Consumer Protection Act, 1986, Section 24A -- Limitation - Insurance claim - Bankers Indemnity Policy - Indemnification of embezzled amount - Acts of embezzlement could not have been detected in an institutional matter immediately after those were committed - As and when the embezzlement came to light it was immediately brought to the notice of appellant by the appellant..........
Consumer Protection Act, 1986, Section 2(1) -- Insurance claim - Bankers Indemnity Policy - Appellant making payment of Rs. 94,000/ - against embezzled sum of Rs. 8, 49,233/..........
Consumer Protection Act, 1986, Section 2(1)(g), Insurance Act, 1938, Section 114A -- Insurance Regulatory and Development Authority, 1999, Sections 14 and 26 - Insurance Regulatory and Development Authority (Protection of Policy Holders' Interest) Regulations, 2002, Regulation 3 - Insurance claim - Repudiation - Exclusion clause - Plea that in view of clause 85 of the..........
Consumer Protection Act, 1986, Section 2(1)(g), 14(1)(d) -- Jeevan Suraksha Life Insurance Policy - Double accident benefit - Insurance claim - Repudiation - Exclusion clause - Claim repudiated on the ground that the death of life assured had occurred when he was engaged in hazarduous occupation - No evidence led by the appellants to the effect that the deceased - life..........
Mediclaim policy -- Insurance claim - Repudiation - Exclusion clause - Suppression of material fact - Respondent - complainant who had a history of Diabetes Mellitus and hypertension suffered a heart attack within week of his taking the policy - Respondent - complainant had a past history, which was not disclosed for reason best known to him - Case also fall within in the..........
Consumer Protection Act, 1986, Section 2(1)(g), 2(1)(r) -- Life Super Surakhya for House Loan Borrowers of S.B.I. - Insurance Regulatory and Development Authority (Protection of Policy Holder's Interests) Regulations, 2002, Regulations 4(6) - Housing loan - Protection against the risk of death - Repudiation - Deficiency in service - Unfair trade practice - OPs No. 1..........
Insurance claim -- HDFC Critical Care Plan - After paying premium of Rs.3,400/ - mother of the appellant did not appear for medical examination as required despite the communication having been sent to her - She was admitted to hospital as a case of pneumonia and died - As per Critical Care Plan opted by the mother of the complainant the plan had waiting period of 180 days..........
Prevention of Corruption Act, 1988, Section 13(2), 7 -- Illegal gratification - Patwari demanded Rs.2, 000/- for supply of copy of jamabandi - On being asked by accused, complainant and shadow witness went to tea vend - On seeing police party accused threw tainted currency notes on table - Recovery not effected from person of accused by raiding policy party - Complainant..........
Insurance claim -- Overseas Travel Care Policy - Repudiation - Exclusion clause - There is no evidence to prove that the policy containing terms and conditions which could show that the diabetes and hypertension were included in the exclusion clause absolving OPs from its liability was ever supplied - The complainant cannot be denied claim on the basis of exclusion clause..........
Mediclaim (Hospitalisation and Domiciliary Hospitlisation Benefit) Policy -- Mediclaim - Repudiation - On ground of pre - existing disease - No evidence produced by the petitioner to show that the respondent was suffering from Chronic Stable Angina since 1993 i.e. 10 years prior to taking of the Mediclaim Policy - Petitioner has not produced the Proposal Form which was..........
