Mr. Justice S.K. Dubey, President—This is a complainant’s appeal against the order dated 16th July, 1999 passed in Case No. 261/1998 by the District Consumer Disputes Redressal Forum, Indore (for short the ‘District Forum’).

2. Facts giving rise to this appeal are thus : M/s. Gokuldas Hospital Limited, Indore obtained a Group Mediclaim Insurance Policy No. 4845130006917 covering the risk from 17.9.1996 of which the appellant was one of the beneficiary. On or about 2.10.1996 the appellant suffered from acute congestive glaucoma and was admitted in the Gokuldas Hospital for the treatment where he was treated medically for reducing the tension. He was operated for Glaucoma on 4.10.1996 and was discharged on 7.10.1996. However, the appellant developed secondary complications Cataract and the swelling of the lens in the right eye, hence, was referred to Dr. Kulin Kothari of Bombay for advice and treatment, where Dr. Kulin Kothari performed surgery basically for Glaucoma and to give relief permanently to the appellant. The appellant lodged a mediclaim of Rs. 17,994/-. The Insurance Company vide letter dated 27.2.1997 did not make the payment as during the first year of the operation