Death Claim - Gbic.co.in

proposal form. Under the circumstances, it was held that there was no evidence toestablish that cancer was existed prior to inception of the policy. Therefore, this officeheld that the arguments put forth by the insurance company that the claim was nottenable owing to pre-existence of the disease did not hold good. Therefore, theInsurance Company was directed to pay the claim, as per policy conditions.Kolkata Ombudsman CentreCase No. : 374/24/001/L/08/2006-07Smt.Rina MandalVsLife Insurance Corpn. of IndiaAward Dated : 07.03.07Facts & Submissions :This petition was filed by the complainant for non-settlement of death claim against theabove policy issued by Life Insurance Corpn. of India.The complainant, Smt.Rina Mandal, nominee and wife of the L/A, late Chitta RanjanMandal filed this death claim as her husband expired on 26.6.2004. The relevantdocuments viz. claim forms etc. were submitted to the LICI on 9.9.2004. Till then therewas no response from the LICI. Hence, this petition was filed for seeking relief beforethis forum.The Insurance Company did not send any self-contained note.Decision :The complainant was requested to submit the specific documents, as sought for, by theLICI authorities for processing the claim. Simultaneously, the LICI authorities weredirected to complete processing of the claim on receipt of the documents and informthe complainant accordingly.Kolkata Ombudsman CentreCase No. : 458/21/001/L/09/06-07Smt. Grace Clara KachhapVsLife Insurance Corporation of IndiaAward Dated : 08.03.07Facts & Submissions:This petition was filed by the complainant Smt. Grace Clara Kachhap with regard torepudiation of death claim under the policy on the life of her husband Late FardinandToppo, deceased life assured (DLA).Shri Fardinand Toppo purchased an insurance policy from LICI with date ofcommencement (DOC) 28.08.01. Smt. Grace Clara Kachhap, wife and nominee of theDLA, stated that LICI authorities repudiated the death claim and her furtherrepresentation was not considered. Briefly facts of the case are as under:Shri Fardinand Toppo purchased a policy on 28.08.01. The proposal was received on28.08.01 and the DOC was 28.08.01. Unfortunately, he died on the very same dayearly in the morning. From the policy papers, it could be seen that he was sufferingfrom jaundice vide report dated 29.08.01. Claim Form ‘B1’ indicateed that he wasbrought dead at 08.30 A.M. to the hospital.A hearing was fixed. The representative of the insurance company attended while thecomplainant did not attend. The representative of the insurance company stated that