Times of India·4 min read·medium

Son died in 2013, LIC rejected 5 claims over diabetes; mother wins Rs 61.5 lakh

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Son died in 2013, LIC rejected 5 claims over diabetes; mother wins Rs 61.5 lakh
AI Summary

The National Consumer Disputes Redressal Commission ruled that LIC must pay a family Rs 61.5 lakh after rejecting death claims based on the deceased's pre-existing diabetes. The court established that insurers cannot deny claims if the policyholder was unaware of their medical condition at the time of purchase.

Why it matters

This sets a significant legal precedent for consumer rights in the Indian insurance sector regarding non-disclosure of medical history.

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Life Insurance Corporation (LIC) of India has been ordered to pay Rs 60 lakh cumulatively after a woman’s claim was rejected following her son’s death. The National Consumer Disputes Redressal Commission has directed LIC to pay more than Rs 60 lakh in life insurance proceeds to a Mumbai woman after concluding that the insurer had not been justified in repudiating all five policies purchased by her son, who died of cardiac arrest in 2013.The decision ends a legal dispute that continued for more than a decade. It also establishes that an insurer cannot deny a death claim for non-disclosure of a medical condition if the policyholder himself was unaware of the disease when the policy was taken.What the LIC insurance payout dispute was about:The case dates back to June 2010, when Nitin Suresh Gambhir, who lived in Mahim, Mumbai, submitted proposals to LIC for five life insurance policies.

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