...V.N Khare, J.— The appellant herein and his wife Smt Alka Bose, took out a mediclaim insurance policy from the respondent United India Insurance Company (hereinafter referred...Company requesting for renewal of his existing mediclaim policy. On 7-3-1996, the Insurance Company declined to renew the mediclaim policy as per the advice of the competent authority of the Company. Under the aforesaid circumstances, the appellant filed a writ petition under Article 226 of the Constitution before the Calcutta High Court challenging the order passed by the respondent Insurance Company...to renew the mediclaim policy. The said writ petition was allowed and the order refusing to renew the policy was set aside and a direction was issued to the Insurance Company to renew...

...Bureau shall place on record the findings of the research made by it regarding the issues pertaining to Mediclaim Insurance Policy including the cashless Mediclaim Insurance Policy.2. By.../nursing homes/clinics which have accepted the cashless Mediclaim Insurance Policy.3. The petitioner has placed on record a list of websites of 15 insurance companies displaying the...particulars of hospitals/nursing homes/clinics which have accepted the cashless Mediclaim Insurance Policy.4. The learned counsel for the General Insurance Council as well as Association of Third...

...kidney replacement in a hospital in Ahmedabad, Gujarat. Reimbursement is sought in terms of the Group Mediclaim Insurance Policy for the period 01.04.2011 to 31.03.2012 issued by the State Insurance...vindication of his perceived rights under the Group Mediclaim Insurance Policy in issue.5. It is made clear that the time expended by the petitioner in pursuing this petition seeking...reimbursement of medical expenditure incurred in replacement of kidney under the aforesaid Group Mediclaim Insurance Policy i.e from 26.11.2012 till 09.05.2015 shall be excluded while computing limitation for...

...Insurance Policy (1/1/96) into Hospital Benefit Policy/Mediclaim Policy 2007 after the period of 2008 onwards in respect of Complainant No.2. The Opposite Parties are therefore, directed to settle all the future claims, if any, of Complainant No.2 as per the terms and conditions since inceptions of Mediclaim Insurance Policy...i. Complaint No.125/2012 is partly allowed against both the Opposite Parties. ii. It is declared that the Opposite Parties arbitrarily and illegally converted Mediclaim...

...(- . . . , ) : 1) , 1986, 12 . , . , . . .. . .. New India Floater Mediclaim Insurance Policy No. 151100/34/15/28/00000264 . 15-09-2015 14-09-2016..... ? 3 .. ? . 1 3 5) . 1 3 . .. New India Floater Mediclaim Insurance Policy No. 151100/34/15/28/00000264 . 15-09-2015 14-09-2013 . 2,00,000...) CJ 299 (N.C.) Indraprastha Gas Ltd Vs. New India Assurance Co. Ltd., :- Head Note Where particular damage is not exclused under the terms and conditions of policy. The insurance...

.... 2. Briefly stated the facts of the case are that the appellant (complainant) is purchasing Mediclaim Policy from the respondent //2 // (O.P.) since last 4-5 years. She also obtained Mediclaim insurance policy...for her husband and children. The respondent (O.P.) issued Mediclaim Insurance Policy No.191100/48/2012/1639 in favour of the appellant (complainant) for the period from 08.10.2011 to...before the respondent (O.P.) along with relevant documents, but the respondent (O.P.) has repudiated her claim on the basis of Exclusion Clause 4.12 of the Mediclaim Insurance Policy and denied the...

...the medical reimbursement claim submitted by the respondent against the mediclaim insurance policy. 2. Mr. Jagdish Vyas, learned counsel representing the petitioner insurance company.... 3. Per contra, Mr. Anil Bhandari, Advocate, representing the respondent, submits that the respondent had taken the mediclaim insurance policy, during currency whereof, he suffered severe Angina pain...original record and more particularly, the conditions of the mediclaim insurance policy issued by the petitioner. 5. Clause No.4.2 of the insurance policy, on which much reliance was...

...allowed the writ petition with a direction to New India Assurance Company Ltd., the appellant herein, to renew mediclaim insurance policy in favour of the respondents for the period August, 2005...onwards, provided the respondents pay the insurance premium amount.3. Learned counsel for the appellant submitted that the respondents had obtained mediclaim insurance policy for the first...mediclaim insurance policy for the first time on 11th August, 1999 without any restriction. The policy was also renewed for three consecutive years thereafter till 2003 again without any restriction. In...

...S.B Sinha, J.— Leave granted in all the matters.Introduction2. Whether renewal of a mediclaim policy would be automatic on payment of the amount of premium, is the question involved herein.Background facts3. Parliament enacted the General Insurance Business...Court by his order dated 7-1-2005 directing the appellant to renew his mediclaim insurance policy.10. An intra-court appeal filed by the appellant was dismissed by reason of...:“39. For the foregoing reasons, we conclude as under:(1) The insured has an option under the existing mediclaim insurance policy to continue the cover by payment of...

...stated, the facts giving rise to the present petition are as follows:— The petitioner is a Senior Advocate of this Court. He had taken a mediclaim insurance policy from the New India Assurance Company...mediclaim insurance policy had been in force continuously for the last five years since 30-1-2001. The particulars of the policy, period of insurance and also the claim, if any, preferred by the petitioner...-2006 Claim in question3. The mediclaim insurance policy taken by the petitioner was for a sum of Rs. 2 lacs. According to the petitioner, while getting himself insured, he...

...,Member Order No. 19 Dated 27-02-2013. The case of the complainant in short is that complainant has initially insured his name along with the name of his wife, Mamata Dutta, under mediclaim insurance policy bearing...option to this policy holders at the time of renewal of their policies and on the other hand the insured person or the complainant in course of renewal of his own and his wifes mediclaim insurance policy has...insurance policies; as and when those restrictions as imposed subsequently shall be applicable for subsequent new comers under fresh contract of mediclaim insurance policy. Complainants name Bimal Kr. Dutta...

...counsel for the respondents raised two contentions. The first contention was that this petition was not maintainable inasmuch as the mediclaim policy is a contract between the insured and the insurer and that falls in the realm of private law and no public law element is involved. The second contention raised by the learned counsel for the respondent (Insurance Company...cardiac ailments was not free consent, but was under compulsion inasmuch as if that consent had not been given, then the petitioners would have no mediclaim insurance cover at all even in respect of other ailments. So, it was not really a choice which the petitioners could have freely exercised and, therefore, the petitioners cannot be bound by such a consent which was not willful.4. The factual background is that the petitioners had obtained the Mediclaim policy for...difficulty. Unfortunately, in February 2003, the petitioner No. 1 suffered a heart attack and was hospitalised. He preferred a claim under the Mediclaim policy which was paid by the insurance company. In...

...Mediclaim Insurance policy- New India Mediclaim Policy for himself continuously from more than 20 years from Opponent no.1 insurance company and further renewed from time to time every year without any break.... Healthlndia Insurance TPA Services Pvt. Ltd. At, 606, 6th Floor, Sheth Corporate Tower, Nagri Hospital to Gujarat College Road, Ellisbridge, Ahmedabad-380006. 3. HCG Hospital...till date. The said claim disputed year of Policy is for the period dated 05/09/2020 to dated 04/09/2021 vide policy no. for Sum insured amount for + Rs.8,00,000...

...Date: 29-09-2016 Mohd. Anwar Alam, President 1. The complainant filed this complaint on 04-06-2015and alleged that he took mediclaim insurance policy from OP1 for him...consultant Mrs. Mala Lamba had got two surgeries at Bhatia Global Hospital and Endosurgery Institute on 11.12.2014. Despite cash less mediclaim insurance policy with OP1 he paid Rs. 20,000/- to the...is admitted by the OP1 that complainant took a mediclaim policy which was valid upto 16.04.2015. Hence complainant is a consumer. 7. Perusal of the complainants affidavit and his...

...treatment, in accordance with the policy of insurance (hereinafter called “mediclaim”).2. The respondent is in the business of Insurance. The petitioner is a chartered accountant by profession...withheld. In these circumstances, the impugned communication stating that the petitioner was not entitled to reimbursement under the mediclaim policy because he had a pre-existent condition that was specifically excluded, is not acceptable.10. Learned counsel relied upon the judgment of this court in Mukut Lal Duggal… v. United India Insurance Co...out of such risks.14. Learned counsel relied upon clause 4.1 to say that both parties to the policy were clear as to what kind of diseases were covered by the mediclaim insurance policy. The...

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...different policies and the complainants cannot claim refund of the premium by comparing two different policies. The PNB Oriental Royal Mediclaim policy is meant only for the customers of Punjab National Bank and the insurance company...premiums as demanded by the company from 2010 and continued till 2016. Subsequently, the complainants came to know about the PNB Oriental Royal Mediclaim Insurance Policy for less premium compare...complainants cannot claim refund of the premium amounts by comparing two different policies. PNB Oriental Royal Mediclaim Insurance Policy for Punjab National Bank Account Holders/employees is offered...

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