Consumer Protection – Insurance Policy – Deficiency of
Service – A home loan was secured by the appellants for which
obtaining a life insurance was a pre-requisite – Life insurance in
the name of husband of the complainant (the insured, now deceased)
was obtained – As per the appellants, respondent No.1-bank acting
as an agent for respondent no.2-Insurance Company, on 25.07.17
sanctioned the home loan – From the disbursed loan amount,
insurance premium was paid on behalf of the insured by the bank
to the insurance company – The insured was subjected to medical
tests on 30.07.17 as a pre-condition for securing the home loan –
Died of cardiac arrest on 08.08.17 – Death of the insured was
intimated to the insurance company on 16.08.17 with a request to
process the insurance claim, however the claim was repudiated –
Consumer complaint dismissed by State Commission – Appeal
dismissed by National Commission – Held: On 30.07.17, the insured
was called for medical examination and the treadmill test, did not
flag any health issue – In such backdrop, the communication (an
ante-dated letter) of the insurance company for postponing the life
insurance coverage by six months by adverting to the treadmill test
report and that too at a stage after intimation about the death of the
insured, appears to be a malafide act – Moreover, the insurance
company declining the policy by unilaterally refunding the insurance
premium, suggests that the respondent no.2 was deficient in
rendering services to the appellant – Impugned judgment set aside
– Complaint allowed – Consumer Protection.
Consumer Protection – Insurance policy – Presumption of
acceptance of the policy by the insurer – Ratio of decision in Raja
Vasireddy Komalavalli Kamba case as clarified in D. Srinivas case –
Discussed.