An insurance company will reimburse a 72-year-old man man Rs 4 lakh assured under the overseas travel insurance policy after he fell ill on a trip to Malaysia in 2009. The matter which was pending for a year in the Pune Court was settled in the Lok Adalat held on Saturday.
The complainant,Senji Rajagopalan Srinivasan,had filed a claim against the Bajaj Allianz General Insurance Company Ltd in 2009 after the company refused to pay him the treatment expenditure.
According to the advocate Ashok Pathare,who represented Srinivasan,the complainant had purchased the Overseas Travel Insurance policy of Bajaj Allianz in October 2009 and had gone to Malaysia. While in Malaysia Srinivasan fell ill and was admitted to Loh Guan Lye and Sons Hospital for treatment. At the hospital Srinivasan incurred an expense of Rs 4,01,971 for treatment. However,the insurance compnay refused to pay the amount of medical treatment and rejected Srinivasans claim saying that the condition was pre-existing.
Srinivasan moved the Bangalore court but in 2012 the court threw out his claim on the point of jurisdiction. Following this Srinivasans son Rajesh,who had the power of attorney,had moved the Pune District Consumer Disputes Redressal Forum in 2012 on his fathers behalf. During the continuation of the proceedings,both parties decided to settle the settlement and after considering the facts from both side the panel came to the conclusion that the insurance company should pay Rs 4 lakh. The settlement was accepted by both sides, advocate Rishikesh Ganu,who represented Bajal Allianz said.
A check of Rs 4 lakh was handed over to Srinivasan immediately by Amol Adgaonkar,zonal incharge (Central Zone) Bajaj Allianz.