'Mild Symptoms' No Ground To Repudiate Insurance Claim Of Policy Holder Hospitalised On Account Of Covid-19: Kollam Consumer Commission
1 year, 1 month 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 of a Corona Rakshak Policyholder cannot be declined merely citing mildness of his symptoms. Stanly Harold thus held Future Generali India Insurance Company liable for wrongfully repudiating the claim of the Complainant for COVID-19 hospitalization.

Commission Complainant Claim Kollam  hospitalization  repudiate  holder  claim  ground  covid19  corona  wrongfully  insurance  symptoms  mild  kollam  rakshak  commission  rs  held  hospitalised  symptomsbench  policy

History of this topic

The US’ angst over health insurance: Lessons for India
2 months, 3 weeks ago

The US’ angst over health insurance: Lessons for India

Live Mint  

The recent murder of the head of a prominent health insurer in the US, allegedly fuelled by resentment toward the industry's practices, has cast a harsh spotlight on claims policies that have left many policyholders dissatisfied. In 2021-22, health insurance surpassed motor insurance to become the largest segment by premiums among Indian non-life insurers. For instance, Star Health, the second-largest …

Bihar State Commission Holds Bajaj Allianz General Insurance Co. Liable For Wrongful Repudiation of Valid Claim
4 months, 2 weeks 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 …

Himachal Pradesh State Commission Holds United India Insurance Co. Liable For Wrongful Repudiation Of Valid Claim
5 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 …

Consumer Cases Weekly Round-Up: 22nd To 28th July 2024
7 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
8 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 …

No Proof Of Pre-Existing Disease, Kangra District Commission Holds Star Health And Allied Insurance Co Liable For Wrongful Repudiation
9 months, 1 week 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.
9 months, 2 weeks 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 …

Concealment Of A Non-Life-Threatening Condition Not Causing Death Should Not Invalidate An Insurance Claim: NCDRC
10 months ago

Concealment Of A Non-Life-Threatening Condition Not Causing Death Should Not Invalidate An Insurance Claim: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Subhash Chandra, held Life Insurance Corporation liable for deficiency in service over invalidating an insurance case citing non-disclosure of prior non-life-threatening health conditions. Brief Facts of the Case The deceased husband of the complainant purchased two life insurance policies from the Life Insurance Corporation/insurer: Jeevan Tarang Policy for Rs. The primary reliance …

Consumer Cases Monthly Digest: April 2024
10 months, 3 weeks ago

Consumer Cases Monthly Digest: April 2024

Live Law  

National Consumer Disputes Redressal Commission Non-Standard Basis Of Settling Insurance Claims Apply To Both Private And Public Insurance Companies, NCDRC Holds Bajaj Allianz General Insurance Co. District Consumer Disputes Redressal Commission-I, North Delhi North Delhi District Commission Holds Union Bank Of India And PNB Liable For Failure To Provide CCTV Footage To Investigate Failed ATM Transaction District Consumer Disputes Redressal …

Exclusion Of Coverage For Injuries Sustained During Initial Days Of Policy Issuance Is Illegal, Uttarakhand State Commission Holds Birla Sun Life Insurance Co. Liable
10 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 …

Kerala consumer rights panel holds insurance company, bank accountable for medical claim denial
1 year, 1 month 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 …

Consumer Cases Monthly Round-Up: September 2023
1 year, 5 months ago

Consumer Cases Monthly Round-Up: September 2023

Live Law  

Ministry of Consumer Affairs, Food and Public Distribution NCDRC & Department Of Consumer Affairs Claims A Disposal Rate Of 188% In The Month Of August, 2023 In an official government notification issued on September 19th, the Ministry of Consumer Affairs, Food & Public Distribution has announced an outstanding achievement in resolving consumer cases by the National Consumer Disputes Redressal Commission. …

Consumer Case Weekly Round-Up: 18th September 2023 – 23rd September 2023
1 year, 6 months ago

Consumer Case Weekly Round-Up: 18th September 2023 – 23rd September 2023

Live Law  

Ministry of Consumer Affairs, Food and Public Distribution In an official government notification issued on September 19th, the Ministry of Consumer Affairs, Food & Public Distribution has announced an outstanding achievement in resolving consumer cases by the National Consumer Disputes Redressal Commission. Chandigarh District Consumer Disputes Redressal Commission-I Unilateral Payment Demands Amount to Unfair Trade Practice, Chandigarh District Commission Holds …

COVID First Line Treatment Centre Can Be Termed As Hospital For The Purpose Of Claiming Insurance: Kerala High Court
2 years, 2 months ago

COVID First Line Treatment Centre Can Be Termed As Hospital For The Purpose Of Claiming Insurance: Kerala High Court

Live Law  

The Kerala High Court recently observed that COVID First Line Treatment Centre can be termed as a Hospital for the purpose of insurance claims.Justice V G Arun said that as per the COVID-19 advisory for patient admission to CFLTCs issued by the Government, the Centre identified as COVID Health Care Centre should treat all mild and moderate symptomatic persons under …

Centre extends insurance scheme for healthcare workers on Covid duty
2 years, 11 months ago

Centre extends insurance scheme for healthcare workers on Covid duty

Deccan Chronicle  

New Delhi: The Central government's insurance scheme for health workers fighting COVID-19 has been extended for another period of 180 days. "The Pradhan Mantri Garib Kalyan Package : Insurance scheme for Healthcare Workers Fighting COVID-19 has been extended for a further period of 180 days from 19th April, 2022. The PMGKP was launched on March 30, 2020 to provide comprehensive …

Covid-specific insurance plans can be sold till March 31
3 years, 6 months ago

Covid-specific insurance plans can be sold till March 31

Deccan Chronicle  

Mumbai: Ahead of the third wave of the Covid 19 pandemic, the insurance regulator on Monday once again extended the timeline for non-life and pure-health insurance companies to sell and renew Covid-specific products. Insurance companies were initially allowed to offer these policies till March 31, 2021. In the wake of the coronavirus crisis, the insurance regulator had asked the insurers …

COVID-19 health insurance policies’ tenure may be extended, hints IRDAI chairman
4 years, 6 months ago

COVID-19 health insurance policies’ tenure may be extended, hints IRDAI chairman

Live Mint  

Considering the high number of coronavirus cases in the country, the insurance regulator is mulling to extend the tenure of COVID-19 insurance products. The insurance regulator earlier instructed the companies to introduce standard health insurance products to fight against coronavirus. Corona Rakshak is a fixed benefit plan in which if a policyholder is diagnosed with COVID-19 and hospitalised for three …

'Corona Kavach' Amid Pandemic! Here's Why You Must Consider Taking Covid-19 Health Insurance Policies
4 years, 7 months ago

'Corona Kavach' Amid Pandemic! Here's Why You Must Consider Taking Covid-19 Health Insurance Policies

ABP News  

Ever since the outbreak of novel Coronavirus, India has been witnessing a continuous surge in the number of infected cases. The daily health bulletin states that the Covid-19 tally in the country rises to 28,36,926 including 6,86,395 active cases and 53,866 deaths so far.In view of the Covid-19 pandemic, the Insurance Regulatory and Development Authority of India has designed a …

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