F.A. No. 486 of 2012. Case: ICICI Lombard General Insurance Co. Ltd. Vs D.J. Gunasekaran Jeyakumar. Tamil Nadu State Consumer Disputes Redressal Commission

Case NumberF.A. No. 486 of 2012
CounselFor Appellant: S. Suresh, Advocate and For Respondents: S. Haja Mohideen Gisthi, Advocates
JudgesThiru J. Jayaram, (Presiding) Member (J) and Thiru S. Sambandam, Member
IssueConsumer Law
CitationIII (2014) CPJ 46
Judgement DateThursday June 12, 2014
CourtTamil Nadu State Consumer Disputes Redressal Commission

Order:

Thiru J. Jayaram, (Presiding) Member (J)

  1. This appeal is filed by the opposite parties against the order of the District Forum, Tirunelveli, in C.C. No. 191/2010, dated 9.8.2011, allowing the complaint. The case of the complainants is that the 1st complainant who is the husband of the 2nd complainant had taken a health insurance policy with the opposite parties covering himself, his wife and two children and that when the policy was in force his wife suddenly took ill and was taken to Meenakshi Mission Hospital, Madurai on 4.11.2009 where it was diagnosed that she was suffering from Hernia and as she was health card holder of the opposite party, she sent a claim for Rs. 93,000 to the 1st opposite party on 4.11.2009 towards treatment expenses and the 1st opposite party called for additional information from the Hospital and after verification the opposite party Insurance Company at Hyderabad issued a letter of authorization to the hospital on 5.11.2009 for treatment to the 2nd complainant and after receipt of letter of guarantee for payment of Rs. 63,000...

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