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V.K.JAIN
Senior Manager, Life Insurance Corporation of India – Appellant
Versus
Rajesh Kumar – Respondent


Counsel for the Parties:
For the Petitioner:Mr. Lakshay Sawhney and Mr. Madhav Nanda, Advocates
For the Respondent:Mr. Ashok K. Sharma, Advocate

ORDER (ORAL)

V.K. Jain, Presiding Member.—Late Smt. Raj Kumari, mother of the complainant obtained a life insurance policy from the petitioner Corporation for a sum insured of Rs.2,00,000/-, submitting a proposal dated 04.03.2013. She having died on 14.02.2016 at Fortis Hospital, Mohali a claim for the payment of the benefit available under the policy was submitted by the complainant. The claim was rejected vide letter dated 02.12.2017 which to the extent it is relevant reads as under:-

“While examining the claim, we note from the Proposal Forms dated 04/03/2013 that the deceased life assured had answered the following questions as noted hereinbelow:-

11(a) During the last five years did you consult a Medical Practitioner for any ailment requiring treatment fore more than a week? No

11 (c) Have you remained absent from place of work on grounds of health during the last 5 years? No

11(d) Are you suffering from or have you ever suffered from ailment pertaining to Liver, Stomach, Heart, Lungs, Kidney, Brain or Nervous System? No

11(e) Are you suffering from or have you ever suffered from Diabetes, Tuberculosis, High Blood Pressure, Cancer, low Blood Pressure, Epilepsy, Hernia

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