Corporate

5 cases on cause proxima

1) Life Insurance Corporation of India (LIC) vs. Rajesh Sharma (2013): In this case, LIC denied the claim made by the nominee of the deceased policyholder, citing a pre-existing illness as the cause of death. The court ruled in favor of the nominee, stating that the proximate cause of death was an accident and not the pre-existing illness, thus entitling the nominee to the life insurance claim.


2) National Insurance Company Limited vs. Susamma Thomas (2017): The case involved the death of a policyholder due to a road accident. The insurance company denied the claim, arguing that the death occurred outside the policy coverage area. The court held that the proximate cause of death was the road accident, and coverage could not be denied based on the location, thereby allowing the claim.


3) United India Insurance Co. Ltd. vs. Bimla Devi (2015): This case revolved around the death of a policyholder due to a heart attack. The insurance company refused to pay the claim, stating that the death was due to a pre-existing medical condition. However, the court determined that the proximate cause of death was the heart attack and not the pre-existing condition, resulting in the insurance company being directed to honor the claim.


4) ICICI Prudential Life Insurance Co. Ltd. vs. Rajendra Kumar Raghuvanshi (2014): In this case, the policyholder committed suicide, and the insurance company denied the claim on the grounds of policy exclusions for suicide. The court analyzed the circumstances and concluded that the proximate cause of death was a medical condition and not suicide, ruling in favor of the claimant.


5) Sushma Rani vs. United India Insurance Co. Ltd. (2012): The case involved the death of the policyholder due to a snake bite. The insurance company denied the claim, asserting that snake bite was not a covered cause of death. The court held that the proximate cause of death was the snake bite, which fell within the ambit of the policy coverage, compelling the insurance company to pay the claim.