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...........
Insurance claim -- Suppression of material facts - Complicated question of fraud and cheating - Insurance claim - Death of insured within four months - Two medical certificates of same doctor and of same date one certifying insured not suffering from any disease for the last ten years and other certificate stating insured mentally ill and physically handicapped - Criminal..........
Insurance claim -- Repudiation - Suppression of material fact - Non - disclosure that he was holding two more policies - There was no allegation that the insured suffered from any disease from which he died because he died a natural death - The fact of non - disclosure of the earlier two policies cannot be construed as a deliberate attempt to defraud the Appellant...........
Consumer Protection Act, 1986, Section 2(1)(g), Insurance Act, 1938, Section 45 -- Salary saving scheme - Insurance claim - Suppression of material fact - Treatment was taken by the insured for trivial ailments on many occasion and for which he took leave - That should not be made a ground for repudiation of the claim unless the suppression of the disease or ailment is..........
Consumer Protection Act, 1986, Section 1(1)(g), Insurance Act, 1938, Section 45 -- Insurance claim - Repudiation - Suppression of material fact - Date of birth - The assured had taken her date of birth as 15 years on the date of filing of the proposal form placing reliance on the facts stated in the ration card - It was for the appellants to have asked the assured to..........
Insurance claim -- Repudiation - Suppression of material fact - About suffering from mental disease - Held that the Insurance Companies cannot be permitted to be careless while issuing the insurance policies and to be over clever when repudiating the claim - Order of the District Forum allowing the complaint upheld...........
Insurance claim -- Repudiation - Suppression of pre - existing disease - Held that a mere mention of pain during urination for the last two years without any positive finding of a disease or diagnosis and that any treatment record for the same, cannot be construed to mean a pre - existing disease for which the claim could repudiated...........
Consumer Protection Act, 1986, Section 2(1)(g) -- Insurance claim - Mediclaim policy - Suppression of material fact - Pre - existing ailment - Appellant - OP have not proved if the assured had suppressed the material facts regarding the pre - existing heart ailment in the proposal form filled for obtaining mediclaim policy initially taken or on renewal - Since the..........
Insurance claim -- Repudiation - Suppression ofmaterial facts - Except filing the medical certificate and discharge certificate of hospital, the respondent Insurance Company had not led any evidence before the District Forum of the life assured having received any treatment for cirrhosis prior to the admission in the said hospital - Not filed any affidavit of any Doctor or..........
Insurance claim -- Repudiation - Suppression of material fact - Insured husband of the appellant was suffering from Diabetes Mellitus - II prior to the year 2000 when he filled the proposal form - He had suppressed these material facts from being disclosed - The history of Diabetese Millitus - II given by insured himself as recorded in the discharge certificate can validly..........
