ORDER

S.M. Kantikar, Presiding Member—The brief facts of the case are that in the month of March, 2014 the complainant’s husband Mr. Gagan Sethi (hereinafter referred to as ‘insured’) obtained a home loan from ICICI Bank at Gurgaon (OP-2) for a sum of Rs. 1,18,00,000/-. He also, for the purpose of insuring the loan amount, opted for “Loan Protect-FP Mortgage Policy” from the ICICI Prudential Life Insurance Co. Ltd (OP-1). On the basis of available relevant medical records, the OP-1 confirmed the eligibility of the insured to get the insurance cover and he handed over to the agent of OP-1, the blank application form signed on 31.03.2014. The yearly premium was fixed to Rs. 76464/-.

In the month of June 2014, the insured suffered very high grade fever and the Platelet count reduced drastically. He took treatment and hospitalized for few days in different places. In the month of December 2014 the insured got admitted to Medanta Medicity for abdominal distension - Ascites. After examination and investigation, he was advised to undergo liver transplant. However, prior to liver transplant during the treatment, his health suddenly deteriorated, suffered cardiac arrest and the insured died o