West Bengal

North 24 Parganas

CC/278/2022

Subhas Chandra Guria, S/O- Lt. Gosta Behari Guria - Complainant(s)

Versus

The Managing Director, Aditya Birla Health Insurance Co. Ltd. - Opp.Party(s)

21 Dec 2023

ORDER

DCDRF North 24 Paraganas Barasat
Kolkata-700126.
 
Complaint Case No. CC/278/2022
( Date of Filing : 06 Sep 2022 )
 
1. Subhas Chandra Guria, S/O- Lt. Gosta Behari Guria
201/1, B.B. Ghosh Lane, Monirampore, PO & PS- Barrackpore, Kolkata- 700120
North 24 Parganas
...........Complainant(s)
Versus
1. The Managing Director, Aditya Birla Health Insurance Co. Ltd.
10th Floor, B-Tech Park, next to HUB Mall, Western Express Highway, Goregaon East, PO- Goregaon East, PS- Gokuldham Police Station, Mumbai- 400063
2. The Branch Manager, Birla Health Insurance Co. Ltd.
7A/1, 7th Floor, Intellection, 232, Chittaranjan Avenue, PO- Beadon Street, PS- Bortala, Kolkata- 700006
............Opp.Party(s)
 
BEFORE: 
 HON'BLE MR. Daman Prasad Biswas PRESIDENT
 HON'BLE MR. Sri Abhijit Basu MEMBER
 
PRESENT:
 
Dated : 21 Dec 2023
Final Order / Judgement

DIST. CONSUMER  DISPUTES  REDRESAL  COMMISSION

NORTH 24 Pgs., BARASAT.

C.C. No. 278/2022

Date of Filing                                     Date of Admission                 Date of Disposal

  06.09.2022                                            12.09.2022                              21.12.2023

 

Complainant/s:-

Subhas Chandra Guria, S/o. Late Gosta Behari Guria,

C/0. L.K. Biswas, 201/1, B.B Ghosh Lane,Monirampur,

P.O.and P.S Barrackpore, Dist- North24 Parganas, Kol-700120.

 

                            -Vs-

 

Opposite Party/s:-

1.To The Managing Director, Aditya Birla Health Insurance Co. Ltd,

10th Floor, R-Tech Park, next toHB Mall off, West Express Highway,

Goregaon East, Mumbai-400063, P.S. Gokuldham

2.Aditya Birla Heath Insurance Co. Ltd, 7A/1, 7th floor, Intellection,

232, Chittaranjan Avenue, Kolkata-700006, P. S Bortala, P.O. Beadon Street.

           

P R E S E N T                  :- Sri. Daman Prosad Biswas……….President.

                                          :- Sri.  Abhijit Basu…………………. Member.

                       

JUDGMENT/FINAL ORDER

 

            Complainant above named filed this complaint under section 35 of the C.P. Act, 2019 against the aforesaid O.Ps praying for direction to the Insurance Co. to  pay medical expenses including the compensation amounting to Rs. 80,000/-. He alleged that he has purchased one mediclaim policy namely Aditya Birla Health Insurance Co. Ltd (mediclaim on 20.08.2019 for two years. After expiry of aforesaid two months they renewed the said policy for another two years without his consent and they deducted the amount from the credit card account of the complainant. After receiving the e-mail complainant requested them and mailed that he is unable to afford another two years renewal. They cancelled the said policy and made renewal for one  year. Complainant had received his new policy through e-mail in the month of May 2022 complainant’s wife need operation. He contacted with ABC Customer Care through the

toll free number, and they verbally told that the complainant will not be eligible for particular case ABC representative over phone had told that he has left ABC. But the complainant will be eligible. Thereafter complainant made call with Mrs. Susmita, she looking after this case. She gave the phone to another person. He advised to call at customer care. Again he called with the customer care, then representative of customer care advised him to mail. The complainant gave copy of all documents including policy. He received mail that he is not eligible to get benefit his policy. Hence the complainant filed this case.

 

            Notice was served to the O.P. Nos,. 1and 2 on 18.11.2022 and 21.11.2022. But they  did not turn up before this commission nor filed W.V. Hence the case is running exparte against them.

 

                                                            Decision with Reasons

 

                        On 17.02.2023 was fixed for filing evidence by the complainant. But the complainant was absent without any step. Next date was fixed on 10.04.2023. On 10.04.2023 complainant was found absent. He was asked to file show cause as to why the case shall not be dismissed for default. Next the date was fixed on 31.05.2023. On 31.05.2023 complainant did not take any steps. Next date was fixed on 28.01.2023. On that date complainant not yet filed show cause nor took any steps. Next date was fixed on 04.12.2023. On 04.12.23 complainant was absent without steps. Hence the case record is fixed for passing final order.

 

            On perusal of record we find that the complainant prayed  for direction to the O.P. Nos.1 and 2 for payment of medical expenses along with compensation amounting to Rs. 80,000/-.

 

                                                                                                                         To Page No. 2…./

 

 

 

: : 2  : :

C.C. No.278 /2022

 

            To get the desire relief the complainant has to prove his case by sufficient documents and evidence.

 

            In the present case complainant filed some documents at the time of filing of this case. We did not get any chance to compare those documents with the original documents because the complainant not yet turn up along with original documents. Moreover complainant did not file any evidence in the form of affidavit –in –chief in support of his case coroborating the allegation which he mentioned in the petition of complaint. Accordingly, we find  that complainant has failed to establish his grievance by sufficient documents and evidence.

 

            In the result the present case fails.

 

            Hence

                        it is ordered,

            that the present case is dismissed exparte without any order as to cost.

                                                    

Let a plain copy of this order be given to the parties free of cost as per CPR, 2005.

 

Dictated and Corrected by me

 

 

President

 

 

 

Member                                                                                                          President

 

 
 
[HON'BLE MR. Daman Prasad Biswas]
PRESIDENT
 
 
[HON'BLE MR. Sri Abhijit Basu]
MEMBER
 

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