Search Results for "insurance claim rejection"

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Search Results for "insurance claim rejection"

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High Court

Bombay High Court Quashes Insurance Claim Rejection on Ground of Limitation — Time Bar Clause in Group Health Policy Not Applicable When Claim Submitted Within Policy Period. Clause 7.2 of Group Health Insurance Policy Requiring Claim Submission Within 30 Days of Discharge Held Directory, Not Mandatory, and Cannot Defeat Substantive Right to Claim.

20 Apr 2026

The petitioner, an employee of Export Import Bank of India, held a Group Health Insurance policy from United India Insurance Co. Ltd. for the period 0...

High Court

Madras High Court Allows Medical Reimbursement Claim for Government Servant Under New Health Insurance Scheme — Rejects Rejection Based on Procedural Delay. Petitioner's Intimation of Treatment Within Time Constitutes Substantial Compliance, Entitling Her to Reimbursement with Interest.

10 Jun 2026

The petitioner, P. Lakshmi, is an Assistant at the Principal District Court, Villupuram, and a member of the New Health Insurance Scheme (NHIS) admini...

Supreme Court

Supreme Court Dismisses Appeal Against NCDRC Order Rejecting Insurance Claim for Road Damage Due to Normal Wear and Tear Exclusion. The appellant failed to prove that the damage was caused by abnormal rainfall and not normal wear and tear under Section 1 of the insurance policy.

25 Mar 2019

The appellant, Mahavir Road and Infrastructure Pvt Ltd., was undertaking road resurfacing and asphalting in Nashik and obtained an insurance policy fr...

Supreme Court

Supreme Court Allows Appeal in Insurance Claim Dispute Over Delayed Intimation of Vehicle Theft — Delay in Informing Insurer Does Not Automatically Disentitle Claim if FIR Lodged Immediately and Delay Explained. The Court held that Condition No. 1 of the Standard Form for Commercial Vehicles Package Policy must be interpreted contextually, and rejection on technical grounds without considering explanation is not sustainable.

24 Jan 2020

The appellant, Gurshinder Singh, insured his tractor with Shriram General Insurance Co. Ltd. on 19 June 2010. The tractor was stolen on 28 October 201...

Supreme Court

Supreme Court Allows Insurance Claim in Fire Damage Case — Surveyor Reports Cannot Be Ignored Without Valid Reasons. Appointment of Multiple Surveyors Without Justification Leads to Adoption of First Surveyor's Report Under Section 64UM of Insurance Act, 1938.

1 May 2019

The case involves a dispute between M/s New India Assurance Co. Ltd. (Insurance Company) and M/s Luxra Enterprises Pvt. Ltd. (Complainant), an industr...

High Court

Gujarat High Court Allows Appeal in Motor Accident Claim Case Due to Non-Service of Notice on One Respondent — Remands Matter for Fresh Adjudication on Merits. The court held that the Motor Vehicles Act, 1988 is a benevolent legislation and the claim petition should not be rejected solely because one respondent was not served, especially when the insurance company was contesting the claim.

25 Mar 2026

The case arises from a motor accident claim petition filed by Narshibhai Naranbhai Chamundiya (since deceased, represented by his heirs) seeking compe...

High Court

Gujarat High Court Allows Insurance Company's Petition for Production of Disability Certificate in Motor Accident Claim. Tribunal's Rejection of Application Under Section 166 of Motor Vehicles Act, 2019 Set Aside for Denying Fair Opportunity to Cross-Examine Claimant.

3 Mar 2026

The petitioner, TATA AIG General Insurance Co. Ltd., filed a Special Civil Application under Articles 226 and 227 of the Constitution of India and Sec...

High Court

Bombay High Court Allows Claim Under Shetkari Janta Apghat Vima Yojna Despite Lack of Valid Driving Licence and Presence of Alcohol. Insurance Company Cannot Deny Coverage Under Government Scheme for Farmers Unless Policy Expressly Excludes Such Conditions.

6 Mar 2019

The petitioner, Latabai wd/o. Raosaheb Deshmukh, filed a writ petition challenging the communication dated 10.3.2015 of respondent No. 4 Insurance Com...

Supreme Court

Supreme Court Allows Appeal in Health Insurance Claim Repudiation Case — Ovarian Cancer Treatment Reimbursement Ordered. Insurance Company's Repudiation Based on Pre-existing Disease Exclusion Held Invalid as Policy Did Not Define 'Pre-existing Disease' and Treatment Commenced After Policy Inception.

1 Jan 2023

The appellant, Om Prakash Ahuja, had taken a health insurance policy from Reliance General Insurance Co. Ltd. for his family, valid from 7.7.2007 to 6...

High Court

Bombay High Court Dismisses Insurance Company's Petition Challenging Ombudsman Award in Favor of Widow in Housing Loan Insurance Claim. Non-Disclosure of Pre-Existing Conditions Not Material to Risk, Ombudsman's Award Upheld.

3 Sep 2025

This case involves a widow, Gauri V. Raut (Respondent No. 2), whose husband, along with her father-in-law and brother-in-law, passed away within a spa...

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