Rajasthan

StateCommission

A/279/2015

Narendar Thakuria s/o B.S.Thakuria - Complainant(s)

Versus

Fullrtone India Credit Co. Ltd. through CEO - Opp.Party(s)

Rajesh Jain

15 Jun 2015

ORDER

BEFORE THE CONSUMER DISPUTES REDRESSAL COMMISSION,RAJASTHAN,JAIPUR BENCH NO.1

 

FIRST APPEAL NO: 279/2015

 

Narendra Thakuria s/o BS Thakuria r/o House No. 18 Shanti Niketan Colony,Barkat Nagar, Jaipur & ors.

Vs.

Fullrton India Credit Co. Ltd. Head office through CEO Building No.12, First floor, Solitiar Corporation Park,Andheri Ghatkopar link Road Chakla,Andheri East Mumbai & ors.

 

Date of Order 15.6.2015

 

Before:

 

Hon'ble Mr.Vinay Kumar Chawla-Presiding Member

Mr.Kailash Soyal-Member

 

Mr. Rajesh Jain counsel for the appellant

 

BY THE STATE COMMISSION

 

The appellant no.1 is working with opposite party no.1 &

2

 

2 who had taken a Group Medical Insurance for its employees from opposite party no.3. On 15.10.2008 the wife of the complainant was admitted to Navjeevan Hospital where she delivered a child. The complainant submits that there were certain complications in the delivery and he had to spent Rs.97,488/- . The complainant claimed this amount under the Group Medical Insurance but he was paid only Rs.50,000/-. He filed a complaint for deficiency in service. The learned DCF accepted the submissions of the opposite party that under the Group Medical Insurance Policy there was a limit of Rs.50,000/- to be reimbursed for delivery charges. The complaint was dismissed.

 

The appellant has submitted that since there were certain complications and he had to spent extra amount and he should be reimbursed the full amount under the policy.

 

We have considered the arguments but we are unable to accept the argument as under the policy a limit of Rs. 50,000/- has been fixed to be reimbursed in case of delivery charges and the complainant cannot claim any amount beyond what was specified in the policy which is binding between the parties.

 

3

 

We do not wish to interfere with the order of the learned DCF and the appeal does not deserves to be admitted. The order of the learned DCF be complied with within one month.

 

 

Member Presiding Member

 

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