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SUDIP AHLUWALIA
Brij Mohan – Appellant
Versus
New India Assurance Co. Ltd. – Respondent
ORDER
Sudip Ahluwalia, Member—The present Revision Petition under Section 21(b) of Consumer Protection Act, 1986 has been filed by Petitioner against the impugned Order dated 09.04.2015 passed by the State Consumer Disputes Redressal Commission, Punjab, in First Appeal No. 19 of 2013 vide which the Appeal filed by the Respondent No. 1/Insurance Company Appeal was allowed.
2. Brief facts of the case are that the Complainant purchased a Mediclaim Policy bearing No. 360701/34/10/11/00000314 from the Insurance Company for the period from 10.11.2010 to 09.11.2011 and Respondent No. 2/TPA was appointed as Third Party Administrator for verification of the treatments. On 02.02.2011, the Complainant suddenly lost vision in his left eye and he immediately rushed to Dr. Som Nath Singla at Singla Nursing and Eye Hospital, Kotkapura, where he was admitted as an indoor patient on the same day. He was examined by the said Doctor and was diagnosed as suffering from ‘vitreous haemorrhage’ in the left eye. He was further told that some blood clot had affected the vision of the left eye. He was prescribed some medicines and was discharged on 03.02.2011, having spent Rs. 3,880/- during the treatment a
Contract of Insurance – It is well settled that a contract of Insurance is to be honoured strictly in terms of the conditions specified in the Policy without making any alteration in the words used t....
There should be nexus with pre-existing disease & disease for which claim has been made.
Insurance Policy must be read holistically so as to give effect to reasonable expectations of all parties including insured & beneficiaries.
No relief can be given on a time-barred complaint.
(1) Insurance – A contract of insurance is one of utmost good faith. (2) Proposer – Proposer who seeks to obtain a policy of life insurance is duty bound to disclose all material facts bearing upon t....
“Lasik procedure if not performed with reasonable care and skill, which caused retinal displacement amounts to medical negligence.”
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