pardha (Law Student) 20 May 2013

Life insurance policy advise needed

X' person insured a life insurance policy with 'Y' an insurance company. 'X' submitted an Voter-id card for age proof. The Insurance company issued the policy number and collected the premium amount. 'X' died and its a natural death. 'x' wife is the nominee and beneficiary of the policy, after the death of 'X' she claimed for the policy amount.

The insurance company said the claim cannot be settled because the age given by her husband is “over age” as he is not at all eligible for doing a life insurance. And they also stated that they have proof with them regarding the age.

kindly advise me to approach further in this case.

Regards'

Pardha

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4 Replies

Kumar Doab (FIN) 20 May 2013

Principle of Utmost Good Faith applies in insurance. All statements of the Proposer/Life to be insured are believed to be correct.

The age declared in Voter Card of deceased should be correct.

Voter Card is given if standard age proof e.g. Passport, Pan card, Matriculation certificate etc is not available.

Voter ID card is not standard age proof. Insurance companies which accept Voter ID card as Non Standard proof of age levy a charge (as a % of Sum Assured) and add in premium.

Once accepted as a proof of age company shall proceed to issue the policy.

Company must have mentioned voter ID card in column for Age/DOB Proof in policy schedule and must have supplied copy of proposal form in policy pack.

Insurance Policy once issued becomes a contract.

If policy was issued company should pay.

If company has refuted the claim in writing, approach a competent and experienced lawyer specializing in consumer cases especially life insurance, show all docs including original Voter ID card and proceed under expert advice of your lawyer.

You have the option of lodging grievance under Grievance Redressal Mechanism guidelines issued by IRDA, and to approach IRDA, DCDRF……….

You may also relate the incidences with guidelines in Regulation of Protection of Policy Holders Interest.

Attached File : 73992227 guidelines on grievance redressal.pdf, 73992227 irda pphi amendment regulations 2002.pdf downloaded: 190 times

pardha (Law Student) 20 May 2013

Sir,

i am thankful for your valid suggestion. Are there any case laws relating to this issue?

Regards

Pardha..

Prasun Chandra Das (Banker) 20 May 2013

WANT TO BE SPOONFED OR WHAT ?????????????

GET WORKING .....

Ramalingam K (Founder and Director of Holistic Investment Planners (P) Ltd. a financial planning nd wealth mgt company. An M.B.A. graduate nd CFP certified professional having 11 years of experience in investment advisory.) 08 May 2014

Planning for contingencies like death and hospitalization also forms an important part of financial planning. Buying life insurance provides for the living expenses of bread earners family in his absence on death.

https://www.holisticinvestment.in/insurance-myths

Regards

Ramalingam K, MBA, CFP,

Director and Chief Financial Planner,

Holistic Investment Planners

“Best Performing Financial Advisor Award” Winners from CNBC TV18

www.holisticinvestment.in

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