06-12-2023 Present : Sh.Gurpreet Singh, counsel for the complainant

This order shall dispose of present complaint after affording preliminary hearing to the counsel for the complainant.

During preliminary hearing, counsel for the complainant has argued that the complainant suffered from health problem i.e. CVA (Stroke) and he was got admitted in Crystal Healthcare Hospital Near Maheshwari Chowk, Bathinda and spent approximately Rs.84,563/- on his treatment. Thereafter he was got admitted in Max Hospital, Bathinda and spent Rs.16,02,118/- on his treatment. Out of Rs.16,02,118/-, opposite parties have paid Rs.3 lakhs to the complainant as company credit limit and after adjusting the discount, the remaining amount of Rs.12,20,925/- was paid by the complainant to Max Hospital, Bathinda. The complainant lodged the claim with opposite parties, but they have failed to settle the claim till date.

We have heard learned counsel for the complainant and gone through the record.

A perusal of file shows that complainant lodged insurance claim with opposite parties, but they have neither repudiated nor approved his claim till date. Therefore, this Commission is of the view that complaint is pre-mature at this stage. As such, without going into merits of the case, opposite parties are directed to settle the claim of the complainant within 30 days from the date of receipt of copy of this order. As such, this complaint stands disposed off.

Copy of order be issued to complainant and opposite parties free of cost and file be consigned to record room.

(Sharda Attri) (R.L Mittal)

Member President