Haryana

StateCommission

A/231/2015

SURESH MEHTA - Complainant(s)

Versus

BAJAJ ALLIANZ INSURANCE CO. - Opp.Party(s)

G.S.SIDHU

02 Jul 2015

ORDER

STATE CONSUMER DISPUTES REDRESSAL COMMISSION HARYANA, PANCHKULA

                                                 

                     

                                      First Appeals No  :       231 & 557 of 2015

Date of Institution:       11.03.2015 & 02.07.2015     

                                     Date of Decision:          09.07.2015

 

 

Appeal No.231 of 2015

 

Suresh Mehta (aged about 32 years) son of Shri Devi Lal, resident c/o S.M. Computers, Sapra Street, Sadar Bazar, Sirsa, Tehsil and District Sirsa.

                             Appellant-Complainant

Versus

 

1.      Bajaj Allianz Life Insurance Company Limited, 1^st Floor, Car House Building Opposite Hotel Jai Vilas, Dabwali Road, Sirsa, District Sirsa through its Branch Manager, Sirsa.

 

2.      Bajaj Allianz Life Insurance Company Limited, Plot No.27, Industrial Area, Phase II, Panchkula through its Divisional Manager/Manager/authorized signatory.

Respondents-Opposite Parties

 

 

Appeal No.557 of 2015

 

1.      Bajaj Allianz Life Insurance Company Limited, 1^st Floor, Car House Building Opposite Hotel Jai Vilas, Dabwali Road, Sirsa, District Sirsa through its Branch Manager, Dabwali Road, Sirsa through its Branch Manager/Authorized Signatory/Chairperson.

 

2.      Bajaj Allianz Life Insurance Company Limited, Plot No.27, Industrial Area, Phase II, Panchkula through its Divisional Manager/Manager/authorized signatory.                        

          (through Ms. Jaya Sharma, Assistant Manager (Operations), Bajaj Allianz Life Insurance Company Limited, SCO 215-217, Sector 34, Chandigarh.

Appellants-Opposite Parties

Versus

 

Suresh Mehta (aged about 32 years) son of Shri Devi Lal, resident c/o S.M. Computers, Sapra Street, Sadar Bazar, Sirsa, Tehsil and District Sirsa.

Respondent-complainant

 

 

 

Present:              Mr. G.S. Sidhu, Advocate for Suresh Mehta-complainant

                             Mr. Varun Chawla, Advocate for the respondents-Bajaj Allianz Life Insurance Company Limited.

 

 

 

 

 

 

 

                                                   O R D E R

 

 

NAWAB SINGH J.(ORAL)

 

          This order shall dispose of afore-mentioned appeals bearing No.231 & 557 of 2015 filed by Suresh Mehta- complainant and Bajaj Allianz Life Insurance Company Limited (for short ‘Insurance Company’)-opposite party respectively because they have arisen out of common order dated January 15^th, 2015 passed by District Consumer Disputes Redressal Forum (for short District Forum), Sirsa, in complaint No.278 of 2011.

2.      Complainant purchased Bajaj Allianz Care First policy.  The sum insured was Rs.2,00,000/-.  On May 07^th, 2011, he met with an accident and got injured.  He took treatment from Sangwan Hospital, Gangaji Hospital and Jan Nayak Chaudhary Devi Lal Dental College, Sirsa.  He submitted claim of Rs.2,15,025/- with the Insurance Company on August 25^th, 2011 but the same was repudiated on the ground that claim was filed beyond the period of 60 days after his discharge from the hospital. 

3.      The District Forum allowed the complaint.  Operative part of the order reads as under:-

          “13.   Resultantly, this complaint is hereby allowed, with a direction to the opposite parties, to pay total sum of Rs.20,000/- to the complainant with interest @ 9% per annum, from the date of accident dated May 07^th, 2011 till payment.  The complainant is also hereby awarded compensation of Rs.2,000/- for his harassment, mental tension etc and litigation expenses of Rs.550/- against the opposite parties.”  

4.      Complainant purchased insurance policy Exhibit C-1.  He met with an accident on May 07^th, 2011.  The District Forum awarded Rs.20,000/- alongwith interest at the rate of 9% per annum to the complainant on account of having injuries received in the alleged accident.  The District Forum has not accepted the medical bills produced by the complainant.  Be that as it may, there is a certificate of Sangwan Hospital, Sirsa wherein it has been stated that complainant remained hospitalized from May 07^th, 2011 to May 08^th, 2011.  Thereafter he was admitted on May 12^th, 2011 and discharged on May 27^th, 2011, that is, in all, he remained hospitalized for about 16 days.  It is not possible to collect each and every bill and the expenses incurred at the time when a person is hospitalized.  Taking into consideration the period of hospitalization, amount of Rs.20,000/- awarded by the District Forum to the complainant is just and reasonable.

5.      In view of what has been stated above, both the appeals are dismissed.     

6.      The statutory amount of Rs.14,950/- deposited at the time of filing the appeal No.557 of 2015 be refunded to Suresh Mehta-complainant against proper receipt and identification in accordance with rules, after the expiry of period of appeal/revision, if any.

7.      The original order is attached with appeal No.231 of 2015 and certified copy be attached with appeal No.557 of 2015.

 

 

Announced 09.07.2015

(Diwan Singh Chauhan) Member

(B.M. Bedi) Judicial Member

(Nawab Singh) President

U.K