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
- Sri N.Ramantha Setty (Died per LR)
S/o Venkataravanappa Setty
D.No.6-15, Main Road, Nallacheruvu
Village & Mandal, Anantapur Dist. - 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
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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 |
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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”
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KMK*