By Smt. Padmini Sudheesh, President: The complainant’s case is as follows: the complainant is a policyholder of the respondents having No.100606/48/07/20/00000405. The complainant had taken the policy as per the rules of the Insurance Company and after check-ups. The complainant renewed the policy from 2000 to 2008. Meanwhile the complainant got admitted in Raji Nursing home and treated from 15.10.2007 to 17.10.2007. The medical expenses was for Rs.2315.16. When the complainant applied for the claim with all relevant documents, the first respondent repudiated the claim by stating that she failed to give reply to some matters. But the respondent Company never demanded such things. The Insurance Company demanded some documents from the insured person and he sent reply to that. The complainant was not suffering from any disease while taking the policy. The policy is renewed continuously and the first respondent allowed the claim for the first time and this is the second claim. The complainant sent a lawyer notice for getting the claim and also demanded for the claim directly. The repudiation of the claim is an unfair trade practice. Hence the complaint. 2. The respondents are called absent and set exparte. 3. To prove the case of the complainant she filed affidavit and produced 7 documents, which are marked as Exts. P1 to P7. 4. According to the complainant, she had undergone a treatment within the policy period and entitled for getting the medical expenses. The complainant renewed the policy continuously from 2000 to 2008. The present treatment was from 15.10.2007 to 17.10.2007, which is within the policy period and is entitled for the claim amount. There is no counter evidence to the evidence of complainant. . 5. In the result, the complaint is allowed and the respondents are directed to pay Rs.2315.16 (Rupees two thousand three hundred fifteen and paise sixteen only) as the treatment expenses and Rs.1000/- (Rupees one thousand only) as compensation with Rs.500/- (Rupees five hundred only) as costs to the complainant within one month. Dictated to the Confidential Assistant, transcribed by her, corrected by me and pronounced in the open Forum, this the 26th day of September 2009.
......................Padmini Sudheesh
......................Rajani P.S.
......................Sasidharan M.S | | 
