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1 F.A.No.:350-18

MAHARASHTRA STATE CONSUMER DISPUTE

REDRESSAL COMMISSION, MUMBAI, CIRCUIT BENCH

AT AURANGABAD

Date of filing : 06.09.2018

Date of Order: 30.08.2019

FIRST APPEAL NO.: 350 OF 2018

IN COMPLAINT CASE NO.: 85 OF 2018

DISTRICT CONSUMER FORUM: AURANGABAD

The National Insurance Company Ltd.,

Through its Manager,

Gurudwara Road, Aurangabad,

Through its Divisional Office,

Hazari Chambers, Padampura,

Railway Station Road, Aurangabad. ..……Appellant

-VERSUS-

1. Smt. Saberabi Shaikh W/o.Abdul Haq Patel

R/o. GadeJalgaon, Tq. & Dist. Aurangabad.

2. Bajaj Capital Broking Insurance Company

Apollo House, 82-84,

Ground Floor, Mumbai,

Samachar Marg, Mumbai.

….…Respondents

Coram :

Smt. S. T. Barne, Hon`ble Presiding Judicial Member

Shri. K. M. Lawande, Hon`ble Member

Present:

Adv. Shri. S.V. Kulkarni for appellant.

Adv. Shri. P.C. Mayure for resp.no.1.

Adv. Shri. T. M. Tandale for resp.no.2.

2 F.A.No.:350-18

- :: JUDGMENT :: -

(Delivered on 30.08.2019)

Per Shri. K. M. Lawande, Hon`ble Member

1.

The appellant has preferred this appeal against the judgment

and order dated 18.07.2018 passed by District Forum, Aurangabad

in C.C.No.85/2018.

2.

The appellant is the original opponent No.1 and respondent

No.1 is the complainant & respondent No.2 is the opponent No.2 in

the consumer complaint before the Forum. They are hereinafter

referred as “opponent” and “complainants” as per their status in the

complaint.

3.

It is the case of complainant that, her husband named Shri

Shaikh Abdul Haq Kamal Patel died on16/05/2016 in an alleged

beating by some persons and the FIR of his murder is lodged with

the police. The deceased is having agricultural land Gat no. 99 in

village Gadhe Jalgaon Tal. & Dist. Aurangabad. The deceased is

entitled for the insurance under the “Gopinath Munde Farmers

Accident Scheme”. Initially the complainant could not comply for all

the documents when she submitted the proposal to Agricultural

Officer addressed to opponent Insurance Company on 01/03/2017.

The complainant could not submit claim form part 2, mutation entry

no.1570, death certificate etc. in her claim/proposal. In the said

proposal the complainant sought some period to comply the same.

However, she complied with by submitting all the required

documents

on

14/07/2017

through

District

Superintending

Agricultural Officer, Aurangabad. However, the opponent kept her

claim pending. There is no valid reason for opponent to keep her

claim pending. When the complainant enquired with the opponent

Insurance Company, she received the message from the company

3 F.A.No.:350-18

on her mobile that “Claim ID-CL04111, Rejected due to other

reason.”Therefore,

she

issued

a

notice

to

opponent

on

05/01/2018.When the complainant further enquired with the

opponent company on 08/02/2018, she was replied by the opponent

company that her claim is repudiated and her proposal is returned to

District Superintending Agriculture Officer, however no reason for

the repudiation is told to her. Therefore, she filed the consumer

complaint with the District Forum seeking directions to opponent to

pay her the amount of Insurance of Rs.2.0 lakhs with 15% interest

and Rs.50,000/- towards the mental agony.

4.

The opponent No.1, Insurance Company appeared before the

District Forum and resisted the complaint. The opponent denied the

case of complainant that, her husband died due to injurie

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