Delhi

New Delhi

CC/248/2011

Ashok Kumar Chhabra - Complainant(s)

Versus

M/S. Instant Health Care Pvt.Ltd. - Opp.Party(s)

31 Jul 2015

ORDER

CONSUMER DISPUTES REDRESSAL FORUM-VI

(DISTT. NEW DELHI), ‘M’ BLOCK, 1^STFLOOR,

VIKAS BHAWAN, I.P.ESTATE,

NEW DELHI-110002.

 

Case No.CC/248/11                                                                                                                                                                               Dated:

In the matter of:

SHRI ASHOK KUMAR CHHABRA,

28, OMVIHAR PHASE-I,

UTTAM NAGAR,

NEW DELHI-110059

                 ……..COMPLAINANT

       

VERSUS

1.INSTANT HEATH CARE LTD.

1111, ANTRIKSH BHAWAN,

KG MARG, NEW DELHI-110001

 

2.UNITED INSURANCE CMPANY,

KANCHENJUNGA BUILDING 8^TH FLOOR,

18, BAARAKHAMBA ROAD, NEW DELHI-110001

 

 

………. OPPOSITE PARTIES

 

ORDER  [ ORAL]

Date of Arguments :31.07.2015

MEMBER:  RITU GARODIA

 

Present:    Parties.

Argument heard

 

        The complainant had purchased a medi claim policy from OP-2.  He was hospitalized on 19.9.09 and was discharged on 25.9.09.  He filed a claim for Rs.16,662/-.  However, Rs.1,446/- and Rs.846/- was paid by the OP-2 insurance company.  He has annexed bills with complaint.

        OP has its version has denied any deficiency.  OP has admitted sending Rs.1,446/- and Rs.886/- in lieu of medi claim without explaining the deduction. 

        Perusal of claim reveals bills for Rs.60/-, Rs.320/-, Rs.1,000, Rs.1,000/- Rs.6,360/-, Rs.65, Rs.6,331, Rs.1,404 from 23.9.09 to 21.10.09 amounting to  a sum of Rs.16,540/-.

In our considered view, OP is guilty of imperfection in service when it allowed a claim of Rs.1,446/-and Rs.886/- without explaining the deductions.  OP has failed to explain these facts in course of entire pleadings.  We hence, award Rs.10,000/- as consolidated sum to be paid by OP-2  for harassment and mental agony.  We also award a sum of Rs.5,000/- as litigation expenses.

The payment be made within 30 days of the receipt of the copy of the order; otherwise action will be taken under Section 25 / 27 of the Consumer Protection Act.

File be consigned to record room.

Copy of the order be sent to the parties free of cost.

Pronounced in open Court on 31.07.2015.

 

 

(C.K.CHATURVEDI)

PRESIDENT

 

 

 

(RITU GARODIA)

MEMBER