Delhi

New Delhi

CC/557/2013

Naresh Gangahar - Complainant(s)

Versus

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

29 May 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/557/13                                                                                                                                                                                Dated:

In the matter of:

SHRI NARESH GANAHAR

H/O. M-190, GREATER KAILASH-II

NEW DELHI

         ……..COMPLAINANT

       

VERSUS

 

THE NEW INDIA ASSURANCE CO. LTD.

BRANCH OFFICE:

2^ND FLOOR, VANDANA BUILDING

11,TOLSTOY MARG, NEW DELHI-110001.

 

E-MEDITEK (TPA) SERVICE LTD.

PLOT NO.577, PHASE-V,

UDYOG VIHAR,

 GURGAON-122016

(HARYANA).

 

………. OPPOSITE PARTY

 

 

 

 

ORDER 

Member: Ritu Garodia

The complaint is pertaining to part payment of medi-claim policy.

The brief facts of complainant are that the complainant had purchases  medi-claim policy covering the period from 14.8.2012 to 13.8.2013, continuously for last 13 years for sum insured of Rs.2,50,000/-. Complainant was hospitalized from 28.8.12 to 22.9.12 and underwent several test including cardio angiograph. The claim was not settled by OP and complainant was filed. OP failed to give its version and was subsequently proceeded ex-parte.

Giving due consideration to arguments forwarded by both parties, it was noted in record file that payment of Rs.2,17,000/- has been made by OP towards settlement of claim.  However, the policy was having sum insured value of Rs.2,50,000/-  OP is directed to pay Rs.33,000/- with 6% interest from date of complainant till payment.  OP is also directed to pay Rs. 5,000/- as compensation for harassment, mental agony inclusive of litigation expenses. 

The order shall be complied with within 30 days of the receipt of the copy of the order; otherwise action can 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 29.05.2015.

 

 

 

 

(C.K.CHATURVEDI)

PRESIDENT

 

 

(S.R. CHAUDHARY)         (RITU GARODIA)

MEMBER                                       MEMBER