Karnataka

Mysore

CC/09/40

Smt.Bhanu Anil - Complainant(s)

Versus

Reliance General Insurance Company Ltd., Mumbai and Mysore. - Opp.Party(s)

M.N.Anil

16 Apr 2009

ORDER


DISTRICT CONSUMER DISPUTES REDRESSAL FORUM MYSORE
No.845, 10th Main, New Kantharaj Urs Road, G.C.S.T. Layout, Kuvempunagar, Mysore - 570 009
consumer case(CC) No. CC/09/40

Smt.Bhanu Anil
...........Appellant(s)

Vs.

Reliance General Insurance Company Ltd., Mumbai and Mysore.
Branch Manager, Reliance General Insurance Company Ltd.,
...........Respondent(s)


BEFORE:
1. Smt.Y.V.Uma Shenoi 2. Sri D.Krishnappa3. Sri. Shivakumar.J.

Complainant(s)/Appellant(s):


OppositeParty/Respondent(s):


OppositeParty/Respondent(s):


OppositeParty/Respondent(s):




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ORDER

The complainant has come up with this complaint for recovery of Rs.50,025/- by way reimbursement of medical expenditure from the opposite parties, on the ground that she had taken mediclaim policy, but the opposite parties have failed to reimburse it. Where as the opposite parties have taken a contention that the complainant despite informing on more than one occasion to submit a claim with necessary bills for considering her claim for reimbursement of the medical expenditure has not submitted the same, therefore when the claim of the complainant is not at all repudiated there is no cause of action for the complainant to file this complaint and thus has submitted for dismissal of the complaint. In the course of arguments the counsel representing the opposite parties made an offer to the complainant and even now if the complainant makes a claim with opposite parties with necessary hospital bills for reimbursement of the expenditure, the opposite parties are agreeable to scrutinize the same and take necessary action as per rules. At this stage the learned counsel appearing for the complainant did not dispute the fact that the complainant has not at all made any claim with the opposite parties by enclosing necessary documents. Having regard to this fact the complainant in our view is pre-mature, however we suggest that the complainant shall submit her claim to the concerned opposite parties with necessary hospital bills in compliance of the requirements for reimbursement of medical expenditure. On making such a valid claim by the complainant the opposite parties shall dispose of the claim of the complainant by way of reimbursement of hospital expense if it is found admissible within 30 days from the date of receipt of the claim of the complainant with this observation the complaint is disposed off accordingly.




......................Smt.Y.V.Uma Shenoi
......................Sri D.Krishnappa
......................Sri. Shivakumar.J.