Required | Required |
| Original air tickets / e-tickets and boarding passes | Required | Required | Required |
| Airline cancellation/delay confirmation letter | Required | For delay claims | Not needed |
| Airline/hotel refund statement showing amount refunded | Required | Not needed | Not needed |
| Medical certificate from treating doctor (Indian or foreign) confirming illness/emergency | If illness is the reason | Not needed | Required |
| Death certificate (if death in family is the covered reason) | If applicable | Not needed | Not needed |
| Government/official advisory (for natural disasters, travel bans) | If applicable | Not needed | Not needed |
| Property Irregularity Report (PIR) from airline baggage desk | Not needed | Mandatory | Not needed |
| Original baggage tags / luggage receipt stubs | Not needed | Required | Not needed |
| Airline written acknowledgement of baggage complaint and reference number | Not needed | Required | Not needed |
| Itemised list of lost/damaged belongings with approximate purchase dates and values | Not needed | Required | Not needed |
| Receipts or proof of purchase for claimed items (where available) | Not needed | Strongly recommended | Not needed |
| Receipts for emergency purchases during baggage delay | Not needed | Required for delay sub-claim | Not needed |
| Original hospital admission and discharge summary | Not needed | Not needed | Required |
| All original hospital, pharmacy, and diagnostic bills (itemised) | Not needed | Not needed | Required |
| Treating doctor's note confirming emergency nature of treatment | Not needed | Not needed | Required |
| Ambulance or emergency evacuation invoices (if applicable) | Not needed | Not needed | If applicable |
| Cancelled cheque / bank details for NEFT reimbursement | Required | Required | Required |
| Written rejection letter from insurer (the one you are appealing) | Required | Required | Required |
Travel insurers only cover trip cancellation for specifically listed reasons — typically serious illness, injury, or death of the insured or an immediate family member; a natural disaster at the destination; or a government-declared travel ban. If you cancelled because of work commitments, a change of plan, or a reason not listed, the rejection is likely valid and your best recourse is the airline and hotel's own cancellation policies. However, if your reason does match a covered event but documents were inadequate, that is a winnable appeal. Insurers also commonly reject when the airline or hotel has already made a partial refund — in that case, the insurer generally only owes the non-refunded balance, not the full ticket price.
The single most common reason baggage claims are rejected is a missing or invalid PIR. You must obtain the PIR at the airline's baggage desk before leaving the arrivals area — it is your proof that the loss or damage was reported to the airline immediately. The insurer also needs to see the airline's own correspondence confirming the issue. Note that most travel policies have a per-item limit and a total limit for baggage claims — if your rejection mentions that the claim exceeds policy limits, check the exact figures in your policy schedule. Valuables like jewellery, cash, documents, electronics, and prescription medicines are often excluded or separately sub-limited; check the exclusions page of your policy before appealing.
Rejection reasons for medical claims usually fall into one of four categories: (a) the condition is considered pre-existing; (b) the insurer was not notified within the required timeframe (most policies require notification within 24–48 hours for hospitalisations); © the treatment is classified as non-emergency or elective; or (d) documents were incomplete or in a foreign language without a certified translation. If the insurer cites pre-existing condition, check whether your policy excludes it entirely or only for related conditions — a broken arm, for example, is rarely pre-existing even if you had a chronic illness. If notification was delayed due to the severity of the emergency (e.g., you were unconscious), document this clearly and appeal.
Before anything else, ensure you have the insurer's rejection in writing with the specific reason stated. If they told you verbally or only sent a vague SMS, email the claims department and GRO asking for a formal written repudiation letter with the policy clause(s) cited. This document is the foundation of every subsequent step.
Open your policy document (it should be in your email inbox from when you bought it — check your insurer's app or the aggregator through which you purchased). Read the Inclusions, Exclusions, Claims Procedure, and Definitions sections carefully. Identify whether the reason cited by the insurer is actually stated in the policy, whether it is being applied correctly to your facts, and whether there is a documentation cure (i.e., you can provide a missing document to fix the issue).
Use the Documents checklist above for your claim type. For baggage claims, contact the airline's baggage division immediately by email if you did not file a PIR on arrival — explain that you reported the loss/damage verbally but did not receive a written PIR, and request that they issue one or provide a reference number. Some airlines will do this within a few days if the incident was actually logged. For medical claims, if bills are in a foreign language, arrange for a certified English translation (required by most Indian insurers).
Every IRDAI-licensed insurer must have a designated Grievance Redressal Officer (GRO) whose contact details are published on the insurer's website. Send your appeal by email (keeping a sent-mail record) with all supporting documents attached. State clearly: (a) the claim number, (b) the rejection reason given, © why you believe the rejection is incorrect or the document deficiency has now been cured, and (d) what you are asking the insurer to do. Use the complaint template in this guide as a starting point.
The insurer should acknowledge your grievance promptly and respond substantively. If you receive no response or an unsatisfactory one within 30 days of your grievance, you are eligible to approach the Insurance Ombudsman or file on Bima Bharosa. Keep note of the date you filed the grievance.
If the GRO response is still unsatisfactory, file a complaint on IRDAI's Bima Bharosa portal (bimabharosa.irdai.gov.in). IRDAI does not directly adjudicate claims but will take up the matter with the insurer. IRDAI's toll-free numbers are 155255 and 1800 4254 732. You can also email [email protected].
The Insurance Ombudsman is a free, independent dispute resolution service for individual policyholders. There are ombudsman offices across India (managed by the Council for Insurance Ombudsmen at cioins.co.in). You can file online through the Bima Bharosa portal or by post to the ombudsman office with jurisdiction over the location where your policy was issued. The complaint must be filed within one year of the insurer's final rejection or the expiry of the 30-day grievance period. The Ombudsman can handle disputes up to Rs. 50 lakhs in claimed compensation. Awards are binding on the insurer, which must comply within 30 days. Read the detailed process in our guide on the insurance ombudsman complaint format.
If the Ombudsman's award is unsatisfactory or your dispute does not qualify, file a consumer complaint in District Consumer Disputes Redressal Commission. For claims up to Rs. 50 lakhs, the District Commission has jurisdiction. File online through eDaakhil. The Consumer Protection Act 2019 provides a two-year limitation period from the date of cause of action (typically the rejection). See our full guide on how to file in consumer court in India.
| Stage | Where to go | How to file | Cost | Typical timeline | Outcome |
|---|---|---|---|---|---|
| 1. Internal appeal | Insurer's Grievance Redressal Officer (GRO) | Email / written letter to GRO at insurer's published address | Free | Response within 30 days | Insurer may reverse, partially pay, or uphold rejection |
| 2. IRDAI Bima Bharosa | bimabharosa.irdai.gov.in | Online portal, email to [email protected], or phone 155255 / 1800 4254 732 | Free | Regulator takes up with insurer; varies | Facilitates resolution; IRDAI does not directly award compensation |
| 3. Insurance Ombudsman | Office for your jurisdiction (cioins.co.in) | Online via Bima Bharosa or by post to local ombudsman office; within 1 year of rejection | Free | Generally up to 3 months after all documents received | Binding award on insurer (up to Rs. 50 lakhs); insurer must comply within 30 days |
| 4. Consumer court | District Consumer Disputes Redressal Commission | eDaakhil portal or in person; within 2 years of rejection | Nominal court fee (varies by claim amount) | Months to over a year depending on court load | Court order; compensation + interest + cost may be awarded |
| 5. Civil court / High Court | Appropriate civil court | Through a lawyer; use only if consumer forum is not available or amount is very large | Lawyer fees and court fees apply | Several years typically | Civil decree; use as last resort |
Replace the text in square brackets with your own details before sending. This template is for the formal written appeal to the insurer's Grievance Redressal Officer (Step 4 above). If escalating to the Ombudsman, use the same facts but address it to the relevant ombudsman office and add a line confirming the insurer's GRO response.
To, The Grievance Redressal Officer, [Full Name of Insurance Company] [GRO Email / Postal Address as published on insurer's website]
Subject: Formal Grievance — Wrongful Rejection of Travel Insurance Claim Claim Number: [Your Claim Reference Number] Policy Number: [Your Policy Number] Date of Rejection: [Date on the Rejection Letter]
Dear Sir / Madam,
I am writing to formally grieve the rejection of my travel insurance claim detailed above. I purchased Travel Insurance Policy No. [Policy Number] from [Insurer Name] effective [Policy Start Date] to [Policy End Date] covering [domestic/international] travel.
Nature of claim: [Select one — Trip Cancellation / Baggage Loss-Delay-Damage / Medical Emergency Abroad]
Summary of incident: On [Date of Incident], [briefly describe: flight cancellation date and route / baggage loss at which airport / medical emergency in which country and city]. I submitted a claim on [Date of Claim Submission] with the following documents: [list the documents you submitted, e.g., completed claim form, PIR, hospital discharge summary, airline cancellation letter, etc.].
Reason for rejection as stated by the insurer: ”[Paste the exact rejection reason from the insurer's letter]”
Why I believe the rejection is incorrect: [Explain clearly: e.g., “The policy document at Section [X] covers cancellation due to [covered reason], which is exactly the circumstance I faced as evidenced by the attached [hospital certificate / death certificate / government advisory].” OR “The Property Irregularity Report (PIR) was filed with [Airline Name] on [Date] and is attached herewith. The earlier submission lacked this document, which is now cured.” OR “The medical treatment was an emergency — the attending physician's certificate confirming urgency is attached. Pre-existing condition exclusion does not apply because the treatment was for [condition], which I have never been diagnosed with / which is unrelated to my declared condition of [X].”]
Additional documents enclosed with this appeal: [List each document attached]
Relief requested: I respectfully request that the insurer reconsider and approve the claim for Rs. [Amount], being the [full amount / remaining balance after deductible] in accordance with the policy terms.
If I do not receive a satisfactory written response within 30 days of this letter, I intend to file a complaint with IRDAI's Bima Bharosa portal and/or the Insurance Ombudsman for my jurisdiction.
Yours faithfully, [Your Full Name] [Your Contact Number] [Your Email Address] [Your Postal Address] [Date]
Enclosures: 1. Copy of rejection letter dated [Date] 2. [List each document enclosed]
The Right to Information Act 2005 applies to public authorities — government bodies and entities substantially financed by government. In the travel insurance context, RTI can be used in the following limited situations:
For all RTI filings and first appeals related to insurance matters, see the broader Practical Guides hub and The RTI Playbook for letter-drafting guidance.
The vast majority of travel insurance in India is issued by private insurance companies. RTI does not apply to private companies regardless of their size, IRDAI licence, or market share. This means you cannot use RTI to demand the claim file, internal notes, or underwriting guidelines from any of the following (and similar) private insurers:
For disputes with private insurers, your effective remedies are: the insurer's own GRO, IRDAI's Bima Bharosa portal, the Insurance Ombudsman, the National Consumer Helpline (1915), and consumer court via eDaakhil. See our guide on insurance claim rejection recovery in India for a comprehensive overview across all insurer types. For health insurance specifically, see insurance ombudsman complaint format for health insurance.
Ask the insurer for a written rejection letter stating the exact reason. Many rejections cite missing documents or policy exclusions that can be addressed. Once you have the written reason, file a formal written appeal with the insurer's Grievance Redressal Officer within the deadline mentioned in your policy (typically 30 days from rejection).
A Property Irregularity Report (PIR) is an official document issued by the airline's baggage services desk at the arrival airport when your checked baggage is lost, delayed, or damaged. For a baggage claim under travel insurance, the PIR is mandatory proof that you reported the issue to the airline before leaving the airport. Without it, the insurer will almost certainly reject your baggage claim.
Yes. The Insurance Ombudsman handles complaints against all IRDAI-licensed insurers — both private and public sector — for individual policy disputes up to Rs. 50 lakhs in claimed compensation. You must first exhaust the insurer's internal grievance process (wait at least 30 days for a response) before filing with the Ombudsman. There is no fee for the Ombudsman process.
Check your policy's list of covered cancellation reasons carefully — standard policies cover events like serious illness or injury to the insured or immediate family, death of a close relative, and natural disasters at the destination. If your reason genuinely falls outside the list, the rejection may be valid. If you believe your reason does qualify, escalate to the insurer's Grievance Redressal Officer with supporting documents (hospital records, death certificate, disaster advisory, etc.) and then to the Insurance Ombudsman if unsatisfied.
No. The Right to Information Act applies only to public authorities — central and state government bodies and substantially funded entities. Private insurance companies such as HDFC ERGO, ICICI Lombard, Bajaj Allianz, Tata AIG, and similar are not public authorities under RTI. For private insurer disputes, use IRDAI's Bima Bharosa portal, the Insurance Ombudsman, the National Consumer Helpline, or file in consumer court.
You will typically need: a completed claim form from the insurer; original hospital admission and discharge summary; all original hospital and pharmacy bills; doctor's diagnosis and treatment notes; passport copies showing travel dates; your policy document and premium receipt; proof of the emergency nature of treatment (doctor's certificate stating it was urgent); and your travel tickets. If an emergency evacuation was needed, add evacuation service invoices. Keep originals — most insurers reject photocopies for medical bills.
Once the Ombudsman receives all required documents from you, the complaint is generally expected to be resolved within three months. The Ombudsman's award is binding on the insurance company, which must comply within 30 days of receiving the award. You have one year from the insurer's final rejection (or 30-day non-response) to file with the Ombudsman.