Insurance Companies Cannot Deny Valid Claims by Wrongly Using Exclusion Clauses: District Commission Slams Insurer for Deficiency in Service

The District Consumer Disputes Redressal Commission (East), Delhi held Star Health and Allied Insurance Co. Ltd. liable for deficiency in service after wrongly rejecting Anuradha Narang’s health insurance claim, ruling that incidental diagnoses cannot justify denial when treatment was for a covered illness.