Andhra Pradesh

StateCommission

FA/1198/08

M/S TTK HEALTH CARE SERVICES PVT.LTD. - Complainant(s)

Versus

MRS.Y.LALITHAMMA - Opp.Party(s)

M/S DR.S.V.JOGA RAO

17 Oct 2008

ORDER

 
First Appeal No. FA/1198/08
(Arisen out of Order Dated null in Case No. of District Nellore)
 
1. M/S TTK HEALTH CARE SERVICES PVT.LTD.
NO.47-14-10, 4TH FLOOR, VIDISHA TOWERS, DWARAKANAGAR MAIN ROAD, VIZAG-16.
Andhra Pradesh
2. MS TTK HEALTH CARE SERVICES PVT.LTD.
REP.BY ITS H.O. JEEVAN BHIMA NAGAR.
BANGALORE
KARNATAKA
...........Appellant(s)
Versus
1. MRS.Y.LALITHAMMA
R/O SULLURU, D.NO.12-301, SULLURUPETA, NELLORE DIST.
Andhra Pradesh
2. MS UNITED INDIA INSURANCE COM.LTD.
BRANCH OFFICE, SULLURPET.
NELLORE
ANDHRA PRADESH
...........Respondent(s)
 
BEFORE: 
 
PRESENT:
 
ORDER

BEFORE THE A.P. STATE CONSUMER DISPUTES REDRESSAL COMMISSION

ATHYDERABAD.

 

F.A. 1198/2008 against C.C. 65/2007, Dist. Forum,Nellore 

Between:

 

TTK Health Care Services Pvt. Ltd.,

47-14-10, 4thVidishaTowers

Dwarakanagar Main Road

Visakapatnam-16.

Rep. by its Head Office

TTK Health Care Services Pvt. Ltd.,

Jeevan Bhima Nagar

Bangalore

Rep. by its Company Secretary                                                                                                                

And

1. Y. Lalithamma,

W/o. Srinivasulu Reddy

D.No. 12-301,

Sullurupet, Nellore Dist.                                                                                                

2. M/s. United

Branch Office : Sullurpet

Nellore Dist.         

 

Counsel for the Appellant:                         Bangalore.

Counsel for the Resps:           

Mr. E. Venugopal Reddy (R2)

                                                                  QUORUM:

 

              

&

                                     

 

FRIDAY, THIS THE SEVENTEENTH

 

 

Oral Order: (Per Hon’ble Justice D. Appa Rao, President)

 

                                                          

         

           

 

 

 

 

 

                        MIOTHospital, Chennai for her left knee replacement.      

 

           As per the terms of the policies, the appellant has to process the claim of the complainant and settle the claim, and recover from it..  It would reimburse the amounts paid by the appellant  Therefore, it prayed for dismissal of the complaint.

 

 

         

 

           

 

             Opposite Party No. 1 

 

               

 

                  Therefore, it prayed that the appeal be allowed.

 

 

 

 

            

 

              Earlier it was for an amount of Rs. 1 lakh.                 under Exs. A1 & A2 claiming the amount towards       The affidavit of the officer was not filed.  

It is easy for any person to take such a plea without substantiating the same.     On the other hand it accuses the insurance company by stating that   Except alleging that the repudiation of claim by it was justified, and not in accordance with the terms and conditions of the policy, it did not expatiate the exact condition or term under which it could repudiate.   

Learned counsel for the appellant contended that    and we do not find any term to that effect.        nd  is eligible for the same.  ndopposite party to its policy holders including the complainant. 

 

 

 

 

 

 

It is not as though      

 

In the result the appeal is dismissed with costs computed at Rs. 2,000/-. Time for compliance four weeks.

 

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