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Reliance General Insurance Fined 25,000 for not paying Mediclaim

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Reliance General Insurance Fined 25,000 for not paying Mediclaim

UT district consumer disputes redressal forum (Chandigarh) has directed Reliance General Insurance Company Limited and other respondents to consider and settle mediclaim of a complainant. Forum further directed them to pay Rs 25,000 as compensation to complainant for causing him mental agony, physical harassment and financial loss along with Rs 5,500 as cost of litigation.

 

Complainant Rajesh Kumar Verma, a resident of Ahmedabad, had alleged that he was insured with the respondents under the group medical insurance scheme for the period from April 9, 2007 to April 9, 2008 for a sum of Rs 2 lakh. He was operated for angioplasty at Krishna Heart and Super Specialty Institute at Ahmedabad on December 4, 2007. He submitted his medi-claim form on February 17, 2008 to the respondents but they rejected the same on the ground that the hospitalization was for the management of an ailment, which related to pre-existing condition. He wrote numerous letters to the respondents along with the opinion of the cardiologist to consider his claim but to no avail.

Respondents in their reply stated upon receipt of claim they appointed an officer who after processing the claim found the claim was not covered under the perils.

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Source: Times of India news


 

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