Discuss the provisions and grounds on which companies can cancel the mediclaim insurance policy?

CS Professional · Insurance - Law & Practice · PYQS · December 2019
Discuss the provisions and grounds on which companies can cancel the mediclaim insurance policy?

Answer & Explanation:

The provisions and grounds when companies can cancel the mediclaim insurance policy as per cancelation Clause is mentioned below: The policy may be cancelled or renewed by mutual consent. The Company shall not however be bound to give notice that it is due for renewal and the Company may at any time cancel this policy by sending the Insured 30 day's notice by registered letter at the insureds' last known address and in such event the Company shall refund to the Insured a pro-rata premium for unexpired Period of Insurance. The Company shall, however, remain liable for any claim, which arose prior to the date of cancellation. The Insured may at any time cancel this Policy and in such event the Company shall allow refund of premium at Company's short period rate only. The Company shall not be liable to make any payment under this policy in respect of any expenses whatsoever incurred by any Insured Person in connection with or in respect of events not agreed at the time of insurance. All diseases/injuries which are pre-existing when the cover incepts for the first time. Renewal of Health insurance policy can be denied by the insurer, if fraud or misrepresentation on the part of the Customer during the previous Policy period or non-cooperation by the Customer.

Topics: Health Insurance

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