Chennai Ombudsman Centre
Case No. : 11.12.1263/2006-2007
Smt. Prema Nagarajan
Vs
ICICI Lombard Gen. Ins. Co. Ltd.
The complainant Smt. Prema Nagarajan had taken a Travel Insurance policy from ICICI Lombard Gen. Ins. Co. Ltd from 01.09.2005 to 27.02.2006 for her visit to USA and she was informed by the representative of the Insurer that in case of her early return to India, she will be eligible for refund of difference in premium. She fell sick in the USA and the Insurer settled her claim. Since she had returned to India early, she made a claim with the Insurer for the refund of excess premium for the unexpired period of risk. However, the Insurer did not settle it.
aThe Insurer contended that the premium would not be refunded once a claim has been made under the policy. Hence, they have repudiated as per the policy condition No.7 that clearly states that no refund is payable once a claim has been made under the policy. Since, in this case, the complainant already made a claim and was settled under this policy, hence refund will not be made for early return. The Forum perused the documents and found that the Insurer had acted as per the policy terms and Condition No.7. Hence, the Forum dismissed the complaint.
