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B.H.Gadhavi

A-20-177

Page 1 of 6

IN THE CONSUMER DISPUTES REDRESSAL

COMMISSION, GUJARAT STATE AT AHMEDABAD,

Court-2.

APPEAL NO. 177 of 2020

New India Assurance Co. Ltd.

Having its registered office at:

87, M.G. Road, Fort,

Mumbai- 400 001

And having its Regional Office at

5th Floor, Popular House,

Ashram Road,

Ahmedabad-380 009.

…Appellant

(Ori. Opp. No.2)

Vs.

1. Legal heirs of deceased

Mukeshbhai Keshavbhai Raiyani,

Hanshaben Mukeshbhai Raiyani,

Near Animal Hospital,

Mavdi Road, Mu.Gondal,

Dist: Rajkot.

2. Gondal Juth Seva Sahkari Mandali Ltd.,

Opp. Housing Board,

Jetpur Road, Mu. Gondal,

Dist: Rajkot.

...Respondents

(No.1-Ori.Complainant

No. 2-Ori. Opp. No.1)

Appearance: Ld. Advocate Mr.A.R.Mehta

for the appellant

No one remains present

for the respondents

Coram : Shri M.J.Mehta Judicial Member

Order by Shri M.J.Mehta, Judicial Member

1. Being aggrieved and dissatisfied with the

judgment and order dated 25.03.2019 passed by

the Consumer Disputes Redressal Forum, Rajkot

(addl) in Consumer Complaint No. 437 of 2018.

Details

DD

MM

YY

Date of Judgment

29 01

2022

Date of filling

06 06

2019

Duration

23 07

02

B.H.Gadhavi

A-20-177

Page 2 of 6

2. The appellant has preferred instant appeal on

the grounds that the impugned order is

arbitrary, perverse and is bad in law.

3. The brief facts of the case are as under: Ori.

Complainant does the house hold works and Ori.

Opp. No. 1 is doing business as Gondal Juth

Seva Sahkari Mandali Ltd. And Ori. Opp. No. 2

is the New India Assurance Co. is the insurance

company.

Ori.

Complainant’s

husband

is

the

member of Gondal Juth Seva Sahkari Mandali

Ltd. and has obtained the policy from Ori. Opp.

No. 2 and during the policy period on

02.10.2016 complainant’s husband died due to

honey

bees

attack,

thereafter

the

Ori.

Complainant claimed before the insurance

company, Opp. No.2 and insurance company

has repudiated the claim.

thereafter the Ori. Complainant has filed

the complaint before the Ld. Trial and Ld. Trial

Forum has allowed the complaint and awarded

the amount of Rs. 5,00,000/-with 7% interest to

be paid by the Opp. No. 2.

4. Ld. Ad. Mr. Mehta appeared on behalf of the

appellant side and submitted before me that here

in the appeal respondents were duly served upon

but they did not remain present before the

Commission.

5. Thereby Ld. Ad. Mr. Mehta on behalf of the

appellant side has submitted before me that

B.H.Gadhavi

A-20-177

Page 3 of 6

such policy in question is presented here at page

no. 60 it is Personal Accident Insurance policy

wherein the incident taken place did not cover

under this policy, as per the page no. 41 there

was no poisonous content found in the stomach

of the deceased, cause of death is occurred due

to heart attack but it cannot be considered as the

accidental death.

6. I gone through the judgment of the Ld. Trial

Forum wherein Ld. Trial Forum has comes to

conclusion that death was occurred due to heart

attack and it was due to honey bees attack and

thereby it should be treated as an accidental

death and also considered so many judgements

that heart attack is covered within provision of

personal accident policy and allowed the claim,

here I would like to note that no such judgement

is discussed by Ld. Trial Forum in their

judgement, than how they came up with this

conclusion.

7. Ld. Ad. Mr. Mehta for the appellant has drawn

my attention at page no. 31 to 38 in which Post

Mortem report where in cause of death is

pending till report of chemical analysis of viscera

received so the cause of death is not disclosed

thereafter page nos. 40 and 41 was referred on

page no. 41 no such chemical poison was found,

here Ld. Ad. Mr. Mehta submits that without

appreciating page no. 41 which was availed to

the Ld. Trial Forum during the proceeding but it

was not appreciated by the Ld. Trial Forum,

B.H.Gadhavi

A-20-177

Page 4 of 6

that’s why judgem

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