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D.K.JAIN, M.SHREESHA
Religare Health Insurance Company Limited – Appellant
Versus
Ayush Gupta – Respondent


Advocates:
Counsel for the Parties:
For the Petitioner:Mr.Amit Tyagi, Advocate
For the Respondent:Ms.Aditi Sharma, Advocate

ORDER (ORAL)

D.K. Jain, President—Challenge in this Revision Petition, by Religare Health Insurance Co. Ltd. (for short “the Insurance Company”), the sole Opposite Party in the Complaint, is to the order dated 19.9.2016, passed by the State Consumer Disputes Redressal Commission, Punjab (for short “the State Commission”), in FA/1237/2015. By the impugned order, the State Commission has over-turned the order dated 21.9.2015, passed by the District Consumer Disputes Redressal Forum, Gurdaspur (for short “the District Forum”) in Complaint No.108/2015. On re-appraisal of the material on record, the State Commission has come to the conclusion that there was deficiency in service on the part of the Insurance Company in not reimbursing a sum of Rs.1,50,934/-, the amount actually expended by the Complainant, the Respondent herein, for the surgery undergone by him for Left frontoparietal flap craniotomy and removal of large tumor on 04.9.14. Thus, allowing the Complaint, the State Commission has directed the Insurance Company to pay to the Complainant a sum of Rs.1,59,934/- along with interest @ 9% p.a. from the date of repudiation till realization; a sum of Rs.20,000/- as compensation and R






















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