Death Claim - Gbic.co.in

The Complainant’s husband held a Jeevan Suraksha Policy with endowment option. Onhis death, payment of annuity was done as per Option F-Life Annuity with Return ofCapital Sum. The Policy Document stated that “Annuity Rates for the various optionswill be quoted on application”. It was observed that from the Monthly Pensions havebeen calculated correctly as per the Insurer’s internal instructions by which theprevailing immediate annuity as at the date of death have to be applied, based on theage of spouse. Hence, no relief was warranted for the Complainant.Ahmedabad Ombudsman CentreCase No. : 21-001-0233Sri C R PatelVsLife Insurance Corporation of IndiaAward Dated : 22-1-2007Repudiation of Claim under Life Insurance Policy: While proposing for Insurance, theAssured had not disclosed the fact of having undergone treatment for Sinusitis for thelast one year, as evidenced from the Certificate of the Treating Doctor. The assureddied within 22 days of taking the Insurance Policy. Claim on death of the deceased LifeAssured was repudiated by the Respondent. Since, the non-disclosure sniped UtmostGood Faith, which formed the cornerstone of Insurance Contract, the decision torepudiate the Claim was upheld.Ahmedabad Ombudsman CentreCase No. : 21-001-0260Mr. K S MakadiyaVsLife Insurance Corporation of IndiaAward Dated : 23-1-2007Repudiation of Claim under Life Insurance Policy: While proposing for Insurance, theInsured had not informed that fact of his having had a history of pain in Chest andDyspnoea as also Cough and blood in Sputum and Asthma for which he had beenundergoing treatment. Claim on death of the deceased Life Assured was repudiated bythe Respondent on the basis of the Certificate of Treatment. Non disclosure of this factdenied the opportunity to call for further Special Reports etc. Misstatement in thisregard sniped Utmost Good Faith which forms the cornerstone of Insurance Contract.As such, the decision of the Respondent to repudiate the Claim was upheld.Ahmedabad Ombudsman CentreCase No. : 21-001-0276Mr. N M ParmarVsLife Insurance Corporation of IndiaAward Dated : 13-2-2007Repudiation of Claim under Life Insurance Policy: As per records the Deceased ignitedherself by pouring Kerosene. The Uncle-in-law of the DLA took her to a burnt state fortreatment but when the body arrived, she was declared dead. The Post-Mortem andFSL Report both confirmed that the death took place due to burn injuries which tookplace in the residence of the DLA. The risk cover under the Policy commenced on 20-6-2003. Death took place on 26-10-2005. As such, the decision of the Insurer to