IN THE DELHI STATE CONSUMER DISPUTES REDRESSAL COMMISSION Date of Institution:.07.07.2023 Date of hearing:16.12.2025 Date of Decision: 30.04.2026 FIRST APPEAL NO.- 312/2023 IN THE MATTER OF BAJAJ ALLIANZ GIC LTD.

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7 FLOOR, DLF TOWER 15.

SHIVAJI MARG.

NEW DELHI-110015 (Through: Mr. Amit Kumar Maihan, Advocate)

…….Appellant VERSUS SMT. AARTI W/O SH. DHARAMPAL PLOT NO.-488, D-3 DUGGAL FARM GATE, NSIT KAKROLA, DELHI-110078 (Through: Mr. Shripal, Advocate)

…Respondent CORAM:

HON’BLE JUSTICE SANGITA DHINGRA SEHGAL (PRESIDENT)

HON’BLE MS. BIMLA KUMARI, MEMBER (FEMALE)

Present: Ms. Binny Sethi, Counsel for the Appellant Mr. Shripal, Counsel for the Respondent PER :HON’BLE JUSTICE SANGITA DHINGRA SEHGAL, PRESIDENT JUDGMENT

1. The facts of the case as per the District Commission record are as under:

“2. Briefly stated facts of the case are that the complainant had taken a Health Medical Claim Policy bearing No.OG-1101-8430-00002563 dated 15.02.2020 from OP No. 1. It is further stated that the period of said policy was 15.02.2020 to 14.02.2021 for the sum insured of Rs.3,00,000/-(Three Lacs only).

3. It is further alleged that on 02.07.2000, the Complainant got admitted with OP No.2 due to fever, vomit