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Maturity Claim - Gbic.co.in

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There is no dispute that the Policies number 341366513 and 341369904 were issued toDLA by the Respondent.Dur<strong>in</strong>g hear<strong>in</strong>g, the Compla<strong>in</strong>ant <strong>in</strong>formed that he has not received the maturity claimdue <strong>in</strong> January 2006 under the policy 341366513 and pension due from May 2006under policy no. 341369904 so far where as the premiums were remitted regularly byhis employer, <strong>in</strong> spite of his several <strong>co</strong>rrespondences and visits to the office of therespondent.Dur<strong>in</strong>g hear<strong>in</strong>g, the Respondent stated that the policies were perta<strong>in</strong><strong>in</strong>g to the salarysav<strong>in</strong>g scheme and the premiums were remitted through their respective RAO’s ofMPEB where the Life Assured was posted. Ac<strong>co</strong>rd<strong>in</strong>gly the efforts have been made totrace out the gaps under the policies. Now they have settled the maturity claim underthe policy no. 341366513 vide cheque no. 153275 dated 15.01.2007 for Rs. 142562=00<strong>in</strong>clud<strong>in</strong>g the <strong>in</strong>terest for delay <strong>in</strong> settlement of the maturity claim.Regard<strong>in</strong>g another policy no. 341369904 the Respondent replied that they are underthe process of payment of pension but unable to proceed further <strong>in</strong> absence of optiondesired by the life assured which led to the amount of pension. The Respondent furtheradded that they shall proceed for the payment of pension on receipt of the option fromthe Life Assured.Dur<strong>in</strong>g Hear<strong>in</strong>g, the Respondent has handed over the maturity claim cheque no.153275dated 15.01.2007 for Rs. 142562=00 to the Compla<strong>in</strong>ant which was received by himdur<strong>in</strong>g the hear<strong>in</strong>g. In respect of the another policy no. 341369904 the Respondent hasobta<strong>in</strong>ed the letter of potion “ F ” for pension from the life assured.It is observed that the maturity claim under the policy no. 341366513 has been paid tothe Compla<strong>in</strong>ant and the Compla<strong>in</strong>ant has also submitted the option letter dated17.01.2007 for the calculation of pension amount to the Respondent.In view of the above, the Respondent is directed to settle the payment of pensionunder the policy no. 341369904 with<strong>in</strong> the 15 days from the receipt of this order.Bhubaneshwar Ombudsman CentreCase No. : 21-001-0169Sri Durga Charan BehurayVsLife Insurance Corporation of IndiaAward Dated : 11.11.06The Compla<strong>in</strong>ant had obta<strong>in</strong>ed a Bima Nivesh(S<strong>in</strong>gle Premium) Policy under Table &Term 132-05 on payment of Rs.94972/- on 12.11.99 for an assured sum of Rs.100000/-from Rourkela Branch of LIC of India vide Policy No. 591067046 on the assurance thathe will get guaranteed addition and may get loyalty addition on the maturity value. Thepolicy matured on 12.11.2004. The <strong>in</strong>surer paid maturity value of Rs.150366/- on12.11.2004 which <strong>in</strong>cludes Guaranteed Additions of Rs.50366/-. But no loyalty additionwas paid on the ground <strong>in</strong>teralia that it was not declared by the Insurer. Therepresentation for payment of loyalty addition of Rs.14246/- was rejected by theInsurer. Be<strong>in</strong>g aggrieved the Compla<strong>in</strong>ant moved this forum for redressal.The <strong>co</strong>mpla<strong>in</strong>t was taken up for hear<strong>in</strong>g on 19.6.2006. It was <strong>co</strong>ntended by theCompla<strong>in</strong>ant that before open<strong>in</strong>g the policy, a Development Officer of Rourkela Branchof the Insurer had assured him that the maturity benefit shall <strong>in</strong>clude loyalty addition.He had given him a pr<strong>in</strong>ted leaflet <strong>co</strong>nta<strong>in</strong><strong>in</strong>g emblem of the Insurer and official seal ofthe Development Officer show<strong>in</strong>g loyalty addition of Rs.14246/ . It was submitted by

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