BALA DEVI Vs. METLIFE INDIA INSURANCE COMPANY LTD. THROUGH ITS REGIONAL MANAGER
HARYANA STATE CONSUMER DISPUTES REDRESSAL COMMISSION
Metlife India Insurance Company Ltd. Through Its Regional Manager
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REKHA GUPTA,MEMBER -
(1.) REVISION petition no. 2958 of 2013 has
been filed under section 21 (b) of the Consumer Protection Act, 1986
against the order dated 28.05.2012 of the Haryana State Consumer Disputes
Redressal Commission, Panchkula ( ˜the State Commission) in First Appeal
no. 298 of 2011.
(2.) THE facts of the case as gleaned from the order of the District Consumer Disputes Redressal Forum, Jhajjar ( ˜the District
Forum) are that the complaint has been filed by the petitioner with the
averments that the husband of the petitioner Hawa Singh has purchased a
life insurance policy from the respondent no. 1 - Met Life Insurance
Company (in short, ˜the insurance company) through respondent no. 2 -
Ajit Singh under plan MET GROWTH for a sum of Rs.1,20,000/ - on 29.12.2008
and the petitioner being the nominee is legally entitled for the benefits
qua the policy after death of her husband on 26.03.2009 who had expired
due to sudden cardiac arrest (heart attack). It was averred that the
petitioner as per the assurance submitted all the necessary documents to
the insurance company for settlement of her claim but the claim was
repudiated by the insurance company without any legal justification vide
letter dated 24.11.2009. It was averred that the claim was rejected on
false grounds of concealment of true state of health by the assured at
the time of agreement and signing the proposal form and also that the
insured was suffering from ˜Pleural Effusion since 2007. It is averred
that the repudiation is not legally justified and the petitioner has
sought payment of Rs.1,20,000/ - along with interest, compensation and
(3.) THE District Forum while allowing the complaint, ordered the respondent no.1 - insurance company to pay a sum of Rs.1,20,000/ -
to the petitioner along with interest @ 9% per annum from the date of
death of life assured i.e., 26.03.2009 till its actual realisation along
with Rs.2,000/ - as cost of litigation which the petitioner has to bear
for the present unwanted and unwarranted litigation only due to the
deficiency in service on the part of the respondent. Accordingly, the
complaint is allowed .
Aggrieved by the order of the District Forum, the insurance company filed an appeal before the State Commission. The State Commission
came to the conclusion that:
the life assured had concealed material particular about his health. The life assured was suffering from ˜Pleural Effusion disease before taking the policy. Thus life assured had certainly concealed material particular with respect to his health. Therefore, the life assured was stated to have given in correct history by concealing material particulars about this health and consequently secured the policy.
The District Forum passed the impugned order by ignoring all these aspects and as such the impugned order being an illegal one cannot be sustained.
For the reasons recorded above, this appeal is accepted, the impugned order is set aside and the complaint is dismissed . ;
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