What a Clauseo session looks like.

MEDICAL CLAIM DENIAL · CONSUMER PROTECTION

My client is the aggrieved party. His wife bought a health insurance policy online; it was approved and the premium was paid. Subsequently the insured fell ill and had to be hospitalised at a partner hospital of the insurance company. When she sought cashless processing of her claim, it was rejected on the grounds of a “pre-existing condition”, without any medical evidence or document to indicate the same. The insured then submitted a letter from the treating doctor at the hospital stating that she was not suffering from any pre-existing disease, and requested reconsideration, which was still not granted. As her condition worsened, the family shifted her to a government hospital, where she succumbed to her illness and died. Does this amount to deficiency of service?

DISTRIBUTION EXIT · TERMINATION & INTERIM RELIEF

Open a matter for this — Project Balcony. Client is Crane & Poole Beverages Private Limited, Hyderabad. Shore & Associates has been the client’s exclusive distributor for South India since 2022; minimum offtake has been missed for two consecutive quarters, by about 40%, while a competing label was quietly onboarded in breach of exclusivity. The client wants to terminate and have a new distributor in place before the festive season. I need three things: a research memorandum on whether the client can terminate cleanly and whether Shore can hold us hostage with an injunction — both sides on every point, every proposition pinned to the paragraph of the judgment it comes from; a notice of default, firm but courtly — four years of Diwali dinners, not strangers; and their draft amendment marked up in tracked changes — their draft, our ink. Memo and notice in our house template, Word and PDF. And from tomorrow, a daily watch on the authorities the memo relies on — if any of them draws adverse treatment, I want to know before their counsel does.

GROUP MASTER FILE · TRANSFER PRICING / BEPS 13

Using the master file template provided in the matter, draft a transfer pricing Master File for the Freshworks Group for the financial year ended 31 December 2023, based on the documents in the matter folder.

RESIGNED DIRECTOR LIABILITY · NI ACT § 141

Director resigned before the cheque was dishonoured. Can he still be prosecuted under Section 138 read with Section 141 of the NI Act? Current Supreme Court position, the leading judgments, and what resignation evidence protects him.