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Death Claim - Gbic.co.in

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sniped at Utmost Good Faith that forms the <strong>co</strong>rnerstone of <strong>in</strong>surance <strong>co</strong>ntract. As such,repudiation was upheld with no relief to the Compla<strong>in</strong>ant.Ahmedabad Ombudsman CentreCase No. : 21-002-0228Mr. M B SurekaVsSBI Life Insurance Co. Ltd.Award Dated: 12-3-2007Repudiation of <strong>Claim</strong> under Life Insurance Policy: <strong>Claim</strong> was repudiated s<strong>in</strong>ce theInsured had died with<strong>in</strong> 45 days from the date of Commencement of Risk. TheCompla<strong>in</strong>ant submitted that the Forms etc. were submitted approximately two monthsbefore the date of Commencement of Risk. However, the Certificate of Insuranceissued to the Insured clarifies that the date of <strong>co</strong>mmencement of risk is the day onwhich the Premium is debited. It was observed that the Assured died 40 days after therisk <strong>co</strong>mmencement date. As such, the decision to repudiate the <strong>Claim</strong> was upheld.Ahmedabad Ombudsman CentreCase No. : 21-001-0303Sri. R G ChamarVsLife Insurance Corporation of IndiaAward Dated : 12-3-2007Repudiation of <strong>Claim</strong> under Life Insurance Policy: While fill<strong>in</strong>g up the Proposal forInsurance, the Assured had by giv<strong>in</strong>g a Self Declaration of Age stated that his age atentry is 39 years. The Assured died with<strong>in</strong> 13 months from the date of proposal. Onenquiry, it was found that the DLA’s Son was aged 28 years as per the age re<strong>co</strong>rded <strong>in</strong>the School Certificate. Aga<strong>in</strong> the DLA’s wife’s age as re<strong>co</strong>rded <strong>in</strong> the Identity Card ofElection Commissioner of India <strong>co</strong>mes to 56 years. The mis-statement of age be<strong>in</strong>gestablished to have been material, the decision of the Respondent to repudiate the<strong>Claim</strong> was upheld.Bhopal Ombudsman CentreCase No.: LI-1025-21/09-07/INDSmt. Basanti Bai GuptaVsLife Insurance Corporation of IndiaAward Dated : 17.11.2006Smt. Basanti Bai Gupta, resident of Indore (M.P.) (here<strong>in</strong>after called Compla<strong>in</strong>ant) isthe wife of late Shri Jagdish Chandra Gupta, Deceased Life Assured (<strong>in</strong> short DLA).The DLA took a life <strong>in</strong>surance policy numbered 344289934 from LIC of India, DO:Indore, BO-5, Indore (here<strong>in</strong>after called Respondent) on 28.12.2004 for Sum Assuredof 1,00,000/- under Table/Term: 149-20. The DLA died on 12-09-2005 due to heartattack. The <strong>co</strong>mpla<strong>in</strong>ant has <strong>co</strong>mpla<strong>in</strong>ed that she had preferred death claim with theRespondent but the same was repudiated on the grounds of understatement of age byDLA at the time of tak<strong>in</strong>g the policy <strong>in</strong> question. The claimant preferred a <strong>co</strong>mpla<strong>in</strong>t tothis Office.

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