K.S.GUPTA, P.D.SHENOY
New India Assurance Co. Ltd. – Appellant
Versus
Raj Kumar Chuchra – Respondent
K. S. Gupta, Member—Challenge in this revision is to the order dated 20.2.07 of Consumer Disputes Redressal Commission UT, Chandigarh dismissing appeal against the order dated 15.9.06 of a District Forum whereby petitioner insurance company was directed to pay a total amount of Rs.2,02,500 on account of mediclaim etc. to the respondent.
2. Respondent/Complainant and his wife Mrs. Lalita Chuchra had taken mediclaim policy for Rs.1,50,000 each from 9.3.2002 to 8.3.2003 from the petitioner/opposite party. Prior to this they had taken mediclaim policy twice but no amount was claimed thereunder. Respondent developed heart problem and ultimately he underwent CABG in 10.2.03. Though he had incurred expenses of Rs.2,35,000 on treatment but amount of Rs.1,50,000 being amount of policy, only was claimed. On that claim being repudiated through the letter dated 30.1.04 by the petitioner on ground of respondent suffering from long standing diabetes mellitus which he did not disclose at the time of purchase of policy, he filed complaint which on contest on similar ground, was allowed by the District Forum and appeal against District Forum’s order filed by the petitioner was dismissed by the
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