X purchased a Life Insurance Policy on 3rd day of March 2024. He had declared in the Proposal Form that he was suffering with heart disease. He expired on 29th day of December 2024 due to heart attack. The Insurance Comp
CS Professional · Banking and Insurance - Laws and Practice · PYQS · June 2025
X purchased a Life Insurance Policy on 3rd day of March 2024. He had declared in the Proposal Form that he was suffering with heart disease. He expired on 29th day of December 2024 due to heart attack. The Insurance Company denied the claim on the grounds of 'Early Claim'. What is meant by 'Early Claim' ?
Answer & Explanation:
Any Claim occurring within 2/3 years of taking a Life Insurance Policy is categorized as 'Early Claims'. An "early death claim" in life insurance refers to a death claim filed within a specific timeframe (usually within the first two to three years) from the policy's start date or reinstatement. Insurers may investigate such claims more thoroughly due to the possibility of pre-existing health conditions or other circumstances being undisclosed. This raised a suspicion of breach of the condition of 'utmost good faith', the obligation on the part of the Life assured to disclose the status of his/her health in the Proposal form correctly without hiding any material information. If Insurance Company found with evidence to verify the status of health of the life assured at the time of taking the policy and the investigation reveals any adverse finding which were not disclosed in the proposal from for Life Insurance, the claim may be repudiated in terms of Section 45 of the Insurance Act, 1938. In essence, an early death claim is a death claim filed within a defined period where the insurer has the right to investigate and potentially deny the claim if certain conditions are met, particularly regarding the disclosure of health conditions and other material facts. Even if the pre-existing condition is declared, the company will still scrutinize the claim to ensure all relevant information was accurately provided.
Topics: Insurance Claims
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