From Financialexpress · FE News Desk · · 1m 10s
Insurer Pays Rs 5.27 Lakh for Death Claim Rejection
Haryana consumer commission orders insurer to pay Rs 5.27 lakh after rejecting death claim over alleged hidden illness.
In brief
Haryana consumer commission orders insurer to pay Rs 5.27 lakh after rejecting death claim over alleged hidden illness. Haryana consumer commission ruled insurer must pay Rs 5.27 lakh to woman's nominee after insurer failed to provide medical evidence for alleged hidden illness. Originally reported by Financialexpress.
Claim Rejected
The insurer rejected the death claim, alleging the deceased concealed pre-existing illnesses and misrepresented facts in the policy form.
Commission Order
Haryana consumer commission ordered insurer to pay rs 5.27 lakh including rs 11,000 for mental agony and rs 5,500 litigation costs.
Policy Details
The policy was issued for rs 4,755 and the woman died of natural causes on may 15, 2019.
Insurer's Argument
The insurer claimed the policyholder concealed critical health information and the policy was void due to material misrepresentation.
No Evidence Found
The commission found no medical documents or proof of pre-existing illness to support the insurer's allegations.
Commission Ruling
The commission ruled the insurer could not legally reject the claim without evidence of hidden illness.
What Next
Consumers facing similar claim rejections can approach district consumer commission or call helpline 1800-180-2087 for help.
The big picture
Haryana consumer commission ruled insurer must pay Rs 5.27 lakh to woman's nominee after insurer failed to provide medical evidence for alleged hidden illness.
