Dehradun: consumer court directs public insurance company for reimbursement

Things took a turn when the complainant's father died due to heart related problems on June 27, 2011 in the interim period of the renewal of the policy.

As reported by TOI, according to Variko, he submitted all the medical bills, death certificate, and pathology test reports of his father in the insurance company to get the reimbursement of Rs 84,383, which he spent during the course of the treatment.

"However, the company rejected the claim saying that mediclaim is not covered under the policy if the insured person dies of Coronary Artery Disease (CAD) and Chronic Obstructive Pulmonary Disease (COPD) before completion of four years of policy," Variko said in the complaint.

After hearing both the sides, the court observed that Oriental Insurance Company committed mistake by rejecting complainant's mediclaim on mere "technical grounds". The consumer forum ordered the company to reimburse the claim amount along with compensation and litigation expenses to the complainant within 30 days.