Kalaji Marwadi took a life insurance policy from HDFC Life on January 7, 2014.
₹25 lakh cover. ₹9,587 annual premium. His wife, Jumaben, was the nominee.
He wanted to secure his family's future.
On April 15, 2014 — just 98 days later — he fell severely ill and died.
Jumaben filed the death claim.
HDFC Life rejected it.
Their reason: her husband had visited a doctor in 2012 for body aches.
One prescription. No diagnosis. No hospitalisation. No disease.
They also said he was a BPL cardholder — and had "hidden his true financial status."
Jumaben fought for over 10 years.
Gujarat State Consumer Commission ruled in her favour. HDFC Life appealed.
In October 2025, NCDRC dismissed HDFC Life's appeal.
The bench said: the insurer could not produce a single medical record proving he had a pre-existing disease.
A 2012 prescription for body aches is not a disease. Being poor is not fraud.
HDFC Life was directed to pay ₹25 lakh with 7% interest from 2015.
Her husband paid premiums to protect her.
HDFC Life spent a decade trying to avoid paying her.
Save this — if your insurer rejects a death claim citing "pre-existing conditions," the burden of proof is on them. Not you. The law says so.
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