Punjab

Ludhiana

CC/23/398

Harvinder Singh - Complainant(s)

Versus

Star Health and Allied Ins.Co.Ltd. - Opp.Party(s)

Manish Midha

11 Jan 2024

ORDER

DISTRICT CONSUMER DISPUTES REDRESSAL COMMISSION, LUDHIANA.

                                                Complaint No: 398 dated 13.09.2023                         

                               Date of decision:11.01.2024

 

Harvinder Singh Dhillon son of Savinder Singh Dhillon, resident of House No.1703/5/8, Mohalla Ram Nagar, Tibba Road, Ludhiana-98158-00915.                                                                                                                                                                                                             ..…Complainant

                                                Versus

1.Star Health and Allied Insurance Company Limited, No.15, Sri Balaji Complex, Ist Floor, Whites Lane, Royapettah, Chennai-600014 through its Managing Director.

2.Star Health & Allied Insurance Company Limited, 3369, 4^th Floor, Sandhu Towers-II, Ferozepur Road, Ludhiana through its Branch Manager-141001.

                                                                                      …..Opposite Parties

Complaint under section 35 of the Consumer Protection Act, 2019

QUORUM:

SH. SANJEEV BATRA, PRESIDENT

SH.JASWINDER SINGH, MEMBER

MS.MONIKA BHAGAT, MEMBER

 

COUNSEL FOR THE PARTIES:

For complainant            :         Sh.Manish Midha, Advocate

For OPs                         :         Sh.Rajeev Abhi, Advocate

 

ORDER

PER SANJEEV BATRA, PRESIDENT

1.                           The complainant has invoked the jurisdiction of this Commission by raising a consumer dispute against the OPs with regard to denial of medical health insurance claim against the policy No.P/161114/01/2023/001694 with validity period from 31.05.2022 to 30.05.2023 by the OPs qua the expenses incurred upon his treatment to the tune of Rs.30,000/- approximately. So, by filing the present complaint, complainant has prayed that OPs be directed to reimburse the expenses incurred by the complainant on his treatment along with Rs.2 lac as compensation and litigation charges etc.

2.                Upon notice of the complaint, Sh.Rajeev Abhi, Advocate has appeared on behalf of OPs and filed power of attorney. Further, he has produced the copy of email dated 10.01.2024 (Ex.RA) received from the office of OPs whereby he has been authorized to give statement qua the settle/compromise the case upto Rs.28,000/- with the complainant. In this regard, he has also suffered statement to the effect that he has received the email Ex.RA from the OPs whereby the OPs have ready to settle the claim of Rs.28,000/- in full and final settlement of the claim and the present complaint. Further, he has got recorded his statement that the company will make the payment within 30 days from the receipt of copy of the order. Copy of the email dated 10.01.2024 has also been placed on record as Ex.RA. 

3.                The said offer has been duly accepted by counsel for the complainant by suffering separate statement in this regard. Further, he has prayed if the OPs failed to pay the settled amount within 30 days, then interest @8% per annum may kindly be granted to the complainant.

4.                In view of the aforesaid settlement arrived between the parties through Ex.RA, the present complaint stands disposed of with the direction that the OPs will pay Rs.28,000/- to the complainant in full and final settlement of his claim within 30 days from the date of receipt of copy of this order, failing which, they will be liable to pay the interest @8% per annum to the complainant from the date of this order till realization. Copy of the order be supplied to the parties free of costs.

5.                File be indexed and consigned to record room. 

 

(Monika Bhagat)           (Jaswinder Singh)            (Sanjeev Batra)                        Member                     Member                         President

Announced in Open Commission                                           Dated:11.01.2024                                                                                    Gurpreet Sharma.