Page 31 - Life Insurance Today May 2016
P. 31

LEGAL

Legal Case Studies on Life Insurance-
Misc.

       Case No.AHD-L-029-1314:0023                            premium of Rs.23,000/- for 10 years so compelled to can-
                                                              cel within free look period. But his son was an ex-em-
         Mr. Sumer Singh Rajpurohit                           ployee of the Insurer as Financial Planning Associate who
                                                              was fully aware of the Proposal details & Terms and con-
                        Vs.                                   ditions of the policy.

                   LIC of India                               Policy can not cancel issued to Insurer's employees or close
                                                              relatives of the employees so Respondent rejected his
Repudiation of Critical rider claim                           request. In the result complaint dismissed.

Complainant lodged a claim of Rs.2,16,498/- for the treat-           Case No.AHD-L-021-1314-0080
ment of Acute Pancreatitis under the critical illness rider          Mrs. & Mr.Kirtibhai R. Thakkar
policy was repudiated by the Respondent giving reason
that the said disease is not under the policy. The original                           Vs.
hospital papers were not available for verification. Policy     ICICI Prudential Life Insurance Co. Ltd.
bond does not indicate that critical illness rider was opted
or not, which was printed S.A Rs.2.00 Lacs & DAB S.A
Rs.2,50,000/-.

Respondent produced the copy of their internal circular       Refusal of Cancellation request for 5 policies
which shows the names of diseases covered under critical
illness in which the subject disease is not mentioned so,     Complainant had taken five Guaranteed Saving Insurance
Respondent's decision is upheld and complaint dismissed.      Plan Policies from the Respondent on the basis monthly
                                                              pension plan misguided by the Representatives of the
       Case No.AHD-L-017-1314:0024                            Respondent.
               Shri C.K. Mendha
                        Vs.                                   After getting the policies, Complainant requested to can-
                                                              cel all policies and refund the premium paid amounts be-
 Future Generali India Life Insurance Co.                     yond free look cancellation was refused by the Respondent
                        Ltd.                                  and advised to change the product name which was not
                                                              agreeable by the Complainant.
Rejection of Cancellation of Policy and Refund of
Premium                                                       On scrutiny of available documents of both the parties, the
                                                              Forum directed to cancel the policies and refund the pre-
Complainant's request that he is not capacity to pay yearly   mium paid as a special case. In the result complaint suc-
                                                              ceeds.

Grounding airplanes to cover your butt would never have let Orville or Wilbur change the world. We would still be spending weeks to
                                                         cross the Atlantic to do business in London.

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