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2026 Supreme(Online)(NCDRC) 148

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION
A. P. Sahi, President, Bharatkumar Pandya, Member
ICICI LOMBARD GENERAL INSURANCE COMPANY LIMITED – Appellant
Versus
AJAY GOYAL & 4 ORS. – Respondent


Advocates:
For the Appellant(s):Mr. Yogesh Malhotra, Advocate, Mr. Sushant Kishore, Advocate
For the Respondent(s):Mr. Tushar Mudgil, Advocate for R-1 to 4, Ms. S. Pragya Badbria, Advocate, Ms. Kriti Jain, Advocate for R-5

ORDER

JUSTICE A. P. SAHI, PRESIDENT

1. The complainants/ respondent nos. 1 to 4 herein preferred CC/47/2014 before the SCDRC, Madhya Pradesh, alleging deficiency and unfair trade practice on the part of the appellant- Insurance Company on repudiating the claim arising out of a Home Safe Plus – Secure Mind Policy, that was acquired for securing the payment of the loan extended to the insured for purchase of the property in question, in the event of the happening of the insured events as detailed in the policy. The dispute centres around a contest with regard to the nature of the major medical illness of “End Stage Renal Failure” as claimed by the complainants. The Insurance Company has taken a stand that there is no evidence nor is there any material to construe the existence of such a disease, as such the claim was not indemnifiable.

2. In order to appreciate the controversy in correct perspective the letter of repudiation dated 16.10.2012 is extracted herein under:

“16th October 2012

Ref. no. GEN000068022

To, Mr. Ajay Goyal,

Mainawali Gali, Dal Bazar,

Lashkar, Gwalior-474001

Mob-9426337290

Dear Sir,

Re: Claim under Policy No: 4065/ICICI-HSP/1999849/00/000 lodged vide Claim No- GEN000068022

Th

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