25-10-2023 Present : Sh.Deepak Sehgal, counsel for the complainant

This order shall dispose of present complaint after affording preliminary hearing to the counsel for the complainant.

During preliminary hearing, counsel for the complainant has argued that the husband of the complainant purchased one cashless family health plan namely Health Companion Family Plan policy bearing No.30890677201900 valid from 8 February 2019. He also paid Rs.10,998/- for amended policy bearing No.30890677202102 for the period 5.3.2021 to 4.3.2022. On 25.11.2021, the complainant visited Aruna Memorial Hospital Bathinda due to viral fever and joint pain (Chikungunya). Due to her critical condition, she was admitted in the hospital by Dr.Amit Taneja and discharged on 29.11.2021. The complainant lodged claim with opposite party No.1, but it has failed to settle the claim till date. The complainant has suffered from mental tension, agony, harassment, humiliation and botheration.

We have heard learned counsel for the complainant and gone through the record.

A perusal of file shows that complainant lodged insurance claim with opposite party No.1 but opposite party No.1 has neither repudiated nor approved the claim of the complainant till date. Therefore, this Commission is of the view that complaint is pre-mature at this stage. As such, without going into merits of the case, opposite party No.1 is directed to settle the claim of the complainant within 45 days from the date of receipt of copy of this order. As such, this complaint stands disposed off.

Copy of order be issued to complainant and opposite party No.1 free of cost and file be consigned to record room.

(Shivdev Singh) (R.L. Mittal)

Member President