BRANCH MANAGER, NEW INDIA ASSURANCE CO. LTD Vs. R. ARUMUGAM
TAMIL NADU STATE CONSUMER DISPUTES REDRESSAL COMMISSION
Click here to view full judgement.
M. THANIKACHALAM J. -
(1.) The opposite party is the appellant
(2.) Facts leading to this appeal
The complainant/ respondent, had taken a family mediclaim policy, with
the opposite party, from the period 15.11.00, which was renewed
periodically, covering the period from 15.11.2001 to 15.11.2002, for
which premium also paid, without default.
(3.) As advised by the Doctor, the complainant had taken treatment, as
inpatient in R.S. Trinity Acute Care Hospital, Mylapore, for heart
ailment, and he was also operated, incurring an expense of Rs.150000/-
and thereafter discharged on 29.6.2002. The complainant claiming the
amount assured under the policy, lodged a claim, which was repudiated on
false ground, as if it was a pre-existing disease, excluded under the
policy, thereby committing deficiency in service, which was not even
rectified even after the issuance of legal notice. Hence the complainant
is entitled to, not only medical expenses of Rs.150000/-, but also a
further sum of Rs.50000/- towards mental agony.;
Copyright © Regent Computronics Pvt.Ltd.