Maharashtra

Central Mumbai

CC/13/115

Shailaja Shivram Patil - Complainant(s)

Versus

Future Generali Indian Insurance Co.Ltd. - Opp.Party(s)

Ankush S. Navghare

15 Nov 2014

ORDER

DISTRICT CONSUMER DISPUTES REDRESSAL FORUM, CENTRAL MUMBAI
Puravatha Bhavan, 2nd Floor, General Nagesh Marg, Near Mahatma Gandhi Hospital
Parel, Mumbai-400 012
 
Complaint Case No. CC/13/115
 
1. Shailaja Shivram Patil
Gajapur Tal. Shahuwadi
Kolhapur
...........Complainant(s)
Versus
1. Future Generali Indian Insurance Co.Ltd.
DGPHouse,1st Floor,88-C Old Prabhadevi Road,Near Bengal Chemical,Prabhadevi
Mumbai-400 025
2. Cabal Insurance Co.Ltd
Mittal Towers 118B Wing,
Mumbai-400 021
3. Govt. Of Maharashtra
Thriugh District Agricultural
Solapur
............Opp.Party(s)
 
BEFORE: 
 HON'ABLE MR. B.S.WASEKAR PRESIDENT
 HON'ABLE MR. H.K.BHAISE MEMBER
 
For the Complainant:
None present
 
For the Opp. Party:
None present
 
ORDER

PER MR.B.S.WASEKAR, HON’BLE PRESIDENT

1)                The present complaint has been filed by the complainant under section 12 of the Consumer Protection Act, 1986. According to the complainant, her husband Shri Shivram Ganu Patil was an agriculturist holding Gut No.92 at village Gajapur, Taluka-Shahuwadi, District-Kolhapur.  He died accidentally on 26th October, 2010 due to snake bite. She submitted insurance claim under the Government Scheme of Shetkari Apghat Vima Yojana.  Her claim was not satisfied therefore she has filed this complaint for insurance claim of Rs.1 Lakh with interest.

2)                The O.P.No.1 appeared and filed written statement. It is submitted that the claim was rejected vide letter dated 5th December, 2011. There is no deficiency in service on the part of the opponent therefore the complaint is liable to be dismissed with cost.

3)                The O.P.No.2 appeared and filed written statement and submitted that claim was received through District Agricultural Officer, Kolhapur and the same was forwarded to the O.P.No.1 and the O.P.No.1 repudiated the claim vide letter dated 5th December, 2011.

4)                The O.P.No.3 remained absent though served.

5)                After hearing all the parties and after going through the record, following points arise for our consideration.

POINTS

Sr.No.

Points

Findings

1)

Whether there is deficiency in service ? 

No

2)

Whether the complainant is entitled for the relief as claimed ?  

No

3)

What Order ? 

As per final order

REASONS

6) As to Point No.1 & 2 :- The complainant has produced revenue record showing that her husband was holding agricultural land and he was farmer. According to the complainant, her husband died due to snake bite. The complainant has produced copy of Post Mortem Report.  On perusal of it, opinion for cause of death was reserved and Viscera was preserved.  According to the O.P.No.1, Viscera was sent to C.A. and as per C.A.Report, there was no snake poison.  The O.P.No.1 has produced copy of C.A.Report showing that no snake poison was detected.  Thus, as per the Post Mortem Report, cause of death was reserved awaiting C.A.Report.  As per C.A.Report, there was no snake poison.  The complainant has not produced any evidence showing the cause of death of her husband.  As per Tripartite Agreement, if the death is due to snake bite, then only the Scheme is applicable.  There is no evidence on record showing that husband of the complainant died due to snake bite.  In the absence of such evidence, the complainant is not entitled for the benefit of the Scheme and the O.P.No.1 has rightly repudiated the claim.  Thus, there is no deficiency in service on the part of the opponents.  Hence, we proceed to pass the following order.

ORDER

  1. Complaint stands dismissed
  2. Parties are left to bear their own costs.
  3. Inform the parties accordingly.

 

Pronounced on 15th November, 2014

 
 
[HON'ABLE MR. B.S.WASEKAR]
PRESIDENT
 
[HON'ABLE MR. H.K.BHAISE]
MEMBER

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