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2025 Supreme(Online)(SCDRC) 2391

STATE CONSUMER DISPUTES REDRESSAL COMMISSION
HON’BLE JUSTICE SANGITA DHINGRA SEHGAL, CJ, HON’BLE MS. PINKI, J
MR. AMIT SINGHAL – Appellant
Versus
CARE HEALTH INSURANCE LIMITED – Respondent


Advocates:
For the Appellants/Petitioners: Mr. Paritosh Sharma, Mr. Vardan Gupta
For the Respondents: Mr. Yuvraj Sharma

JUDGMENT

1. The facts of the case as per the District Commission record are:

“1. The case of the Complainant as revealed from the record is that the Complainant has earlier filed a complaint vide CC No. 940 of 2017 in the Hon'ble State Commission and the same was disposed of by the Hon’ble Commission in which the Hon'ble Commission gave direction to the Opposite Party to decide the claim of the Complainant within 3 months vide order dated 24.07.2019, and also gave permission to Complainant to file a fresh complaint against the Opposite Party in case Opposite Party repudiate the claim. It is his case that Opposite Party had not complied with the above mentioned order and after the expiry of 3 months period i.e. 23.10.2019, a legal notice dated 23.10.2019 was sent to the Opposite Party. It is his case that the Opposite Party rejected the claim and the reason given in the letter dated 04.12.2019 was "Non-disclosure of cancer at the time of policy Inception" "Permanent Exclusion- Act of self-destruction or self- inflicted injury, attempted suicide while sane or insane or any illness or injury attributable to consumption, use misuse or se of tobacco intoxicating drugs and alcohol or hal

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