Insurance fraud Insurance fraud

7 months ago

We had a insurance back in 2021 .My father got a call from a company One-Day .they said that you will get back your insurance money if you pay 40k when my father paid that they say now you need to pay 147k to get 4lakh we had sanctioned 4 lakh on your name . In this way they took 10 lakh . And each and every money goes on a mutual fund . We had every copy. My father doesn’t know hindi or English that’s why he didn’t even understand what’s going on. Now what should we do

Anik

Responded 7 months ago

View All Answers
A.Dear client,
Section 45 of Insurance Act provides that an insurance policy cannot be avoided after expiry of three years on the basis of mis-statement, or untrue statement, unless insurers are able to establish;
1. That the statement was inaccurate or false;
2. That such statement was on a material matter or that the statement suppressed facts which was material to disclose;
3. That the statement was fraudulently made by the insured;
4. That the insured knew at the time of making the statement that it was false to his knowledge of facts which it was material to disclose had been suppressed.
Helpful
Helpful
Share

Post Your Matter Post Your Matter

Talk to a Lawyer Talk to a Lawyer

Ask a question Ask a question

Vidhi Samaadhaan Vidhi Samaadhaan

Read Related Answers

question iconRegarding insurance claim rejection
Dear client, withour directly resorting to the complaint on the insurance company try to re-inititate the claim process and talk to them and submit the required documents. Even then if there is no cla...
question iconHospital avoiding cashless treatment
Dear Client, In the given situation, bring the matter to the notice of the Grievance Cell of the concerned Insurance Company endorsing a copy to the insurance regulatory authority, IRDIA. In case, no...
question iconMedical Insurance cancelled after 3 years
Dear Client, Pre-existing diseases (PED) are mostly expensive to treat as they are chronic in nature. Unfortunately, most health insurance plans cover pre-existing diseases after a waiting period of 2...
question iconLegal Liability for Helper Covered If Death occurs by Gun Firing
Dear Sir, The copy of FIR and terms of life insurance policy are to be read minutely to answer your question.
question iconReview of award by Insurance Ombudsman
Dear Sir, You may approach Consumer Forum or High Court for getting justice in many cases same formula being used.