NATIONAL INSURANCE COMPANY LTD, having its registered office at 3, Middleton Street, Kolkata- 700 071 and its Bentinck Street Branch at 23, R.N. Mukherjee Road, BMCI Building, 4th Floor, P.S. Hare Street, Kolkata- 700 001.
1) I made one hospitalization and domiciliary hospitalization benefit policy No. 101101/48/05/8500000878 with the defendant for the period from 13.08.2005 to midnight of 12.08.2006.The said policy was renewed on 13.08.2006 and was valid till 12th August, 2007. The said policy is kept on renewed and still valid.
2) During the period of insurance, I was hospitalized at Indraprastha Appolo Hospitals, Delhi from 21.07.2006 to 25.07.2006. Thereafter, he was hospitalized in Arti Manoj Hospital, Agra on 25.07.2006 and was discharged on 11.08.2006.
3) I submitted a claim formed with the defendant for Rs. 1,90,117.16. I also submitted the claimed form with all the relevant documents. After submission of the claim form I received a letter dated 21.11.2006 and in the said letter, Insurance Company asked to submit some documents required to process the claim. After receipt of the said letter, the plaintiff submitted all the documents with the defendant along with his letter dated 11 January, 2007. The letter was addressed to the authorized signatory, Family Health Plan limited 16/2, Lake View Road, Kolkata- 700 029 and the copy thereof was forwarded to the defendant.
4) I then submitted reminder letters to the defendant vide letters dated 14.03.2007 and 29.08.2007. The plaintiff also caused Advocate’s notice to be served with the defendant vide letters dated 27.04.2009 and Sri Bimal Kumar Purohit, Advocate sent a notice, In spite of the said letters and reminders the defendant has failed and neglected to either to settle the claim of the plaintiff or to repudiate the same.
5) I submitted a claim of Rs. 1,90,117.16 with the Insurance and I am entitled to get the same from the Insurance Company. Insurance Company has failed and neglected to settle the claim of the plaintiff in time and as such the plaintiff is also entitled to get @ 18% p.a. over and above the claim amount.
e-mail: binod.mehta@sunrise.co.in