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Search Results for "insurance fraud"

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High Court

Gujarat High Court Allows Appeal and Enhances Compensation in Motor Accident Claim for Deceased Khalasi Aged 28 Years — Future Prospects and Consortium Awarded Under Motor Vehicles Act, 1988. The court applied 40% future prospects, multiplier 18, and enhanced conventional heads as per Pranay Sethi, increasing compensation from Rs.4,43,360 to Rs.5,81,000.

7 Jan 2026

The appeal arises from a motor accident claim petition filed by the widow and children of Hasmukhbhai Chhaganbhai Padhiyar, who died in a road acciden...

High Court

Bombay High Court Hears Challenge to Insurance Ombudsman Award. Petitioner Seeks Quashing of Award Dated 10 June 2024.

9 May 2025

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High Court

Bombay High Court Quashes Cancellation of Caste Validity Certificate and Rejection of Nomination in Lok Sabha Elections — Caste Scrutiny Committee Lacks Power of Review Under Section 7 of Maharashtra Caste Certificate Act, 2000. The Court held that a validity certificate issued under Section 6 of the Act cannot be cancelled by the Committee without express statutory authority and without following principles of natural justice.

24 Sep 2024

The petitioner, Rashmi Barve, a Zilla Parishad member, had obtained a caste validity certificate dated 17/02/2020 from the District Caste Certificate ...

Supreme Court

Supreme Court Allows Appeal of Complainant in Life Insurance Claim Repudiation Case — Insurer Failed to Prove Suppression of Material Facts. Non-disclosure of existing policies not established by documentary evidence; burden of proof under Section 45 Insurance Act, 1938 not discharged.

22 Apr 2024

The present civil appeal arises from the repudiation of life insurance claims by Future Generali India Life Insurance Company Limited. The appellant, ...

High Court

High Court of Karnataka Enhances Compensation in Motor Accident Claim Case — Negligence of Driver Upheld, Multiplier Applied Correctly. The Court enhanced compensation from Rs.15,47,000 to Rs.18,47,000 by adding future prospects and applying multiplier 18 under Motor Vehicles Act, 1988.

22 Feb 2023

The case arises from a motor accident claim petition filed by the parents of the deceased, Samilulla and Ashrafunisa, seeking compensation for the dea...

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...

Supreme Court

Supreme Court Allows Appeal in Mediclaim Policy Renewal Dispute — Insurer Must Disclose Material Changes in Coverage at Renewal. Renewal of Insurance Policy is Not a Fresh Contract; Insurer Owed Duty to Inform Insured of Restrictive Terms Under Principle of Utmost Good Faith.

9 Dec 2021

The appellants, Jacob Punnen and his wife, held a Mediclaim policy with United India Insurance Co. Ltd. since 1982, renewed annually. In March 2008, t...

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 ...

Supreme Court

Supreme Court Allows Insurer's Appeal in Life Insurance Claim Repudiation Case Due to Suppression of Previous Policy. Non-disclosure of existing life insurance policy in proposal form held to be material misrepresentation entitling insurer to repudiate claim within two years under Section 45 of Insurance Act, 1938.

24 Apr 2019

The case involves an appeal by Reliance Life Insurance Co Ltd against the decision of the National Consumer Disputes Redressal Commission (NCDRC) whic...

High Court

Bombay High Court Allows Health Insurance Renewal Petitions Against United India Insurance Company — Insurer Cannot Refuse Renewal Based on Pre-existing Disease Exclusion After Continuous Coverage Under Group Policy. The court held that the exclusion clause for pre-existing diseases applies only at the inception of the first policy and not at renewal, and that refusal to renew was arbitrary.

19 Aug 2013

The petitioners, account holders of Bank of Maharashtra, were covered under a group health insurance scheme called 'Mahabank Swasthya Yojna' provided ...

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