Page 64 - Suri’s - NCDRC ON LIFE INSURANCE 2017 V1.3

Suri’s - NCDRC ON LIFE INSURANCE 2017 64

of a political party is stated to have instructed the
doctor at Narasaraopet to take back the certifi-
cate issued by him earlier.
DM since more than five years. This uncon-
Existing ailments/ Habits
of the insured, if any. trolled DM had caused severe problems leading
to amputation of part of a leg and his death.
A statement from Dr Kadiyala Venkateswara
Rao which had clearly mentioned that Shri Ra-
maiah had been treated by him was got forcibly
Details of Medical records altered by the claimant/ agent with the help of
obtained, if any. local politicians. Sri Sai Srinivasa Lab people
who have diagnosed his sugar levels (Narasara-
opet) have also identified the insured but refused
to provide statements fearing a court case.
The death was due to severe complications of
Any other factors contrib-diabetes which had led to losing consciousness
ute to the death while driving causing injuries inside the brain for
which multiple surgeries had to be done.
No doctor had certified the death. The family
Immediate cause of death
as certified by doctors is assuming that the LA had died due to a heart
attack.
Complications of uncontrolled sugar levels in
Cause of death as per en- the blood leading to losing an amputation of a
quiries
limb and other complications.
The insured had died of very severe and un-
controlled diabetes led to surgical amputation of
a limb and eventually to his death. The entire
claim had been planned by the agent/ the claim-
ant and another person with some political influ-
Opinion and conclusion ence in the locality. Rowdism and brow beating
are being resorted to by the claimant is getting
her false claim processed. Amicable approach
from the insurers is being taken as a weak stance.
The insurers are to completely analyse the infor-
mation and proceed accordingly.

11. The findings of the survey report are similar to and support the findings of
the investigator. They are as under:
Mention any deformity, peculiarities During the course of investigation, I
etc., in the physique, health and habits met with the neighbours and enquired
of the deceased discovered during the about the nature of occurrence. They
enquiry (deformity or peculiarities etc., deposited that the deceased is suffering
referred are what are notice by or as from diabetes for the last two years and
per the knowledge of neighbours, de-on a fateful day, i.e., 05.03.2010 de-
ceased person circles etc. ceased died at his residence.

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