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Madras High Court Allows Reimbursement Claim Under NHIS 2021 for Aorto Bi-Iliac Bypass Surgery Despite Cashless Denial — Insurance Company and TPA Directed to Pay Rs.2,72,406/- with Interest. Court Held That Denial of Cashless Facility Does Not Extinguish Reimbursement Entitlement Under the Scheme.

The petitioner, P. Ravi, a Head Constable serving in the Tamil Nadu Police Department, filed a writ petition under Article 226 of the Constitution of ...

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High Court of Gujarat Enhances Compensation for Injured Motorcyclist in Motor Accident Claim — Tribunal's Award of Rs.10,44,212/- Modified to Rs.25,00,000/- with 9% Interest. Future Loss of Income Recalculated Based on Notional Income of Rs.4,500/- per Month and 40% Disability.

The appellant, Ambala Muljibhai Makwana (since deceased, represented by legal heirs), was driving a motor cycle on 18.01.2003 when a tanker bearing re...

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Bombay High Court Allows Appeal for Enhanced Compensation in Motor Accident Injury Claim — Tribunal's Award of Rs.15 Lakhs Enhanced to Rs.27 Lakhs for 70% Disabled Mechanical Engineer. Loss of Earning Capacity Reassessed with 50% Future Prospects and Multiplier of 14 Under Motor Vehicles Act, 1988.

The appellant, Pratap Dandapani Padhi, a 43-year-old Mechanical Engineer working as a Foreman at Sunflag Iron & Steel Company Limited with a monthly s...

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Supreme Court Allows Appeal in Insurance Claim Dispute — Repudiation of Overseas Mediclaim Policy for Non-Disclosure of Pre-existing Condition Set Aside. Insurer Failed to Prove That Insured Had Knowledge of Hyperlipidaemia at Time of Proposal.

The appellant, Manmohan Nanda, sought an overseas mediclaim policy from United India Assurance Co. Ltd. to travel to the USA for a family wedding. He ...

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Supreme Court Allows Appeal in Motor Accident Compensation Case — Future Prospects Awardable in Permanent Disablement Cases. Loss of earning capacity must consider functional disability and actual income, not merely physical disability percentage.

The appellant, Pappu Deo Yadav, was a 20-year-old data entry operator earning ₹12,000 per month when he suffered a serious motor accident on 18.05.2...