Q&A

Can an insurance company refuse to make payment of insurance proceeds?

Under some exceptional circumstances they may refuse the payment of policy proceeds

Can an insurance company refuse to make payment of insurance proceeds?
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Can a life insurance company refuse to make payment of insurance proceeds?

Ruchit Agarwal, Jaipur

By issuing a life insurance policy in return of consideration in the form of regular premiums, the insurer undertakes to pay the sum insured on the death of the insured to the nominee or the legal heirs of the policyholder. Normally, the sum assured is paid as soon as the required documents are filed and the verifications conducted at the end of the insurers. However, under some exceptional circumstances, if the insurers find that the insurance policy was obtained by fraud or concealment of material facts, they may refuse the payment of policy proceeds. The circumstances could be non-disclosure of pre-existing diseases, submission of forged documents, etc.