IN THE DELHI STATE CONSUMER DISPUTES REDRESSAL COMMISSION Date of Institution: 18.09.2024 Date of Hearing: 16.12.2025 Date of Decision: 30.04.2026 FIRST APPEAL NO.- 617/2024 IN THE MATTER OF STAR HEALTH & ALLIED INSURANCE CO. LTD

1ST FLOOR, HIMALAYA HOUSE, 23, KASTURBA GANDHI MARG, NEW DELHI-110001 (Through: Mr. Abhishek Nanda, Advocate)

…Appellant VERSUS MS. ANITA C-83, HARI VIHAR, KAKROLA, NEW DELHI-110078 (Through: Mr. Shripal, Advocate)

…Respondent CORAM:

HON’BLE JUSTICE SANGITA DHINGRA SEHGAL (PRESIDENT)

HON’BLE MS. BIMLA KUMARI, MEMBER (FEMALE) Present: Ms. Yashika Singh, proxy counsel for Mr. Abhishek Nanda, counsel for the appellant appeared through VC.

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 the facts of the case are that complainant had taken a Health Mediclaim Policy bearing no. P/160000/01/2020/002244 dated 31.08.2019 from the opposite party no.1. Policy was valid from 31.08.2019 to 30.08.2020 for the sum insured of Rs.3,00,000/- (Rupees Three Lakh). Complainant got admitted in the hospital of opposite party no.2 due to