J.D.KAPOOR, RUMNITA MITTAL
Life Insurance Corporation of India Divisional Office No. 1 – Appellant
Versus
Sangeeta Karwa – Respondent
J.D. Kapoor, President— This appeal is directed against Order dated 14-08-2006 passed by the District Forum whereby the appellant insurance company has been directed to settle and pay the claim of two policies for Rs. 5.00 lacs and Rs. 2.8 Lacs in respect of Mr. Tarun Karwa, the deceased husband of the respondent, forthwith after processing the same and in accordance with law and after obtaining the requisite documents if not already furnished along with details of premium paid by her after the death of her husband. Appellant has also been directed to allow waiver of premium for remaining three policies of three children and pay Rs.10,000/- as compensation and Rs. 5,000/- cost of litigation.
2. Admittedly, the aforesaid two policies were taken on 28-01-2002 and 28-03-2002 respectively. The deceased insured was discharged from Pentamed Hospital on 23-02-2003 after having been admitted for Bronchial Asthma. The claim was rejected on the ground of concealment of pre-existing disease of Bronchial Asthma and having committed breach of good faith; Other documents that formed the basis for rejection of claim is medical record of treatment at Apollo Hospital in the year 1999
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