Category: case studies

Is an Employee Liable if Their Employer Misses the Insurance Premium Payment Deadline

Case Study: Consequences for Employees When Employers Delay Insurance Premium Payments

Should an employee suffer if the employer has not made the renewal payments on time? This was the question examined by the National Consumer Dispute Redressal Commission (NCDRC). The facts of the case are one Mrs. Pittala Pochamma has as. Pittala Pochamma has approached the Life Insurance Corporation of India (LIC) to settle the claim […]

Should a Condition by Birth be Considered as Pre-existing

Case Study: Should a Condition by Birth be Considered as Pre-existing?

An interesting case of a pre-existing condition has appeared recently in the news. The National Consumer Forum has directed an insurance company to settle the claim immediately. The consumer forum has also directed the insurance company to pay an additional Rs.80,000 for mental agony and Rs.20,000 towards the litigation charges in addition to the Rs.10,68,160/—medical […]

D and O Insurance and Employment Practices Liability

Protecting Your Leadership: D&O Insurance and Employment Practices Liability

Directors and Officers (D&O) insurance is a crucial shield for businesses, safeguarding leaders from personal liability in lawsuits alleging mismanagement. But what happens when claims extend beyond financial decisions and delve into sensitive areas like workplace practices? That is where understanding add-on coverages under D&O becomes critical.  Today, let’s analyze a real-world scenario from the […]

Policy.Claim Settlement

Underwriting the Policy at the Time of Claim Settlement

National Consumer Disputes Redressal Commission (NCDRC) has held that once verification of property and policy issuance is done by the insurance company, it cannot raise objections of non-disclosure or misrepresentation of material facts by the Insured. Underwriting at the time of claim settlement is not an option for the Insurer.  Let’s Look at the Case […]

Health Insurance Claim

Can a Preliminary Hospital Note Affect Your Health Insurance Claim?

Being hospitalised can be a stressful experience, and navigating the complexities of health insurance claims can add to the burden. This blog post aims to address a common concern: can a preliminary note made during hospitalisation impact your health insurance claim settlement? Real-Life Insurance Case Study: Insightful Takeaways for Providers and Policyholders Understanding the Case: […]

Should You Tell Your First Insurer About Your Second Life Insurance Policy?

Should You Tell Your First Insurer About Your Second Life Insurance Policy?

Have you taken a second life insurance policy and wondered whether you should disclose this to the first life insurance company? There are many terms and conditions in a life insurance policy which have to be adhered to by the insured customer and of these, changes to the material risk should be particularly communicated to […]