[Resolved]  United India Insurance — Settlement of my repudiated claim

Through regd. A. D.

Ref:01/hop/[protected] june, 2011.

From: harshadray o. Pitolwala

4470, kamliwad, dahod.

Dahod – 389151.



To,

Veritas insurance services pvt. Ltd.

A-1, namohari, dashaporvad society,

B/h. Navchetan school, paldi,

Ahmedabad-380007.



Kind attn: mr. Chintanbhai shah / mr. Maharshibhai munshaw



Sub: settlement of my repudiated claim.

Ref: policy no.: 060700/48/10/06/00007383; period:[protected] to[protected]

Ccn : hh[protected].



Dear sir,



I, am covered under mediclaim policy since 11/12/2008. My policy details are as follows:



A. Policy no. 060305/48/08/41/00001982; period:[protected] to[protected].

B. Policy no. 060700/48/09/41/00002269; period:[protected] to[protected].

C. Policy no. 060700/48/10/06/00007383; period:[protected] to[protected].



Now i got admitted under treatment of dr. Nayan swadia in the swadia surgical hospital, opp. Kuber bhavan, ravpura, baroda-390001 as on 19/12/2010 for hernia operation and got discharged on 21/12/2010. However your tpa – heritage health tpa pvt. Ltd. Rejected my claim stating “claim during break period of policy” as per there letter dtd. 17/01/2011. (Copy is enclosed for your reference). Now against this reason i have to say as follows:



· i had renewed the policy by paying premium cash rs. 30, 471 on 10/12/2010; i. E. On the date of expiry. I have enclosed the manual receipt no. 5438 dtd.[protected] and final printed receipt vide receipt no.[protected] dtd. 13/01/11 in which the payment date 10/12/2010 is clearly mentioned under column of instrument date.



Thus i had paid the premium before the expiring of policy and without any break. However i received the policy with period mentioned as[protected] to[protected].



Hence the break in the policy period is not because of any delay from my side. It is the mistake from your side. I had also written a letter dated 12/02/2011 to heritage health tpa pvt. Ltd., however i got no reply even though after frequent follow ups. My agent mr. Tejas shah also made continuous follow up with your executive mr. Pankil bhatt, however tlll today there is no response/action from your side or from your tpa.



I request you to look in this matter seriously and expedite the file as early as possible as it is already delayed by more than 5 ½ months.



Please do needful and arrange to settle my claim of rs. 53, 512/- within a week or i will be forced to take legal actions.





Thanking you,



Yours sincerely,

Harshadray o. Pitolwala







Encl:

1.Intimation copy dtd. 20 dec. 2010.

2. Copy of claim form.

3. Copy of claim rejection letter dtd. 17/01/2011.

4. Copy of my letter dtd. 12/02/2011.

5. Copy of premium receipt no. 5438 dtd.[protected] and receipt no.[protected].

6. Copy of policy documents of 3 years.



Cc to:



1. United india insurance co. Ltd. 21/b, district shopping center, sector 21, gandhinagar, gujarat.

2. Heritage health tpa pvt. Ltd.; 63, city centre, 6 th floor, nr. Swastik char rasta, navrangpura, ahmedabad-380009.



3. United india insurance co. Ltd. 24, whites road, chennai – 600 014.









Email to :



1. [protected]@veritasins.com

2.[protected]@uiic.Co.In

3. [protected]@uiic.Co.In

4. [protected]@uiic.Co.In

5. [protected]@uiic.Co.In

6. [protected]@uiic.Co.In

7. [protected]@bajoria.In