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T.P.GUPTA, VIMLA SETHIA
National Insurance Co. Ltd. – Appellant
Versus
Kanta Kansal – Respondent


Advocates:
Counsel for the Parties:
For the Appellant:Mr. Vinod Tyagi, Advocate.
For the Respondents:Mr. Anil Bhatia, Advocate.

ORDER

T.P. Gupta, Presiding Member— This is an appeal filed by the appellant under Section 15 of the Consumer Protection Act, 1986, against the order dated 11.12.2007 passed by the learned District Forum, Bhilwara in CC No. 90/2006 whereby the OP appellants were directed to pay a sum of Rs. 3,38,175 under the Mediclaim policy, together with interest on it and an amount of Rs. 1,000 to the complainant.

2. The brief facts giving rise to this appeal are that the complainants are legal heirs of late Shri Raj Kumar Kansal. Shri Raj Kumar Kansal had taken a Mediclaim Insurance Policy for an insured sum of Rs. 3,00,000 on 1.1.1999, and then got it renewed annually up to 31.12.2006. During the policy period, the said Shri Raj Kumar Kansal fell ill and underwent treatment from 14.2.2005 to 15.4.2005, first at Mahatma Gandhi Arogya Sadan, Bhilwara, and then at Santokba Hospital at Jaipur and Asian Heart Institute, Mumbai and spent an amount of Rs. 3,38,175 on his treatment. The insured had not taken any claim under the Mediclaim policy in the past and hence under the policy, he was entitled to get additional coverage of Rs.75,000. The insured submitted a claim with the Insurance Company. The

























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