Kerala consumer rights panel holds insurance company, bank accountable for medical claim denial
10 months ago

Kerala consumer rights panel holds insurance company, bank accountable for medical claim denial

The Hindu  

In a major verdict, the Ernakulam Consumer Disputes Redressal Commission in Kerala has held a general insurance company and a bank that facilitated insurance coverage accountable for denial of medical insurance claim to a customer and directed them to pay a compensation of ₹2.23 lakh. Binu and members V. Ramachandran and Sreevidhia T.N., issued the verdict on a petition filed by a husband-wife duo from Thevara, Milton and Eva Milton, against Cholamandalam MS General Insurance Company and the Union Bank of India. On its part, the insurance company argued that the treatment was not covered as it was related to a pre-existing condition which is only covered two years from the commencement of the policy whereas the policy was only five months old at the time of treatment. It also backed the insurance company’s reasoning for denying the claim and further argued that insurance services were “a mere value-added service” offered to customers at subsidised rates.

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History of this topic

Uttarakhand State Commission Holds National Insurance Liable For Deficiency In Service Over Denial Of Legitimate Claim Amount
3 days, 12 hours ago

Uttarakhand State Commission Holds National Insurance Liable For Deficiency In Service Over Denial Of Legitimate Claim Amount

Live Law  

The Uttarakhand State Commission, presided by Mr. M.K. Singh held National Insurance liable for deficiency in service and upheld the District Commission's order. Consequently, the insurer appealed before the State Commission of Uttarakhand. Contentions of the Insurer The insurer argued that the complainant breached policy terms and did not intimate the theft promptly. However, the complainant contended that the insurer …

Insured Cannot Assume Obligation On Part Of Bank To Renew Policy: NCDRC
3 days, 14 hours ago

Insured Cannot Assume Obligation On Part Of Bank To Renew Policy: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by AVM J. Rajendra overruled the State Commission's order against SBI and held that the insured cannot assume obligation on the bank's part to renew the policy unless agreed otherwise. The loan terms required the stock, machinery, and furniture to be insured with United India Insurance/insurer, with premiums deducted from the complainant's account. …

Additional Claims Cannot Be Made Once The Claim Is Accepted Unconditionally: Uttarakhand State Commission Allows Insurance Company's Appeal
2 weeks, 2 days ago

Additional Claims Cannot Be Made Once The Claim Is Accepted Unconditionally: Uttarakhand State Commission Allows Insurance Company's Appeal

Live Law  

The Uttarakhand State Consumer Disputes Redressal Commission bench of Ms. Kumkum Rani and Mr. B.S. Being aggrieved, the Complainant filed a complaint before the District Consumer Disputes Redressal Commission, Haridwar against the insurance company. Contentions of Reliance General Insurance Co. Ltd: The Appellant contended complainant was engaged in commercial activity and was not entitled to any compensation from the insurance …

Denial Of Insurance Claim Is Justified In Case Of Breach Of Insurance Contract By The Insured Person: Delhi State Commission
3 weeks ago

Denial Of Insurance Claim Is Justified In Case Of Breach Of Insurance Contract By The Insured Person: Delhi State Commission

Live Law  

Delhi State Consumer Disputes Redressal Commission ruled that denial of insurance claim by “United India Assurance Co. ltd.” is valid where the insured person violates the terms of insurance policy. A coram of President Sangita Dhingra Sehgal and Judicial member Pinki held that non-submission of requisite and essential documents,as per the terms of policy, by the Complainant for due assessment …

Rejection Of Claim Within Policy Waiting Period Not Deficiency In Service: Uttarakhand State Commission Allows Appeal By Universal Sompo General Insurance
3 weeks ago

Rejection Of Claim Within Policy Waiting Period Not Deficiency In Service: Uttarakhand State Commission Allows Appeal By Universal Sompo General Insurance

Live Law  

The Uttarakhand State Commission, presided by Ms. Kumkum Rani and Mr. B.S. Manral held that an insurer's rejection of the claim due to the applicable waiting period under the policy does not constitute a deficiency in service. Observations by the State Commission The State Commission noted that the insurer had disallowed the claim on the grounds of the one year …

Anantapur District Commission Holds Shriram General Insurance Co. Liable For Wrongful Repudiation Of Valid Claim
3 weeks, 1 day ago

Anantapur District Commission Holds Shriram General Insurance Co. Liable For Wrongful Repudiation Of Valid Claim

Live Law  

The District Consumer Disputes Redressal Commission, Anantapur bench of Smt. D. Grace Mary and Sir B. Gopinath held 'Shriram General Insurance Company Limited' liable for deficiency in service for its failure to settle a valid claim amount assessed under IRDA approved survey findings. Observations of the Commission: The District Commission observed that the Insurance Company had appointed an IRDA-approved surveyor …

Kerala State Commission Upholds Order Against Reliance Insurance Company To Pay Treatment Expenses To Complainant
3 weeks, 4 days ago

Kerala State Commission Upholds Order Against Reliance Insurance Company To Pay Treatment Expenses To Complainant

Live Law  

While upholding the decision of the Kasaragod District Consumer Disputes Redressal Commission, the Kerala State Consumer Disputes Redressal Commission bench comprising of Mr. Justice B. Sudheendra Kumar, Mr. Ajith Kumar and Mr. Radhakrishnan K.R. Previously, District Commission had held Reliance Insurance liable for the deficiency of service for not paying the claim of the complainant who had taken coverage of …

[Motor Accident] Adverse Inference Can Be Drawn Against Insurer On Failure To Rebut Evidence: Jharkhand HC Upholds ₹11.45 Lakh Compensation
1 month ago

[Motor Accident] Adverse Inference Can Be Drawn Against Insurer On Failure To Rebut Evidence: Jharkhand HC Upholds ₹11.45 Lakh Compensation

Live Law  

The Jharkhand High Court has upheld the award of ₹11,45,932 granted by the Motor Accident Claims Tribunal, Dhanbad, to the widow of a carpenter who succumbed to injuries sustained in a fatal motorcycle accident. The court emphasised that failure of the insurance company to summon key witnesses or rebut the evidence presented by the claimants resulted in an adverse inference …

Ernakulam District Commission - Internal Dispute Mechanism Under MEDISEP Scheme Doesn't Bar Aggrieved Persons From Approaching Commission
1 month ago

Ernakulam District Commission - Internal Dispute Mechanism Under MEDISEP Scheme Doesn't Bar Aggrieved Persons From Approaching Commission

Live Law  

The District Consumer Disputes Redressal Commission, Ernakulam bench consisting of D.B. held that the existence of an internal grievance redressal mechanism under the Medical Insurance Scheme for State Employees and Pensioners does not exclude the Consumer Commission from entertaining the complaint. Background Facts Oriental Insurance argued that the complainant has not exhausted the grievance redressal mechanism provided under the Medical …

Bihar State Commission Holds Bajaj Allianz General Insurance Co. Liable For Wrongful Repudiation of Valid Claim
1 month, 1 week ago

Bihar State Commission Holds Bajaj Allianz General Insurance Co. Liable For Wrongful Repudiation of Valid Claim

Live Law  

The State Consumer Disputes Redressal Commission, Bihar bench of Gita Verma and Md. Shamim Akhtar held Bajaj Allianz General Insurance Co. Ltd. liable for deficiency in service for wrongfully repudiating a valid insurance claim despite receiving all required documents. The van was also insured with Bajaj Allianz General Insurance Co. Ltd., with a coverage of Rs. Based on the unchallenged …

Terms Of Insurance Contracts Should Be Strictly Interpreted: NCDRC
2 months, 3 weeks ago

Terms Of Insurance Contracts Should Be Strictly Interpreted: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Subhash Chandra and Dr. Sadhna Shanker, dismissed an appeal against National Insurance Company and held that insurance contract terms must be strictly interpreted, with precise adherence to their explicit wording and no alterations made. Contentions of the Insurer The insurer contended that the complainants secured a home loan to purchase the …

Himachal Pradesh State Commission Holds United India Insurance Co. Liable For Wrongful Repudiation Of Valid Claim
2 months, 3 weeks ago

Himachal Pradesh State Commission Holds United India Insurance Co. Liable For Wrongful Repudiation Of Valid Claim

Live Law  

The State Consumer Disputes Redressal Commission, Himachal Pradesh bench of Justice Inder Singh Mehta held 'United India Insurance Company Limited' liable for wrongful repudiation of a medical claim based on erroneous interpretation of the policy's clauses. Observations of the State Commission: The State Commission observed the condition stated by the Insurance Company for repudiating the claim, was not applicable to …

Denial of full mediclaim: Court directs insurance firm to pay Rs 44k to customer in Ernakulam
3 months, 4 weeks ago

Denial of full mediclaim: Court directs insurance firm to pay Rs 44k to customer in Ernakulam

New Indian Express  

KOCHI: The Ernakulam District Consumer Disputes Redressal Commission ordered Oriental Insurance Company to pay the full insurance amount, along with compensation and cost of proceedings, to a customer for denying full medical insurance claim. However, the Commission found that the insurance company’s reliance on the “reasonable and customary charges” clause without providing any concrete evidence to support their deductions constituted …

Insurance Contracts Imply Duty Of Disclosure By Insured: NCDRC
4 months, 2 weeks ago

Insurance Contracts Imply Duty Of Disclosure By Insured: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by AVM J. Rajendra, held that insurance contracts imply a duty of disclosure, and the contracts are voidable at the option of the insurer in case of concealment of information. Brief Facts of the Case The complainant's wife took out a policy under 'Jeevan Anand' from Life Insurance Corporation/insurer, with a sum assured …

East Godavari District Commission Holds Aditya Birla Health Insurance Co. Liable For Wrongful Repudiation Of Valid Claim
4 months, 3 weeks ago

East Godavari District Commission Holds Aditya Birla Health Insurance Co. Liable For Wrongful Repudiation Of Valid Claim

Live Law  

The District Consumer Disputes Redressal Commission, East Godavari bench of Sri D. Kodanda Rama Murthy, Sri S. Suresh Kumar and Smt. Lakshmi held Aditya Birla Health Insurance Company Ltd. liable for wrongful repudiation of a valid health insurance claim based on pre-existing diseases. Brief Facts: The Complainant obtained a health insurance policy from Aditya Birla Health Insurance Co. Ltd. for …

Consumer Cases Weekly Round-Up: 22nd To 28th July 2024
4 months, 3 weeks ago

Consumer Cases Weekly Round-Up: 22nd To 28th July 2024

Live Law  

State Consumer Disputes Redressal Commission, Goa Insurer Not Liable For Unreasonable Delay In Claim Intimation, Goa State Commission Dismisses Appeal Against Oriental Insurance Company The State Consumer Disputes Redressal Commission, Goa bench comprising Mrs Varsha R. Bale and Ms Rachna Anna Maria Gonsalves dismissed an appeal against Oriental Insurance Company, based on an unreasonable delay on the Complainant's part while …

Ernakulam District Commission Holds Future Generali India Insurance Co. Liable For Wrongful Repudiation Of Genuine Medical Claim
5 months ago

Ernakulam District Commission Holds Future Generali India Insurance Co. Liable For Wrongful Repudiation Of Genuine Medical Claim

Live Law  

The District Consumer Disputes Redressal Commission, Ernakulam bench of Shri D.B. held Future Generali India Insurance Company Ltd. liable for deficiency in service. Brief Facts: The Complainant took a Corona Rakshak Policy from Future Generali India Insurance Company Limited. Therefore, the District Commission held that the Insurance Company wrongfully repudiated the Complainant's claim. Case Title: Ajaychand V. vs Future Generali …

Courts Must Favour Complainant In Case Of Presence Of Two Interpretations Of Same Clause: Ernakulam District Commission
5 months, 3 weeks ago

Courts Must Favour Complainant In Case Of Presence Of Two Interpretations Of Same Clause: Ernakulam District Commission

Live Law  

The Ernakulam District Commission, presided by Shri. Sreevidhia T.N., held Star Health & Allied Insurance liable for deficiency in service and unfair trade practice. The insurer maintained there was no deficiency in service or unfair trade practice, contested the ₹1,20,000 hospitalization expenses, and argued any liability should be limited to ₹95,286, excluding non-medical expenses. Observations by the District Commission The …

No Proof Of Pre-Existing Disease, Kangra District Commission Holds Star Health And Allied Insurance Co Liable For Wrongful Repudiation
6 months ago

No Proof Of Pre-Existing Disease, Kangra District Commission Holds Star Health And Allied Insurance Co Liable For Wrongful Repudiation

Live Law  

The District Consumer Disputes Redressal Commission, Kangra bench of Hemanshu Mishra, Arti Sood and Narayan Thakur held Star Health and Allied Insurance Co. Ltd liable for deficiency in services due to its unjustified rejection of a genuine claim. The bench held that the Insurance Company repudiated the claim without conducting a proper investigation or obtaining affidavits from treating doctors regarding …

Mere Deduction Of Premium Does Not Create Binding Insurance Contract, Uttarakhand State Commission Dismisses Appeal Against New India Assurance Co.
6 months, 1 week ago

Mere Deduction Of Premium Does Not Create Binding Insurance Contract, Uttarakhand State Commission Dismisses Appeal Against New India Assurance Co.

Live Law  

The State Consumer Disputes Redressal Commission, Uttarakhand bench of Kumkum Rani and Mr B.S. The bench dismissed an appeal filed against the New India Assurance Co. by holding that there existed no renewed insurance contract at the time of the loss and the Insurance Company refunded the premium which was automatically deducted by the bank. Feeling aggrieved, the Complainant filed …

Insurer to cough up ₹5 lakh for denying man’s medical claim
6 months, 3 weeks ago

Insurer to cough up ₹5 lakh for denying man’s medical claim

Hindustan Times  

The District Consumer Disputes Redressal Commission has directed an insurance company to pay ₹5 lakh, along with interest, to a local resident whose medical claim was denied. Along with ₹ 5 lakh, the insurance company has been directed to pay interest at 6% per annum. Filing a case against Max Bupa Health Insurance Company Limited, Lalit Kumar, a resident of …

Insurance Contracts Are Special Contracts Based On Principle Of Full Disclosure: NCDRC
6 months, 3 weeks ago

Insurance Contracts Are Special Contracts Based On Principle Of Full Disclosure: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Dr. Inder Jit Singh, dismissed a revision petition against Life Corporation India and held that the proposer of an insurance policy must disclose all material facts about the risk involved and be transparent with the facts. The insurer maintained that the policy was invalid due to the false information provided and pointed …

Owners Not Entitled To Claim Insurance Amount Under Private Vehicle Policy For Vehicles Registered As Commercial Vehicles: Bihar State Commission
7 months, 2 weeks ago

Owners Not Entitled To Claim Insurance Amount Under Private Vehicle Policy For Vehicles Registered As Commercial Vehicles: Bihar State Commission

Live Law  

The State Consumer Disputes Redressal Commission, Bihar bench comprising Ms Geeta Verma and Md. Shamim Akhtar allowed an appeal filed by Bajaj Allianz General Insurance Company. The State Commission held that it rightfully repudiated a vehicle claim because the vehicle's owner failed to disclose that the vehicle was registered as a commercial vehicle, at the time of obtaining the policy. …

Rejection Of The Health Insurance Claim Cannot Be Based Solely On Assumption Of Pre-Existing Condition: Delhi State Commission
7 months, 3 weeks ago

Rejection Of The Health Insurance Claim Cannot Be Based Solely On Assumption Of Pre-Existing Condition: Delhi State Commission

Live Law  

Delhi State Consumer Disputes Redressal Commission, headed by Justice Sangita Dhingra Sehgal alongside members Ms. Pinaki and Mr. J.P. Agrawal, held HDFC Insurance liable for deficiency in service over the rejection of a health insurance claim solely on the presence of non-communication of pre-existing conditions. Brief Facts of the Case The complainant's husband applied for an HDFC Life Group Credit …

Exclusion Of Coverage For Injuries Sustained During Initial Days Of Policy Issuance Is Illegal, Uttarakhand State Commission Holds Birla Sun Life Insurance Co. Liable
7 months, 3 weeks ago

Exclusion Of Coverage For Injuries Sustained During Initial Days Of Policy Issuance Is Illegal, Uttarakhand State Commission Holds Birla Sun Life Insurance Co. Liable

Live Law  

The State Consumer Disputes Redressal Commission, Uttarakhand bench comprising Ms Kumkum Rani and Mr B.S. Manral held Birla Sun Life Insurance Company liable for repudiating a valid claim based on an unreasonable policy clause excluding coverage for injuries sustained within 90 days from the issuance of the policy. Brief Facts: The Complainant purchased an insurance policy from Birla Sun Life …

Consumer Cases Weekly Round-Up: 25th to 31st March, 2024
8 months, 2 weeks ago

Consumer Cases Weekly Round-Up: 25th to 31st March, 2024

Live Law  

National Consumer Disputes Redressal Commission Damages Involving Motor Vehicles Must Be Adjudicated By Motor Accident Claim Tribunal, Consumer Forums Do Not Have Jurisdiction: NCDRC The National Consumer Disputes Redressal Commission bench comprising Mr Justice Sudip Ahluwalia reiterated that Consumer Fora do not have the jurisdiction to entertain claims/damages involving motor vehicles. District Consumer Disputes Redressal Commission-VII, Southwest Delhi Lack Of …

Ernakulam District Commission Holds Oriental Insurance Liable For Deficiency In Service Due To Non-Disclosure Of Policy Terms During The Signing Of The Contract
8 months, 3 weeks ago

Ernakulam District Commission Holds Oriental Insurance Liable For Deficiency In Service Due To Non-Disclosure Of Policy Terms During The Signing Of The Contract

Live Law  

The Ernakulam District Consumer Disputes Redressal Commission, headed by D.B. Upon visiting the insurer's office and providing details of pre-existing conditions, the complainant requested to port their existing policy, which the insurer agreed to do. Observations by the Commission The Commission observed that the insurer had failed to provide the complainant with the necessary terms and conditions of the policy …

'Mild Symptoms' No Ground To Repudiate Insurance Claim Of Policy Holder Hospitalised On Account Of Covid-19: Kollam Consumer Commission
10 months, 1 week ago

'Mild Symptoms' No Ground To Repudiate Insurance Claim Of Policy Holder Hospitalised On Account Of Covid-19: Kollam Consumer Commission

Live Law  

The District Consumer Disputes Redressal Commission, Kollam recently held that the insurance claim of a Corona Rakshak Policyholder cannot be declined merely citing mildness of his symptoms.Bench comprising Smt. Stanly Harold thus held Future Generali India Insurance Company liable for wrongfully repudiating the claim of the Complainant. The District Consumer Disputes Redressal Commission, Kollam recently held that the insurance claim …

No Connection Between Pre-Existing Ailment And Death, Chandigarh District Commission Holds Canara HSBC Insurance Co. Liable
10 months, 1 week ago

No Connection Between Pre-Existing Ailment And Death, Chandigarh District Commission Holds Canara HSBC Insurance Co. Liable

Live Law  

The District Consumer Disputes Redressal Commission-I, Chandigarh bench comprising Pawanjit Singh, Surjeet Kaur and Suresh Kumar Sardana held Canara HSBC Insurance Company Ltd. liable for repudiation of the claim based on previous ailments without conducting medical examination of the insured before issuance of the policy. Alongside the loan, PNB offered a loan insurance policy from Canara HSBC Insurance Company Ltd. …

Diabetes cannot be cited as reason to reject insurance claim
10 months, 3 weeks ago

Diabetes cannot be cited as reason to reject insurance claim

The Hindu  

Dakshina Kannada Consumer Disputes Redressal Commission has ruled that an insurance firm can’t reject the claim for reimbursement of treatment expenses on the ground that the claimant had diabetes mellitus for long. On December 9, 2022, the insurance firm rejected the claim on the ground that the claimant had diabetic mellitus for 27 years and it was a known case …

Chandigarh: Car insurer fined 15k for rejecting claim
11 months ago

Chandigarh: Car insurer fined 15k for rejecting claim

Hindustan Times  

The District Consumer Disputes Redressal Commission has directed an insurance company to reimburse a claim of ₹10 lakh to a Panchkula woman, whose car was stolen in Delhi. The company mentioned that the theft of the car was reported to them on February 3, 2020, and they appointed one Anurag Midha as a fact finder, so it is proved that …

Chandigarh-based health insurance firm penalised ₹25,000 for rejecting mediclaim
11 months, 3 weeks ago

Chandigarh-based health insurance firm penalised ₹25,000 for rejecting mediclaim

Hindustan Times  

The District Consumer Disputes Redressal Commission has penalised a city-based health insurance company for rejecting a cashless payment claim, citing that the medical record and the documents submitted by the hospital did not show any such medical condition and circumstances which necessitated OPD admission of the insured patient, and the hospitalisation and IPD treatment was not warranted. Parminder Singh, of …

“Delay In Providing Information To The Insurance Company Is Not Fatal To Seeking A Claim”: East Delhi District Commission Orders Insurance Company to Pay compensation
1 year, 1 month ago

“Delay In Providing Information To The Insurance Company Is Not Fatal To Seeking A Claim”: East Delhi District Commission Orders Insurance Company to Pay compensation

Live Law  

The East Delhi District Consumer Disputes Redressal Commission presided by Mr. S.S. Malhotra along with Ms. Rashmi Bansal and Mr. Ravi Kumar allowed a consumer complaint against an insurance company. The commission examined the facts and ultimately held that the rejection of the complainant's insurance claim amounted to a deficiency in service on the part of the insurance company. Observations …

Do Not Deny Insurance Claim For Brief Home Visit During Hospitalization, Ludhiana Commission Holds Aditya Birla Health Insurance Co. Liable
1 year, 3 months ago

Do Not Deny Insurance Claim For Brief Home Visit During Hospitalization, Ludhiana Commission Holds Aditya Birla Health Insurance Co. Liable

Live Law  

The District Consumer Disputes Redressal Commission, Ludhiana bench comprising Sh. Sanjeev Batra and Ms. Monika Bhagat held Aditya Birla Health Insurance Company liable for rejecting the claim of the hospitalized Complainant on the basis that the Complainant visited his home for certain hours while he was hospitalized. However, the insurance company rejected his claim, asserting that the Complainant had occasionally …

92-yr-old Chandigarh man wins legal fight against wrongly rejected mediclaim
1 year, 7 months ago

92-yr-old Chandigarh man wins legal fight against wrongly rejected mediclaim

Hindustan Times  

Wrongly rejecting a 92-year-old man’s medical claim has cost an insurance firm dear. The 92-year-old alleged that despite the fact that the claim was fully covered as per the terms and conditions of the policy, the company wrongly repudiated it, which amounted to deficiency in service and unfair trade practice. Holding New India Assurance Co. Limited, Chandigarh, guilty of unfair …

Gujarat Consumer Court Orders Insurance Company to Cover Doctor's Medical Bills after Treatment at Own Hospital
2 years, 6 months ago

Gujarat Consumer Court Orders Insurance Company to Cover Doctor's Medical Bills after Treatment at Own Hospital

News 18  

A Gujarat court has ordered that a doctor is entitled to medical insurance claim for treatment in his own hospital. The petitioner, Dr Indravadan Shah, had filed a complaint in the Consumer Protection Court in June 2021 against Niva Bupa Insurance for non-payment of claim. The insurance company rejected the claim.” The claim was rejected as the doctor was treated …

Insurance firm directed to settle claims of patient
2 years, 7 months ago

Insurance firm directed to settle claims of patient

Deccan Chronicle  

Hyderabad: The District Consumer Disputes Redressal Commission-I directed the State Bank of India General Insurance to pay Rs 1,47,343 along with an interest at nine per cent for failing to settle the claims of a person who was insured with them and had undergone treatment. They filed a petition before the commission against Paramount Health Services and Insurance TPA services, …

Insurer can't refuse claim by citing existing medical condition once policy issued: Supreme Court
2 years, 11 months ago

Insurer can't refuse claim by citing existing medical condition once policy issued: Supreme Court

India TV News  

An insurer cannot repudiate a claim by citing an existing medical condition that was disclosed by the insured in the proposal form, once the policy has been issued, the Supreme Court has said. "Once the policy has been issued after assessing the medical condition of the insured, the insurer cannot repudiate the claim by citing an existing medical condition, which …

Insurance firms to comply with mental health Act: HC
3 years, 8 months ago

Insurance firms to comply with mental health Act: HC

The Hindu  

The Delhi High Court on Monday said that insurance companies are liable to give effect to the Mental Healthcare Act 2017 in their policies from the time it came into force in 2018. The High Court’s directions came on a woman’s plea whose claim for reimbursement of costs for treatment of schizophrenia were rejected by the National Insurance Company Ltd …

Delhi High Court Seeks Response From IRDAI On Plea Alleging Failure To Protect Interests Of Policy Holders
3 years, 9 months ago

Delhi High Court Seeks Response From IRDAI On Plea Alleging Failure To Protect Interests Of Policy Holders

Live Law  

The Delhi High Court has sought response from the Insurance Regulatory Development Authority of India on a petition alleging inaction on its part for protecting the interest of various policy holders. Under Section 14 of the IRDAI Act, 1999, the authority is entrusted to protect the interests of policy holders in matters concerning assigning of policy, settlement of insurance claims, …

[Life Insurance] Proposer Duty Bound To Disclose Pre-Existing Ailments To The Insurer: SC [Read Judgment]
4 years, 2 months ago

[Life Insurance] Proposer Duty Bound To Disclose Pre-Existing Ailments To The Insurer: SC [Read Judgment]

Live Law  

A proposer who seeks to obtain a policy of life insurance is duty bound to disclose pre existing medical condition to the insurer, the Supreme Court has observed.In this case, the insurance proposal form contained questions pertaining to the health and medical history of the proposer and required a specific disclosure on whether any ailment, hospitalization or treatment had been …

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