A. P. STATE CONSUMER DISPUTES REDRESSAL COMMISSION : ATHYDERABAD
FA Warangal.
Between :
Dr. P. Gopalakrishnamurthy,
S/o Narasimha Rao,
Age : 58 years, Occ : Medical Practitioner
R/o H. No. 5-10-87, Kishanpura,
Hanamkonda,Warangal
And
1. The Senior Manager – Claims,
Tata AIG Life Insurance Company Limited
Simraw centre , 2ndParsipanchayat, Andheri ( East )
Mumbai.
2. The Branch Manager,
Vijay Insurance Service,
Corporate Agents for
AIG Life Insurance Co. Ltd
H. No. 2-2-478, Kishanpura,
Hanamkonda,Warangal.
Counsel for the Appellant
Counsel for the Respondents Mr.Md.
Coram
And
Tuesday, the Seventh Day of February
Two Thousand Twelve
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Warangal. For convenience sake, the parties as arrayed in the complaint are referred to as under :
2. The brief facts of the complaint
The complainant obtained “ Maha Life gold policy” bearing No. C32032642 dt. 11.3.2004 for Rs. one lakh Hyderabad
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and that she was put on VALPROATE 1500 but it was not disclosed in the application dt. 11.3.2004. During the enquiry by the Claim investigator, the complainant disclosed that the insured was suffering from “ Myoclonic Epilepsy and was under treatment since 6-7 years and similar statements were also made by her mother and sister. NIMS medical record also supports the said disease for the last 7 years. The death Summary of the hospital clearly shows that the deceased has suppressed this material fact from OP 1 and thereby misrepresented and induced OP 1 to issue the policy.
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8. Now the point for consideration is
There is no dispute that the The deceased Hyderabad, circumstances invariably it has to be believed that she took aid, help and advice from her father in the said context. . In this case there is ample evidence produced by both side that the deceased was suffering from Myoclonical Epilepsy for the past seven years from the date of the deceased and thus satisfied that on the date of Ex. B1 she was suffering from such an ailment and taking high power drug. Therefore the decision cited by the learned counsel for the appellant reported in New India Assurance Co. Ltd Vs. 30(NC) and 2011(1) CPR 106 between New India Assurance Co. Ltd Vs. Jagrut Nagarika and another.are not helpful for the complainant in this case. It is much more so when facts of the said decision are different from that of the facts on case on hand. The learned counsel for complainant/appellant also tried to distinguish the Epilepsy disease from Myoclonical Epilepsy but the same
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