(1) Any insurer or any of its directors or officers or employees or insurance intermediaries or other insurance service providers do any act against the rights and interests of any insured. If any loss is caused to him, the respective insurer will be responsible and he will have to pay the compensation for that.
(2) If any action is taken in accordance with sub-section (1), the insured may file a complaint with the authority within the prescribed period from the date of knowing the same.
(3) If a complaint is received in accordance with sub-section (2), the authority shall give seven days time to the relevant insurer, director, officer, employee or insurance intermediary to submit a reply after conducting the necessary investigation or investigation.
(4) If a reply is received according to sub-section (3) or if no reply is received within the deadline for replying, the authority may, after conducting the necessary investigation, order that the party indemnifying the loss pay a reasonable amount of compensation to the complainant or make a settlement between the complainant and the insurer. (5) The party who is not satisfied with the order to pay compensation in accordance with sub-section (4) may appeal to the concerned High Court within thirty-five days.
(6) According to this section, other provisions related to the processing of complaints shall be as prescribed.