Medi Claim Policy -- claim policy - Cancellation of policy - Suppression of material fact - Pre - existing disease - Ailment of kidney - Suppression when the first application for insurance cover was made - Non consideration by Fora below of the effect of relevant clause of policy and admission made by respondent in his letter - Matter remitted to District Forum to..........
Insurance claim -- Suppression of material facts - Revival of policy - Cogent and reliable evidence on the part of the appellants - OPs to show that prior to filling up the fresh declaration at the time of revival of the policy the deceased was admitted in the Hospital - That fact was not disclosed by the deceased in his fresh declaration form regarding his health - It..........
Consumer Protection Act, 1986, Section 21(b) -- Revisional jurisdiction - Insurance claim - Repudiation - Suppression of material fact - Deceased had suppressed the material facts while taking the policies as well as at the time when the policies were got revived - Finding regarding suppression of facts is based on evidence - Such a finding cannot be set aside in exercise..........
Insurance claim -- Repudiation - Mediclaim Insurance Policy - Suppression of material fact - That insured suffered from diabetes and Coronary Artery Disease - The insurance company repudiated the claim for non disclosure of these diseases - It has come on record that the deceased died due to cirrhosis of liver which has not connection with Coronary Artery Disease -..........
Consumer Protection Act, 1986, Section 2(1)(g), Insurance Act, 1938, Section 45 -- Insurance claim - Suppression of material fact - Principle of uberrima fides - Absence from work due to Pyrexia, Cirrhosis of Liver with Portal Hypertension - In the proposal form information not given - Death within 8 months of the issuance of the LIC policy - As the insurance policy is..........
Medi -- claim policy - Insurance claim - Repudiation - Suppression of material fact - Admission of respondent in the Hospital nowhere mentioned her having sustained any injury and the admission resultant therefrom - Though it is categorically mentioned that the complainant is an old patient suffering from painful knees - The records leads to the conclusion that the..........
Insurance claim -- Repudiation - Suppression of material fact - In proposal form fact regarding his drinking and smoking not stated - Oral statement of the petitioner - wife of the deceased that he was not in the habit of drinking and smoking duly supported by two agents of Insurance Company - The certificate issued by Hospital not supported by the affidavit of the Doctor..........
Insurance claim -- Repudiation - Suppression of material fact - Suffering from T.B - There is no nexus between the cause of death of the deceased and TB - The death of the deceased having not been connected with the TB disease, it cannot be considered to be material so far as the death of the deceased is concerned - It cannot be said that there was suppression of material..........
Consumer Protection Act, 1986, Section 2(1)(g), Insurance Act, 1938, Section 45 -- Insurance claim - Repudiation - Suppression of material fact - Treatment was taken by the insured for ailment of perforation of duodenal ulcer and death was because of same and not because of the psychiatric disorder for which the insured has taken leave - Cause of death has no connection..........
Medi -- Claim policy - Insurance claim - Repudiation - Ground of suppression of material fact - Clear admission by the complainant about his past illness, which he did not disclose in the proposal form and which was the material for the issue of medi - claim policy - Complaint liable to be dismissed...........
