Delhi

New Delhi

CC/760/2010

Shvetima Shrivastava - Complainant(s)

Versus

M/S. New India Assurance Company Ltd. - Opp.Party(s)

28 Apr 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/760/10                                                                                                                                                                                Dated:

In the matter of:

Smt. Shvetima Shrivastava,

A-138, Yojna Vihar, 2^nd Floor,

New Delhi-110092

……..COMPLAINANT

       

VERSUS

1. New India Assurance Co. Ltd.,

86-88, 2^nd FL, Janpath, New Delhi-110001

 

2. Raksha TPA,

C/o Escorts Corporate Centre,

15/5 Mathura Road, Faridabad-121001

                         ………. OPPOSITE PARTIES

 

 

ORDER

President: C.K Chaturvedi

 

        The complainant claim for medi claim under the policy for 24.11.08 to 23.11.09, was denied by OP Company on the ground that the disease of removal of internal cyst in calf of the leg of complainant, was not covered within first 2years of policy. The complainant had earlier policy from 24.11.07 to 23.11.08, and the cyst was removed in a operation during 2^nd year of policy. It repudiated the claim based on exclusion clause. Therefore this complaint of deficiency.

        The OP in its reply has reiterated the ground and has strongly denied that insured was covered for last 4 years from OP. The complainant had produced no evidence of her coverage from any earlier policy issued by OP. In the absence of any other prior policy on record, the claim of complainant cannot be supported and OP committed no deficiency in repudiating the claim.

        The complaint is dismissed.

File be consigned to record room.

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

 

 

Pronounced in open Court on 28.04.2015.

 

(C.K.CHATURVEDI)

PRESIDENT

 

 

 

(S.R. CHAUDHARY)                 (Ritu Garodia)

MEMBER                                  MEMBER