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Search Results for "claim repudiation"

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Tribunals

National Consumer Disputes Redressal Commission Considers Insurance Claim Repudiation Case — Hearing Concluded, Order Reserved. Insurer repudiated fire claim alleging violation of policy conditions and inconsistencies in insured's statements.

8 Sep 2025

The complaint was filed before the National Consumer Disputes Redressal Commission by a partnership firm engaged in manufacturing besan and chana dal....

Supreme Court

Supreme Court Allows LIC Appeal in Mediclaim Repudiation Case Due to Non-Disclosure of Pre-Existing Rheumatic Heart Disease. The insured failed to disclose a known pre-existing condition (rheumatic heart disease since childhood) in the proposal form, justifying repudiation under the policy's pre-existing condition exclusion and fraud clause.

15 Apr 2019

The case involves an appeal by the Life Insurance Corporation of India (LIC) against an order of the National Consumer Disputes Redressal Commission (...

Supreme Court

Supreme Court Allows Insurance Company's Appeal in Life Insurance Claim Repudiation Case — Non-Disclosure of Pre-Existing Aliment Justifies Repudiation. Failure to Disclose Hospitalization for Vomiting Blood Due to Hepatitis C Within One Month of Policy Issuance Constitutes Suppression of Material Fact Under Section 45 of Insurance Act, 1938.

9 Oct 2020

The Supreme Court allowed the appeal filed by the insurance company (Bajaj Allianz Life Insurance Co. Ltd.) against the order of the National Consumer...

Supreme Court

Supreme Court Allows Consumer Insurance Claim Against Insurer for Wrongful Repudiation Due to Uncommunicated Policy Conditions. The Court held that insurance policy terms must be specifically communicated to the beneficiary, and the insurer failed to prove communication of special conditions requiring non-ATM transactions, constituting deficiency of service under consumer law.

21 Feb 2022

The appeals arose from a judgment of the National Consumer Disputes Redressal Commission dated 24 March 2017, which affirmed the State Commission's de...

Supreme Court

Supreme Court Allows Appeal in Insurance Claim Dispute Over Fire Loss — Repudiation for Overvaluation and Lack of Licence Set Aside. The court held that while suppression of material fact regarding licence justified repudiation, overvaluation without fraud did not, and directed payment of claim as per second surveyor's assessment.

14 Feb 2020

The appellant, M/s Baspa Organics Limited, purchased a factory from Maharashtra State Financial Corporation for Rs. 4 crores and commenced production ...

Supreme Court

Supreme Court Allows Insurer's Appeal in Insurance Claim Repudiation Case Due to Non-Disclosure of Previous Claim. Duty of Utmost Good Faith Requires Full Disclosure of Material Facts in Proposal Form Under Indian Contract Act, 1872.

1 Apr 2019

The appeal arose from a decision of the National Consumer Disputes Redressal Commission (NCDRC) which partly allowed the insurer's appeal against the ...

Supreme Court

Supreme Court Allows Insured's Appeal in Fire Insurance Claim Dispute, Overturning Repudiation Based on Technical Breach. Insurance Company Directed to Pay Assessed Loss with Interest as Surveyor's Report Established Claim Validity Despite Alleged Document Non-Submission Under Policy Condition 6(b).

9 Feb 2023

The appeal arose from a fire insurance claim dispute where the National Consumer Disputes Redressal Commission had affirmed the insurance company's re...

Supreme Court

Supreme Court Allows Insurer's Appeal in Motor Vehicle Insurance Claim Due to Expired Temporary Registration. Driving Vehicle Without Valid Registration After Temporary Registration Expiry Constitutes Fundamental Breach of Policy Terms Under Sections 39 and 192 of Motor Vehicles Act, 1988, Entitling Insurer to Repudiate Claim.

30 Sep 2021

The dispute arose from an insurance claim repudiation by United India Insurance Co. Ltd. after the theft of the respondent's Bolero car. The responden...

Supreme Court

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.

6 Dec 2021

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 ...

High Court

High Court of Karnataka Quashes Insurance Ombudsman Award in Health Insurance Claim Dispute — Repudiation of Claim for Non-Disclosure of Pre-Existing Disease Set Aside. Insurer Failed to Prove That Insured Had Knowledge of Pre-Existing Condition at Time of Policy Inception Under Section 45 of Insurance Act, 1938.

21 Oct 2022

The petitioners, Mrs. Jaya Elizabeth Mathew and Mr. Preneesh Oommen, filed a writ petition under Articles 226 and 227 of the Constitution of India cha...

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