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Articles for Insurer, search results for policy

Insured Cannot Assume Obligation On Part Of Bank To Renew Policy: NCDRC
3 days, 9 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. …

Insurance Bank State Commission Complainant Renew Insurer Policy
Surveyor's Report Can Only Be Rejected Only On Valid Grounds: NCDRC
3 days, 11 hours ago

Surveyor's Report Can Only Be Rejected Only On Valid Grounds: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Subhash Chandra and AVM J. Rajendra in an appeal against United India Insurance held that a surveyor's report is mandatory for insurance claims and it can only be rejected on reasonable grounds. The surveyor found 46.667% under-insurance for the building and stated machinery and potato stocks were not covered under the …

Policy Insurance Building Report Commission Complainant Insurer
Insurance Policies Must Be Read Holistically: NCDRC Holds LIC Liable For Deficiency In Service
5 days, 11 hours ago

Insurance Policies Must Be Read Holistically: NCDRC Holds LIC Liable For Deficiency In Service

Live Law  

The National Consumer Disputes Redressal Commission, presided by Justice A.P. Sahi and Dr. Inder Jit Singh held that insurance policies should be read inclusively to meet the reasonable expectations of the insured. Brief Facts of the Case The complainant's deceased son had a life insurance policy from Life Insurance Corporation/insurer. After examining the insurance policy clauses, it concluded that the …

Policy Insurance Commission Insurer Insurance Policies Lic
Violations Must Constitute Fundamental Breach To Deny Insurance Claim: NCDRC Holds Bharti General Insurance Liable For Deficiency In Service
1 week, 2 days ago

Violations Must Constitute Fundamental Breach To Deny Insurance Claim: NCDRC Holds Bharti General Insurance Liable For Deficiency In Service

Live Law  

The National Consumer Disputes Redressal Commission, presided by AVM J. Rajendra held that for an insurer to deny a legitimate claim, the violations alleged by them have to constitute a fundamental breach. Observations by the National Commission The National Commission observed that the central issue in this case was whether leaving the key in the vehicle was a fundamental breach …

Insurance Theft Commission Vehicle Insurer Key Claim
Surveyor's Report Can Only Be Rejected On Valid Grounds: NCDRC
1 week, 2 days ago

Surveyor's Report Can Only Be Rejected On Valid Grounds: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Subhash Chandra and AVM J. Rajendra in an appeal against United India Insurance held that a surveyor's report is mandatory for insurance claims and it can only be rejected on reasonable grounds. The surveyor found 46.667% under-insurance for the building and stated machinery and potato stocks were not covered under the …

Policy Building Report Commission Complainant Machinery United India Insurance
US health insurance: Frustrations with care denials
1 week, 4 days ago

US health insurance: Frustrations with care denials

CNN  

CNN — Instead of being able to calmly focus on her chemotherapy treatment, Arete Tsoukalas had to spend hours on the phone arguing with her insurer while receiving infusions in the hospital. Diagnosed with leukemia three years ago, Tsoukalas, 26, was stunned to learn that her insurer’s coverage of the drug she needed came with a $13,000 monthly copay, which …

Insurance Medical Health Care Cnn Insurer Kff Her Insurer
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 …

Policy State Commission Insurer Universal Sompo General Insurance
Telematics car insurance policies cancelled for fake speeding and not driving ENOUGH
1 month, 2 weeks ago

Telematics car insurance policies cancelled for fake speeding and not driving ENOUGH

Daily Mail  

Faulty technology, not driving for a month and missing emails are just some of the reasons drivers have had telematics-based car insurance suddenly cancelled, complaints show. In another example, West Bay Insurance was found to have unfairly cancelled a telematics policy due to 'excessive speeding' that was actually a technology error. Another example saw insurer Ageas decline a claim on …

Policy Insurance Car Driving Drivers His Car Insurer
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 …

Policy Insurance National Commercial Loan Complainant National Insurance Company
Insurance Contract Necessitates Full Disclosure Of Material Facts: NCDRC
2 months, 3 weeks ago

Insurance Contract Necessitates Full Disclosure Of Material Facts: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Subhash Chandra and Dr. Sadhna Shanker, in held that an insurance contract mandates utmost good faith, requiring complete disclosure of material facts, and an insurer is entitled to repudiate the contract if such facts are withheld. Challenging the State Commission's order, the insurer pointed out several issues: the Commission ignored medical …

Contract Policy Insurance State Insurer Cld Facts
Inundation In Insurance Policies Include Act Of Flooding As Well As Its Consequences: NCDRC
2 months, 3 weeks ago

Inundation In Insurance Policies Include Act Of Flooding As Well As Its Consequences: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by AVM J. Rajendra, held National Insurance Company liable for deficiency in service due to denial of insurance claim stating that inundation resulting from excessive rainfall does not fall within the flood policy's coverage. Brief Facts of the Case The complainant purchased a Standard Fire and Special Perils insurance policy from the insurer, …

Policy Insurance National Commission Complainant Insurer Heavy Rains
Any Fact Affecting Insurer's Decision Is Material, Failure To Disclose Allows Policy Rejection: NCDRC
4 months ago

Any Fact Affecting Insurer's Decision Is Material, Failure To Disclose Allows Policy Rejection: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Subhash Chandra and Dr. Sadhna Shanker, held that any fact that could impact a prudent insurer's decision is considered material, and failing to disclose it gives the insurer the right to reject the policy. The commission agreed with the State Commission's finding that this omission was deliberate and fraudulent, citing Satwant …

Policy Life Insurance Commission Insurer Material Fact
Delay In Informing Insurer Of Theft Shouldn't Automatically Repudiate Insurance Claim: NCDRC
4 months, 2 weeks ago

Delay In Informing Insurer Of Theft Shouldn't Automatically Repudiate Insurance Claim: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by AVM J. Rajendra, held National Insurance liable for deficiency in service and held that the interpretation of insurance policy terms should consider the context and the parties' intentions and mere delay in informing the insurer of theft does not automatically repudiate the insurance claim. Observations by the National Commission The National Commission …

Insurance Court National Company Delay Commission Complainant
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 …

Policy Life Insurance Commission Complainant Insurer Claim Disclosure
Repudiation Of Insurance Claim Without Proper Notice Is Evasive: NCDRC
4 months, 2 weeks ago

Repudiation Of Insurance Claim Without Proper Notice Is Evasive: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Binoy Kumar and Justice Sudip Ahluwalia, held that denying the claim without prior notice or sharing the survey report is deceptive in nature. The insurer cited the Supreme Court's decision in Suraj Mal Ram Niwas Oil Mills Ltd. v. United India Insurance Co. Ltd., which requires a strict interpretation of insurance …

Survey Report Commission Complainant Insurer Claim National Insurance
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 …

Insurance Documents Commission Complainant District Insurer Unfair Trade Practice
Failure To Disclose Material Illness Violation Of Utmost Good Faith: NCDRC
6 months, 1 week ago

Failure To Disclose Material Illness Violation Of Utmost Good Faith: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Dr. Sadhna Shekhar, dismissed an appeal against United India Insurance and held that the insurer has no liability if the insured fails to disclose a material fact relevant to the insurer's risk assessment. Brief Facts of the Case The complainant, the Chairman of United Shippers Ltd., frequently traveled internationally and held an …

Medical Commission Complainant Insurer Disclose United India Insurance Cabg
Directly Remitting Insurance Claim Amount Without Mutual Consent Is Unfair Trade Practice: NCDRC
6 months, 2 weeks ago

Directly Remitting Insurance Claim Amount Without Mutual Consent Is Unfair Trade Practice: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Subhash Chandra and Dr. Sadhna Shanker, held New India Assurance liable for unfair trade practice for directly depositing the insurance claim amount into the insured's account with arbitrary deductions and without mutual consent. Contentions of the Insurer The insurer argued that the State Commission erred in disregarding the surveyor's report mandated …

Policy Insurance State Report Commission Complainant Insurer
What Is Third-Party Car Insurance?
6 months, 2 weeks ago

What Is Third-Party Car Insurance?

New Indian Express  

Accidents can happen to anyone, regardless of their driving skills. This motor insurance policy is broadly classified into three types, out of which today we will explore the most basic coverage, third-party liability insurance. Third-party car insurance, or basic cover or liability coverage, is mandatory for vehicle owners. If you have injured someone or damaged the person’s property, here is …

Insurance Liability Insurer Claim Policy Coverage Car Damage
Alleged Delays By Surveyor/Insurer Not Grounds To Reject Repudiation: NCDRC
6 months, 2 weeks ago

Alleged Delays By Surveyor/Insurer Not Grounds To Reject Repudiation: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Mr. Subhash Chandra and Dr. Sadhna Shanker, held that insurance claims cannot be rejected by the insured solely because of supposed delays by the surveyor or the insurer. The complainant took the matter to the State Commission, which dismissed the complaint, citing that the fire was caused by 'spontaneous combustion' despite reports …

Policy Insurance Evidence State Report Commission Fir
Insurance Policies Should Be Interpreted Holistically In Favor Of Insured: NCDRC
6 months, 2 weeks ago

Insurance Policies Should Be Interpreted Holistically In Favor Of Insured: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Dr. Inder Jit Singh, dismissed an appeal by Life Insurance and held that insurance policies should be interpreted broadly, keeping in mind the interests of the policyholder and the beneficiaries. The insurer contended that merely having a policy under Table 147 did not entitle the policyholder or their legal heirs to term …

Policy Insurance Proposal State Commission Life Insurance Term Table
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 …

Lakh
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 …

Policy Insurance Second Commission Insurer
Insurance Contracts Should Be Given Plain Meaning: NCDRC
6 months, 3 weeks ago

Insurance Contracts Should Be Given Plain Meaning: NCDRC

Live Law  

The National Consumer Disputes Redressal Commission, presided by Justice A. P. Sahi, dismissed a case against United India Insurance and held that unless the terms of an insurance contract are ambiguous, requiring further interpretation, the plain and straightforward meaning of those terms should be applied. Observations by the Commission The Commission observed that the insurer's main contention was that the …

Policy Insurance Interpretation Commission Complainant Insurer Terms