Andhra Pradesh

StateCommission

FA/427/2011

1.ICICI Pruential Life Insurance Company Limited, ICICI Prudential Life Insurance Towers, 1089, A.P.P.A.S.H.E.S. - Complainant(s)

Versus

Sri.N.Ramantham Setty, S/o.Venkataravanappa Setty, D.No.6-15, Main Road, - Opp.Party(s)

M/s.C.R.Sridharan, # 10-2-7/A, Plot No.202, Kedar Abode,

29 Oct 2012

ORDER

 
First Appeal No. FA/427/2011
(Arisen out of Order Dated 31/01/2011 in Case No. Complaint Case No. CC/69/2010 of District Anantapur)
 
1. 1.ICICI Pruential Life Insurance Company Limited, ICICI Prudential Life Insurance Towers, 1089, A.P.P.A.S.H.E.S.
Marathi Marg, Prabhadevi, Mumbai-400 025.
2. 2.The Branch Manager,ICICI Prudential Life Insurance Company Limited,
Subhash Road, Guild of Service School Road,
Anantapur,
...........Appellant(s)
Versus
1. Sri.N.Ramantham Setty, S/o.Venkataravanappa Setty, D.No.6-15, Main Road,
Nallacheruvu Village & Mandal,Anantapur District,
...........Respondent(s)
 
BEFORE: 
 HONABLE MR. SRI R. LAXMI NARASIMHA RAO PRESIDING MEMBER
 HONABLE MR. T.Ashok Kumar MEMBER
 
PRESENT:M/s.C.R.Sridharan, # 10-2-7/A, Plot No.202, Kedar Abode,, Advocate for the Appellant 1
 M/s.K.Parandama Chari, Advocate for the Respondent 1
ORDER

BEFORE A.P STATE CONSUMER DISPUTES REDRESSAL COMMISSION AT HYDERABAD

 

F.A.No.427 OF 2011 AGAINST C.C.NO.69 OF 2010 DISTRICT FORUM ANANTHAPUR

 

Between:

1.  ICICI Prudential Life Insurance Co.Ltd.,
ICICI Prudential Life Insurance Towers
1089, APPASAHES, Marathi Marg
Prabhadevi, Mumba-025

 

2.  The Branch Manager
ICICI Prudential Life Insurance Co.Ltd.,
Subhash Road, Guild of Service School Road
Ananthapur

                                                       

               

 

  1. Sri N.Ramantha Setty (Died per LR)
    S/o Venkataravanappa Setty
    D.No.6-15, Main Road, Nallacheruvu
    Village & Mandal, Anantapur Dist.
  2. N.Nagesh Kumar S/o late Sri N.Manatham Shetty
    aged about 37 yrs, D.No.6-15, Main Road
    Nallacheruvu Village & Mandal,
    Anantapur District        

                                                        

Counsel for the Appellant        

Counsel for the Respondent    

 

 

         QUORUM:  

                       SRI THOTA ASHOK KUMAR, HON’BLE MEMBER

 

MONDAY THE TWENTY NINETH DAY OF OCTOBER

  

 

Oral Order (As per Sri R.Lakshminarasimha Rao, Hon’ble Member)

                                        

1.            `1,50,000/-towards the sum assured under the insurance policy 

2.     intimated his wife’s`1,50,000/-. On 31.03.2008 the appellant repudiated the claim on the ground that the insured was a patient of plasma cell myeloma and hypertension for 

3.    

4.              

5.    

6.    

7.            

8.    

9.    

 

10.             

1.         rd

2.        

3.        

4.        

 

11.                       

 

Question No.

 

Question

Answer

22(a)

Are you presently in good health?

Yes

23(c)

Have you ever consulted any doctor or are you currently undergoing/have undergone any tests, investigations, awaiting results of any tests or investigations or have you ever been advised to undergo any tests, investigations or surgery or been hospitalized for general checkup observations, treatment or surgery?

No

23(d)

Are you aware of or have ever been treated or hospitalized for cancer, tumor, cysts or any other growths?

No

23(e)

Have you ever been referred to an oncologist or cancer hospital or ay investigation 

No

23(f)

Did you have any ailment/injury/accident requiring treatment/medication for more than a week?

No

23(h)

Have you ever suffered or are suffering from anyof the following:

viii) 

No

 

 

12.   

       Received 4 linear cores of bony tissue measuring 0.2 cm to 0.6x0.2x0.2 cms in size.

Microscopic

Section      

 

Impression:

Scanty cellular marrow suggestive Plasma Cell myeloma” 

               

13.           

14.   

15.   

16.           

17.   

 

                                                                                                                                                                                                                                                                                                                                   KMK*

 

 
 
[HONABLE MR. SRI R. LAXMI NARASIMHA RAO]
PRESIDING MEMBER
 
[HONABLE MR. T.Ashok Kumar]
MEMBER

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