Page 43 - Suri’s - NCDRC ON LIFE INSURANCE 2017 V1.3
P. 43

Suri’s - NCDRC ON LIFE INSURANCE 2017                    43



                          CARRIER    AGENT     BRANCH     3/152-A,
                       DHAULPUR HOUSE M.G. MARG
                          AGRA
                          UTTAR PRADESH
                          2.  REGIONAL  MANAGER,  LIFE  INSUR-
                       ANCE CORPORATION OF INDIA
                          AGRA  DIVISION  SANJAI  PLACE,  M.G.
                       MARG,
                          AGRA
                          UTTAR PRADESH


                         BE-
                       FORE:
                                  HON'BLE MR. JUSTICE V.K. JAIN,PRESIDING MEMBER

                         For
                       the  Peti-  Mr. Sunil Satyarthi, Advocate
                       tioner :

                         For  the  Respon-  BRANCH  MANAGER  /  SENIOR  DIVISIONAL  MAN-
                       dent :            AGER, LIC OF INDIA & ANR.

                       Dated : 12 Oct 2017
                         ORDER
                          Late Smt. Shiva Dubey wife of the complainant / respondent obtained an insur-
                       ance policy from the respondent on 08.11.1991.  She having expired on 17.9.1993 a
                       claim in terms of the policy was submitted by the petitioner / complainant to the re-
                       spondent.  The claim having not been paid, he approached the concerned District Fo-
                       rum by way of a consumer complaint.
                          2.      The complaint was resisted by the insurer which pointed out that the policy
                       issued to the deceased having lapsed in May, 1992, a declaration form was submitted
                       by her on 29.1.1993, declaring her to be in a good state of health and thereafter the
                       policy was renewed.  It was further stated in the written version filed by the respon-
                       dent that the deceased was suffering from breast cancer for which she was operated at
                       Tata Memorial Hospital in August, 1992, but despite the said disease she had submit-
                       ted a false declaration while obtaining revival of the insurance policy.  It was for this
                       reason that the insurance claim was rejected vide letter dated 03.2.1999.
                          3.      The District Forum having ruled in favour of the complainant, the respon-
                       dent LIC of India approached the concerned State Commission by way of an appeal.
                       Vide impugned order dated 13.7.2017, the State Commission allowed the said appeal
                       holding that the deceased was suffering from breast cancer at the time she obtained
                       revival of the policy and that she had submitted a false declaration form for the pur-
                       pose  of  obtaining  the  revival.   Being  aggrieved  from  the  order  passed  by  the  state



                                                       INDEX
   38   39   40   41   42   43   44   45   46   47   48