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Insurance Ombudsman · Maharashtra (Rest)

Insurance Ombudsman Pune: Office Address, Jurisdiction & Filing Guide (2026)

Authoritative guide for policyholders in Maharashtra (excluding Mumbai Metropolitan Region covered by Mumbai center) to challenge rejected or short-paid insurance claims before the Insurance Ombudsman in Pune.

By the MediclaimSaathi team Updated 5 November 20267 min read

Quick answer

The Insurance Ombudsman Pune has jurisdiction over Maharashtra excluding Mumbai city (covers Pune, Thane, Navi Mumbai, Nashik, Aurangabad, Kolhapur, Solapur, Nagpur, etc.). Located at Jeevan Darshan Bldg, Narayan Peth, it hears claims up to ₹50 Lakhs for zero fee after insurer GRO rejection or 30 days of silence, online via cioins.co.in.

Pune Ombudsman Office Details & Verified Contacts

DetailVerified Official Information
Office LocationJeevan Darshan Bldg., 3rd Floor, C.T.S. Nos. 195 to 198, N.C. Kelkar Road, Narayan Peth, Pune – 411 030
Official Emailsoio.pune@cioins.co.in / bimalokpal.pune@cioins.co.in
Landline Telephone020-41312555 / 020-24451006
Working HoursMonday to Friday: 9:30 AM – 5:30 PM
Official Portalhttps://www.cioins.co.in
Statutory Fee₹0 (Completely free)
Maximum Claim Amount₹50 Lakhs

Territorial Jurisdiction: Pune, Rest of Maharashtra

The Pune Ombudsman covers Maharashtra excluding the core Mumbai Municipal Corporation territory under the Mumbai Ombudsman. Key districts covered include Pune, Thane, Navi Mumbai, Raigad, Nashik, Ahmednagar, Solapur, Satara, Kolhapur, Sangli, Ratnagiri, Sindhudurg, Aurangabad (Chhatrapati Sambhajinagar), Jalna, Nanded, Latur, Amravati, and Nagpur.

Mandatory Pre-Filing Requirements

  • Complaint lodged with insurer GRO first, resulting in rejection or 30 days with no reply.
  • Filed within 1 year from the date of the insurer’s final decision.
  • Not pending in any Consumer Court or civil court.
  • Claim amount within ₹50 Lakhs limit.

How to File at Pune Ombudsman

  1. 1Grievance to InsurerSend grievance to insurer GRO outlining wrongful claim rejection.
  2. 2Wait 30 DaysAwait resolution or final rejection letter.
  3. 3Submit Complaint OnlineRegister at cioins.co.in or download Form VI-A.
  4. 4Email DocumentationSend Form VI-A, rejection letter, and hospital documents to oio.pune@cioins.co.in.
  5. 5Hearing & ResolutionParticipate in video hearing or in-person session in Narayan Peth. Award passed within 3 months.

Award Compliance

The award is binding on the insurer and must be fulfilled within 30 days of receiving your acceptance letter, with bank rate + 2% interest for delayed compliance.

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Frequently asked questions

I live in Thane or Navi Mumbai. Do I file in Pune or Mumbai?+

The territory of Thane and Navi Mumbai is assigned to the Pune Ombudsman office under the CIO territorial division.

Can policyholders from Nagpur or Nashik attend hearings virtually?+

Yes, virtual hearings via video conferencing are regularly scheduled.

Is there any cost involved?+

No. Filing with the Insurance Ombudsman is 100% free.

What if my claim was cut due to room rent capping?+

Proportionate deduction on medicines and ICU can be challenged before the Ombudsman under IRDAI Master Circular 2024.

Related guides

Sources

This guide is general information, not legal advice. Rules change; always check the current IRDAI circulars and your policy wording. MediclaimSaathi is a document-preparation platform, not a law firm, insurer or broker.

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