Laws laid down by supreme court

WHAT IS NON-DISCLOSURE OF MATERIAL FACT IN INSURANCE MATTERS

WHAT IS NON-DISCLOSURE OF MATERIAL FACT IN INSURANCE MATTERS


The term Non-disclosure of material fact has not been defined in Insrance Act Insurance companies were rejecting the claims of the consumers on the plea of Pre Existing –disease every now and then

Supreme court have made drastic judgement on the consumer issues which certainly make law. Insurance companies were rejecting the claims of the consumers on the plea of Pre Existing –disease in almost every case  which means claimant had not disclosed the ailment he was having at the time of filling up the prescribed  form. Defining Pre-existing disease in insurance matter in the matter of Asha Rani Goyal  v Life Insurance Corporation .in the year 2000, three criteria were set up for coming to the conclusion that the claimant had disease pre-existing as hereunder:

1)      One must have concealed the fact

2 )The fact so concealed should be of such importance that could affect the policy co. to take decision whether to issue policy or not.

3) The person so insured must be aware of that particular disease

And now unless it is proved that claimant was aware of the particular disease and had taken medicine or consultation for that particular disease ,his claim cannot be rejected marely due to such symptoms.

 

By Dr Prem Lata

Ex Member Consumer Forum

 

Ref. Asha Rani Goyal  v Life Insurance Corporation .in the year 2000,SC  

 

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