New India Assurance Complaints & Reviews

My Mediclaim policy No.112800/34/09/11/00002722 taken from New India Assurance Co. for the period 27.7.2009 to 26.7.2010 expired on 27.7.2010.
New India Assurance Co. did not send me the reminder to get the policy renewed.
I was ill & on bed rest for the period 15.7.2010 to 28.7.2010 due to dieses o[censored]rine infection. Hence I forgot to renew the policy on my own without reminder of New India Assurance Co.
As per advise of my agent on 8.8.2010, I submitted request application with all medical reports as a proof of my illness to Division Office of New India Assurance Co. at Fort ,Mumbai on 9.8.2010 i.e. on 14th day after renewal date through my agent Mr. Dalvi.
IRDA’s circular No.52/15/IRDA/Health/SN/08-09 dt.31.3.2009 clearly saya that 15 days delay should be condoned in renewal of policies from renewal date. Division officer Mr. Bhat did not acknowledge my application on 9.8.2010 i.e.14th day from renewal. These responsible officers must have knowledge of IRDA’s circular. I think they do not have. Otherwise they would have acknowledged my application & renewed my policy.
Even though I did not get upset because my agent told me that Regional Officer has given him a form called ‘ Mediclaim –Break In Insurance –Approval Format.’ To get it approved from Divisional Officer. He also said that the delay in renewal can de accepted for thirty days. In this form it is clearly printed that Regional Officer’s limit is 30 days. Mr. Sopan Pawar , the Development Officer made remark on this form that the break in period is 20 days & Party forgot to renew the policy due to illness. The Divisional Officer should have sent this form to Regional Officer with his remarks. But he did not do that.
The Division officers have ignored IRDA’s circular as well as Regional officer’s authority.
When asked by Mumbai Grahak Panchayat’s officers Mr.Avadhane, Mr.Bhat put blame on agent & development officer for not reminding the renewal date to insurer. He told that Company is giving them lot of commission & giving them the list of policies to be renewed . He also told that you can lodge the complaint against them.
I am lower middle class person. My wife & myself are 50 plus in age. We will not get now fresh mediclaim policy from anybody due to Medical Rules. Our joined policy was for 1,00,000 each . We have got Rs.15,000/- as bonus for not claiming the expenses for three years. Hence my loss will be Rs.2,30,000/-,which is very very high. Our future in old age will be miserable if we get diesess.
I have explained you all the truth . Kindly give me justice. I hope you will do that.
If justice is not given in my favor by New India Assurance Co. then I will go in front of Consumer’s Court & lodge the complaint against New India Assurance Co. as well as against the Agent & Development Officer. I will fight up to the end ,result what may come.

Just realize if a person beyond 60 yrs old he/she does not have any of these diseases as mentioned then why should they go for investment in Mediclaim/any health policy..? This is really rediculous things happen in our country.

Kaushik Das
Kolkata
[protected]@yahoo.co.in

I am insured under mediclam insurance policy of New India Assurance Co. Ltd whose TPA is MD India Healthcare Services Pvt. Ltd.
I was hospitalised, whose documents for claim settlement were submitted in the office of TPA. After talking to them many times and even going personally several times, i am not getting any responsible answer from there.Every time I am told that your claim will be settled shortly.But after a long time i dinot got my claim.
My name is Jayswal kalpeshkumar babulal and Policy No is.211500/34/09/11/00000739 I got the ID No. MDI 0568040 against mediclaim.

Sir, this kind of attitude is not expected from an Esteemed Co. like You.

I hope I'll get my medi-claim cheque through your forum.

Please intimate me on my Id : [protected]@yahoo.co.in

Thanks & Regards


Kalpesh Jaiswal

low setteled claim
r/sir

I sweety sujal shah having mediclaim policy 16501/34/09/11/00000212 have lodge claim 30000/ which is setteled 15283/ at what basis deduction hane been done at md india health care services pvt ltd at 50% deduction in lodge amount

sweety sujal shah

DEAR SIR, I LEELABEN P PATEL, THE HOLDER OF POLICY NO:111900/34/09/0000/5690, HAD SUBMITTED TWO CLAIMS OF RS.2,20,076/75 ON 16TH FEB'10, AND RS.5,113/25. ON 27TH FEB'10, VIDE CLAIM NO:579473.(SAME NO FOR BOTH THE CLAIMS). MY CLAIM IS YET TO BE SETTLED BY MY T P A,M/S M.D.INDIA HEALTH CARE SERVICES. UPON MY PRESSURISING THEM, I WAS TOLD CONTINOUSLY, THAT MY CLAIM SETTLEMENT PROCEDURE WAS OVER, AND THE CHEQUE WOULD BE DULY SENT WITHIN 4DAYS, LATER THEY SAID WITHIN ONE WEEK,. THESE ANSWERS I HAVE BEEN RECEIVING SINCE LAST ONE AND HALF MONTHS. UPON FURTHER PRESSURING THEM THE TPA SAYS THAT MY INSURANCE CO., ARE NOT SENDING THEM THE REQUISITE AMOUNT WHEREBY THEY ARE NOT ABLE TO SEND ME MY CHEQUE. I HAD A KNEE OPERATION ON 26TH OF JAN'10, BUT THERE ARE MANY POST-OPERATIVE PROBLEMS WHICH ARE PERSISTENT, AND NEED IMMIDIATE CURE, AS I AM IN ACUTE PAIN, AND ABOVE ALL I A LADY,AND A SENIOR CITIZEN, NEED THE FUNDS IMMIDIATELY, FOR MY EARLY CURE. YOUR GOODSELVES ARE REQUESTED TO KINDLY LOOK INTO THE MATTER, AND THROUGH YOUR GOOD OFFICES, KINDLY TAKE STEPS SO THAT I RECEIVE MY CLAIM AMOUNT IMMIDIATELY, AND OBLIGE. THANKING YOU WITH EARNEST ANTICIPATION, OF SOLVING MY PROBLEM. ,

MY NAME IS MANISH BHATT , I HAVE SUBMITTED MY CLAIM OF MY MOTHER MRS SHARMISHTA H BHATT HAVING ID NO 8096587EM TO HEALTH INDIA TPA SERVICE , THEY ARE THE TPA FOR NEW INDIA ASSURANCE CO LTD.

I HAVE SUBMITTED TWO CLAIMS ON 24/02/2010 ONE FOR RS 4,870/- & ANOTHER FOR RS 4,070/- ON 3 RD MAY I RECEIVED CHEUQE OF RS 3470/- AGAINST MY CLAIM OF RS 4,870/- DEDUCTED BED CHARGES & MEDECINE CHARGES , FURTHER SECOND PAYMENT IS STILL ON HOLD & NO BODY IS GIVING PROPER REPLY WHEN THE MONEY FOR THE SECOND CLAIM WILL COME. EVERY YEAR I AM MAKING PREMIUIM PAYMENT OF RS 9000 APRROX ON TIME , WHAT SERVICE I AM GETTING FROM THEM EVEN AFTER SO MUCH OF FOLLOWUP ,OVER AND ABOVE THEY ARE DEDUCTING MINIMUM 1000 TO 1500 RS ON EVERY CLAIM . PLS SOMEBODY REPLY ON THIS .

Dear sir,

I am M.K. Abdul Khader. i have good health policy made by Diners club credit card. my Credit card no: [protected].dt: 26.10.2009 I have The New India Insurance Good Health Mediclaim policy, My policy no:[protected],& my Health card no: CHE/NI/GH009/011/0000164/A. I have already submitted him TTK Health care mangalore branch to all bills of medical treatment of mine to claim from my mediclaim good health policy. Inspite of my several reminders to TTk, NEW India Assurance,Diners Club(City bank), they have not send the payment.

While canvasing the policy Citi bank holder have been very kind enough to contact us several times. Already 5 months past. Inspite of my several reminders they have not yet cleared my claim amount. i had submitted all my medical bills to chennai branch but now they mail me that information is Our panel of doctors has called for some medical documents from your hospital, on receipt of the same only we can able to proceed further. now already 5 month passed. TTK health care Chennai branch had not send my claim amount. So i complaint you against TTK Healthcare centre Chennai branch.

Hope you will consider my request favourably..

Thanking you,

Yours faithfully,


M.K. Abdul Khader
Mob: [protected]

I HAVE INSURED MY MARUTI ALTO LX MODEL -2004 VIHICLE NO RJ-24-C2202 ENGINE NO 3073751 CHASIS NO 335149 NET PREIUM PAY 6258 DATED 7/4/2005 WITH NEW INDA ASSURANCE COMPANY POLICY NO 330502/31/05/00154 SI
TOTAL VALUE OF VIHICLE AS PER POLICY 2,12,000
PERIOD OF INSURANCE FROM - 8/4/2005 TO MID NIGHT 07/04/2006

Above vihicle on 15/09/2005 got accident near Dharanggaon ,Pachpande petrol pump Malakapur & totally damage
on same day accident informaton report submitted by me , vihicle was driving by me.I have valid driving licence valid up to 27/07/2016 .
As per instrction of Insurance autority malkapur above vihicle was send to M/s Manraj motors Jalgaon & SURVEY REPORTsubmitted by P.L. CHAUDHARI Jalgoan adise for net loss basis payment 1020000 only i was agree for that after than NEW INDIA ASSURANCE MANAGER ASK ME TO PLEASE REPARE THE VIHICLE & SUBMIT BILL Which aginst Law of Natural Justice.
After that my company transfer my Job to from Rajasthan to Chattisgarh ,their after I have change my job & come to hyderabad after that I have repared the above vihicle from Manraj moter jalgaon & job card retail invoce ,survey report & case recipt submitted with a request letter of submitted to Branch manager sirohi on 6/09/2009
branch manager sirohi infromed me that we have close your case
& ask me to send request for reopening of above case ,on the same date i have send fax for reopening of my claim but since that i have not recived any letter from insurance conpany ,

Kindly look in the matter & provide justice

i have one mediclaim policy with new india assurance co.for last 7-8 yrs.(111700/34/09/11/[protected].this is the first time i made a claim for my rt.eye.evisceration operation for the amount of rs.36978.but to my surprise company has given me only rs.21360.i m a retired person living on my pension amount.i had taken this policy to help me in my future expenses against any medical emegencies.kindly reimbuse the balance amount at hte earlist.

10 April 2010


COMPLAINANT:- AGE OCCUPATION

Ilaben Hasmukhbhai Chokshi Adult Business
C-2 [censored]al Appt, Nr Alka Rest
R C Dutt Road, Alkapuri
Vadodara-390007- Gujarat
Ph.[protected]
m[protected]
ila.[protected]@yahoo.com
V/S

OPPONENT:-

New India Assurance Co. Ltd.
DO-5,
First Floor, Anal Appartment,
Salatwada, Kothi Char Rasta,
Vadodara.
Ph.[protected]

COMPLAINT UNDER THE PROVISION OF CONSUMER PROTECTION ACT

The above named Complainant most humbly submits the fact of the complaint as under.

1. That the Complainant is carrying on the business from the above address mention in the title clause and running her livelihood. The complainant is the owner of a Tanker no GJ06 Z 8619 and has insured her vehicle from the opponent insurance company. The opponent New India Assurance Co. Ltd. is engaged in the business of General Insurance and carrying on its business from the various Branches and Divisional Offices all over India and has also its one of the Divisional Office situated in the title clauses.

2. That the complainant had obtained Motor Policy for her Tanker no GJ06 Z 8619 from the opponent New India Assurance Co. Ltd. for the period 28.04.2008 to 27.04.2009 vide policy no. 222200 / 31 / 08 / 01 / 00001287, which is a goods carrying (other than 3 wheeler policy) and had paid a premium of Rs.23,514/-. The insured declared value as per the policy is Rs.8,78,316/-.

3. That the said Tanker no GJ06 Z 8619 is used by Ashapura Transport Co. for transporting the goods by road. That on 12.05.2008 during night hours in the said Tanker no GJ06 Z 8619 a chemical named to be HCL 16% Diluted (by product) was transported belonging to the consignor Viraj Corporation of Vadodara to be transported at the consignee Raymond UCO Denim Pvt. Ltd. Yavatmal, Maharashtra. It is pertinent to note that this HCL 16 % Diluted (by product) was purchased by Viraj Corporation from Bromofine Chem Pvt. Ltd. situated at plot no. 184, GIDC Estate, Nandesari and as per the tax invoice of Bromofine Chem Pvt. Ltd. the total quantity purchased was 15000 Kgs and the assessable value per unit was Rs.0.001 per Kg and total price of the goods was Rs.15/- and adding all other taxes the gross total of the entire HCL 16% Diluted (by product) was Rs.18/-. Now this goods were to be transported at Yavatmal as per LR no 2129 dated 13.05.2008. It is pertinent to note that this goods were transported in the insured vehicle Tanker no GJ06 Z 8619.

4. That the accident took place on National Highway no 6, near Sujit Hotel, Navapura, Nandarbar between the Tanker no GJ06 Z 8619 and Truck no GJ12 Y 5502. The accident was reported to the Navapur Police Station vide FIR no 64/2008. Because of this accident the insured Tanker no GJ06 Z 8619 was heavily damaged and therefore, the damage vehicle was carried to the Cargo Motors, Ranoli by towing machine and for that complainant had paid Rs.12,000/- in cash to Gurunanak Crain Services, Ranoli, Dist-Baroda on 15.05.2008 and the opponent insurance company was informed about the said accident resulting into the damage of the insured Tanker no GJ06 Z 8619. The complainant submitted the motor claim form along with required papers such as R.C.Book of Tanker no GJ06 Z 8619, Copy of the policy, Driving license of the driver Mr. Rameshwar Malbari Sanat, estimate of the damage parts of the chassis of Tanker quantified in Rupees by Cargo Motor P. Ltd. and also estimate of damaged tank issued by Ishan Equipment Pvt. Ltd.

5. That the opponent insurance company had appointed surveyor who completed his job and has also assessed the loss cause to the Tanker no GJ06 Z 8619. That there were several exchange of letters between the complainant and opponent insurance company as well as personal discussion in the office of the opponent insurance company and all the time all the queries raised by the opponent insurance company were complied by the complainant. The opponent insurance company had raised the query vide their letter dated 25.07.2008 that the driver Mr.Rameshwar Malbari Sanat was not holding endorsement for Hazardous Goods in his driving license and also not taken any training for handling such hazardous material as the HCL was carried in the said Tanker no GJ06 Z 8619 which is considered as a Hazardous and Toxic Chemical. Further the opponent insurance company had also requested to obtain the confirmation from the RTO that whether the material carried in the Tanker no GJ06 Z 8619 was hazardous or non hazardous. In turn the complainant replied their query vide letter dated 31.07.2008 and explained them that the material which was being carried in a Tanker no GJ06 Z 8619 is a HCL 16% diluted by product and the rate is Rs.1 per M ton. Further as per the purchase order of Raymond Uco Pvt. Ltd. where the material was to be dispatched/transported, they have stated that the material is a diluted by product which is used for washing cloths and also the authenticate proof of material was submitted as per the Shreeji Analaytical Lab who has certified that the material carried in the Tanker no GJ06 Z 8619 was non hazardous and non flammable and non toxic. The complainant requested the RTO Vadodara to issue the certificate regarding the goods to be hazardous or non hazardous goods and also submitted the letter issued by the insurance company and chemical analysis report of Shreeji Analytical Lab. The RTO Vadodara has made the endorsement upon the said letter that they cannot issue the certificate as demanded by you.

6. The complainant had produced a report of Shreeji Analytical Lab dated 05.07.2008. This certificate was issued to Bromofine Chem Pvt. Ltd, Nandesari, Baroda who had given the sample of Dilute Hydrochloric Acid on 04.07.2008. This certificate also suggest that it is only 16% concentrated. Therefore this material is non toxic and non hazardous and non flammable and this material is used for domestic purpose (cleaning).

7. The complainant requested the officers of the opponent insurance company vide their several letters to settle her legitimate claim supported by documentary evidence. However the opponent insurance company vide their letter dated 26.09.2008 repudiated the liability under the guise of “That the vehicle at the time of accident was carrying HCL. As per M.V. Act HCL 30% comes under hazardous category material for which endorsement for hazardous material is required on motor driving license. The driver of the vehicle at the material time of accident Mr. Rameshwar Sanat was holding MDL no MH[protected] which was not endorsed for carriage of hazardous goods nor has the driver under gone the required training for this purpose. As such the driver at the material time of accident was not holding a valid and effective driving license and the vehicle was therefore being driven in contravention of M.V. Act and the breach of policy conditions.”

8. It is most humbly submits that the opponent insurance company has repudiated the liability under the policy and the complainant is deprived of her legitimate claim. The complainant states and submits that the material carried in the Tanker no GJ06 Z 8619 was a non hazardous, non toxic, non flammable goods. Therefore, the endorsement in the driving license of the driver driving the Tanker no GJ 06 Z 8619 was never required. Further a delivery challan and Tax invoice issued by Bromofine Chem P. Ltd. to the Viraj Corporation dated 12.05.2008 proves on the record that the material is HCL Dilute by product which is15000 kgs and it is dispatched through Tanker no GJ06 Z 8619. Further as per the certificate dated 22.06.2008 issued by Bromofine Chem P. Ltd to Viraj Corporation also proves that the material was dilute hydrochloric acid is of by product. The same is in diluted form with very mild concentration and normally used for cleaning purpose. Even as per the Shreeji Analytical Lab Report the material is non hazardous, non toxic, non flammable goods and used for domestic purpose cleaning and by handling this material there is no irritation and burning on hands and in eyes. Further it is most humbly submitted that GACL is dealing in the business of production and selling of hazardous chemicals. Particularly in the case of Hydrochloric Acid 30% concentrated, instructions for transportation of Hazardous chemicals are given by the company itself. Therefore, whenever the HCL which carries 30% concentrated then it becomes hazardous goods. In the present case as per the Shreeji Analytical Lab the material carried in the Tanker no GJ06 Z 8619 at the time of accident was 16% which is in diluted form by product HCL and therefore it is not a hazardous goods.

9. The complainant’s Tanker no GJ06 Z 8619 after accident was never a road worthy and it was totally damaged and it cannot be used and therefore it was total loss to the complainant, which the opponent insurance company were supposed to indemnify. However the opponent insurance company has repudiated the liability under the policy. Therefore, the entire damaged chassis of the tanker along with the damaged tank of insured vehicle no GJ6 Z 8619 was sold to Shivam Traders of Ranoli on 16.10.2008 for Rs.4,30,000/- and the said amount has been received by the complainant. The value of the insured vehicle no GJ06 Z 8619 as per the policy was Rs.8,78,316/- and the present complainant has received an amount of Rs.4,30,000/- by way of salvage value of the said tanker. Therefore the complainant is entitle for Rs.8,78,316 – Rs.4,30,000 = Rs.4,48,316/- from the opponent insurance company. Further the damaged insured vehicle was kept in the godown of the Cargo Motors Pvt. Ltd. and the complainant had to pay holding charges (Demurrage Charges) of Rs.10,000/-. The details of amount claimed is as under

(a) Under the head of total loss Rs.4,48,316/-
(b) Under the head of towing charges Rs. 12,000/-
(c) Under the head of Demurrage Charges Rs. 10,000/-
(d) Under the head of Mental agony Rs. 30,000/-
Total Rs.5,00,316/-

10. The opponent insurance company has repudiated the liability in spite of all these legal and valid grounds were submitted by way of documentary evidence and thereby has shown the deficiency in the services by not settling the legitimate claim of the complainant.

11. That the contract of insurance was concluded within the jurisdiction of this Hon’ble Forum and the opponent’s office is also situated within the jurisdiction of this Hon’ble Forum. Further the complainant is the consumer within the definition of Consumer Protection Act. Hence the Hon’ble Forum has the jurisdiction to entertain and hear the present complaint.

12. That the applicant reserves his right to add, amend or alter the complaint or any part thereof as and when required.

13. That more will be submitted at the time as when need.

PRAYER :

IT IS THEREFORE PRAYED THAT

A) Allow this complaint and order the opponent to reimburse the amounts of Rs.5,00,316/- to the complainant under the policy along with interest and cost.

B) Any other relief, which this Hon’ble Forum deems fit in the interest of justice.

PALCE :- VADODARA
DATE :- 10 April 2010

I have a mediclaim policy from New India Assurance . My Mother aged 83 years is also covered under it. She was admiited to Ruby Hall Hospital Pune on 12th Feb 2010 and discharged on 22 Feb 2010. Medi Assist the TPA of New India Assurance company has refused to reimburse the medical bills amounting to Rs 79, 800. Saying that her reason for admission to hospital was the result of preexisting illness.

Hello Mediaassist / New India Assurance Team,

My name is Bhanwarlal Jain P(MAID : [protected]) from Coimbatore, TN. I am holding medical insurance of 2 Lakhs with New India Assurance Company. My policy no : 721600/34/09/11/00000374.

My wife Leeladevi (Claim no : 4706755) had undergone surgery at Ganga Hospital. The total expenses at the hospital was 51956/-. But the Mediaassit team had admissed only 39247/-. Below is the reason they have mentioned regarding the nonadmissible amount.

1) For Investigation & Lab charges
Reason by MAID Team : X-ray film rs.1045/- Lab charges for reports not enclosed.
We need X-rays and Lab reports with us for future reference. We can submit to you for verification on condition if you send back to us.

2) Surgery Charges : Non admissible amount 6200/-
Reason by MAID TEAM : Excess of Reasonable.
We want to know on what basis you are saying it is not reasonable ? Why according to you for dressing 600/- is not reasonable?

We have truly paid the amount and you can verify the same with hospital. Ganga Hospital is one of the best Ortho hospital and such remarks on hospital, cant be agreed. I want to know are the New India Assurance and MAID Team purposely does not process the claims. Hereby i request you to admiss amount for above reason within seven working days or else i would be forced to take legal action against Mediaassit and New India Assurance.

I request the Life council Team, IRDA Team, Dr SR and Dr.SRS to look into this matter.

Thanks & Regards
Bhanwarlal Jain P
C/o Pukhraj & Co,
252 N.H Road, Townhall,
Coimbatore-01
TN
Mob :[protected]
Off :[protected]

This is to inform that we have made the accident claim against the policy No[protected] in month of Oct 2009.
Pls note the you hve not given me cash less at I have renew the policy in advance claiming the no clamed bonus.
Now after repeated follow up i am not getting any feed back from your firms.
Pls look in the matter and reply.
Policy no[protected]
Alto MH03AM4120
Vehicles repaired at Ratan Motor DEONAR 7/10/09
Survey of new India assurance 7/10 by BN Mehta
Invoice detail of Ratan BR09005300 DT 21/10/09
This is almost 5 month now

Dear Sir/Madam,
Gretings! My name is Sanjay Kumar K (CHE-NI-GH[protected]A)and I have taken New India Assurance's Citibank credit card Good Health Policy for the last 5 years. My Mother, S Vimala (CHE-NI-GH[protected]B) was operated for Umblical Hernia on 14/12/2009 and discharged on 18/12/2009 at MIOT Hospitals, Chennai. The total cost of operation came to Rs 54,000/-(Rupees Fifty Four Thousand Only approximately). At the time of admission i was assured that a payment of Rs 44,000 has been sanctioned. However at the time of discharge a sum of Rs 23,000/- (Rupees Twenty Three Thousand Only) was sanctioned. In the meanwhile i was contacting the insurance company who are saying that as per policy document only 20% of sum assured ie., Rs.2,15,000/-(Rupees Two Lakh fifteen thousand only) will only be sanctioned. I was never explained satisfactorily that why an initial amount of Rs 44,000/-(Rupees Forty Four Thousand Only) was sanctioned.
Please clarify me on this.

I am having Mediclaim policy from TNIACL. My claim was registered with Raksha TPA Pvt Limited on 28th Dec, 2009. All the original Bills of Hospitals along with discharge cerfiticates were submitted to Raksha TPS in the month of Dec 2009. After 15 days I got letter form TPS asking for Indoor case papers, I requested the hospital for indoor case papers and these papers were submitted to TPA.

Now on 18th Feb, 2010 I got letter from TPA stating that documents submitted by me (Original Bill of Hospital and Indoor case papers) are not sufficient to process the claim. They want letter from Doctor stating the exact duration and probale mode of transmission of Hepatitis E.

I really think that the documents submitted by me are sufficient enough for processing the claim, but as such company dont want to admit they are just delaying the claim.

In my case the amount is not very big, but the attitute of TPA seems to be very casual and unprofessional.

I appeal The New India Assurance Co. Ltd to please look in to the matter or as a educted consumer I will raise this issue under appropriate law and with appeal to appropriate authority for the justice.

SIR,
I HAVE BSNL MOB No [protected]. LAST FEW MONTHS A MESSAGE COME FROM HVEDIO CHARGES @ 30 PM. I DONT REIMBER WHEN I ACTIVATED THIS.. EVERY TIME I UNSUBCRIBED THIS MESSAGE AS ADDRESS GIVEN :
HTTP://203.199.70.160/SITE/T.IDP?I=735 SEND TO MESSAGE 58888. PLEASE ORDER FOR UNSCRIBED THIS SERVICE. EVERY TIME HE HAS CHARGED @Rs 30PM WITHOUT ANY CONFIRMATION AT OUR END.
REGARDS
K GOPAL

policy No - 110900/34/08/11/0005194
Name - Mrs Sadhana Nimbalkar

Dear sir
This is with regards to my claim settlement for above mention policy number which has not been settled from past 6 months even after submitting necessary documents on 17th july & 10th Sep 2009 respectively. As per the claim settlement rules all necessary formalities has been done but still no claim along with delayed interest , is settle till date, need to know for the same.
Requesting you to kindly do the necessary proceedings at the earliest.

Respected Sir/Madam,

I had send my medical bill amounting Rs. 14148 to RAKSHA TPA on Sept'2009 and till date i have not got the claim amount and when i had spoken to them they denied to do my reimbursement stating late submission of bill, where i had submitted my bill on time and they are trying to play smart and have closed my claim status without informing me about it.

I hope the Consumer Forum would help people like me to save us from this company and penalize them for cheating on customers.

Following are my policy details.
Name: Mahesh Kotian.
Policy No. 131000/34/08/87/00005183
Member ID: N9058JFR.

Banker’s Indemnity Insurance Policy
Insurance Claims pending with your Deoghar Branch

With reference to the above , I wish to draw kind attention towards our following claims, which are pending with New India Assurance Co Ltd, Deoghar Branch since last 2-3 years. Although every requisite papers including copies of FIR and Police Final Report and other related papers documents in respect of each claim have been submitted by us to your Deoghar branch well in time, these have not been settled despite our several reminders to the concerned branch, i.e. The New India Assurance Co Ltd, Deoghar. Our correspondence in the matter with New India Assurance Co Ltd, Deoghar Branch as well as to their Chief Regional Manager, Patna, vide our letter no. HOAcct5197-08 dated 27.09.07, CMSectt217 07-08 dated 16.10.07, CM Sectt 2187-08 dated 16.10.07, HOAcct5667-08 dated 11.10.07, HOAcct5908-09 dated 06.08.08, HOAcct 786 08-09 dated 23.09.08 ,HO Acct7869-10 dated 23.09.08 HO Acct8698-09 dated 21.10.08 , HOAcct769-10 dated 22.04.09, HO Acct779-10 dated 22.04.09, HOAcct 2099-10 dated 06.05.09 , HOAcct4349-10 dated 22.07.09, HOAcct4409-10 dated22.07.09 and HO9068-09 dated 27.10.08 &etc, have not been responded by then. They even have not been even courtesy to reply us.

The Branch Manager and Development officers of NEw India Assurance Co Ltd, Deoghar Branch were also personally contacted many times by us . The undersigned has also talked over telephone with their Regional Manager and Deputy Manager of Grievance cell Patna for resolving the problem, but still there is no progress in this regard at all. In this connection, we have even lodged a complaint in the matter with Mr. V. D. Halbe , the Chief Manager, Grievance cell,The New India Assurance Company Ltd, Mumbai, vide our letter no. HO Acct 7649-10 dated 27.10.09 followed by our letter no. HOAcct 857 09-10 dated 27. 11.09 and a copy thereof to Mr. A. K. Sinha , Deputy Manager, Grievance cell, Regional office, The New India Assurance Company Ltd, Patna. We have reminded again in the matter to Mr. V. D. Halbe, Chief Manager, Grievance cell, Mumbai, vide our letter no. CM Acct 156 09-10 dated 16.12.09 & a copy thereof to you and Mr. A. K. Sinha , Deputy Manager, Grievance cell Regional office Patna which also failed to evoke any response so far.


On getting no response, we have taken up the matter with Mr. R. Srinivasan , officer on special Duty , Insurance Regulatory and Development Authority, Hyderabad on 18.11.09, who had endorsed a copy of their letter No. 1589NIA COMP 09-10 dated 30.11.09 addressed to the New India Assurance Co Ltd, vide which it was advised to resolve our Grievance and confirm to them immediately but not later than 15 days of receipt of their above referred letter. Unfortunately, it is matter of regret that even after a lapse of 02 months our aforesaid claims have not been settled till now.

The details of pending claims are as under :

S.N. Name of the Branch Date of occurrence Amount Claimed Date of lodging claimed Date of submission of FIR & PFR Policy Number
1. Sunderpahari 13.09.06 2000000 9.01.07 14.6.07 [protected]

2. Pandu 10.01.07 6000000 13.02.07 10.09.07 [protected]

3. Pandu 25.09.07 1211995 11.10.07 16.09.08 [protected]

4. Balmathu 22.02.08 863820 10.03.08 18.08.08 [protected]

5. Sonpurwa 22.04.08 914200 07.05.08 23.09.08 [protected]

TOTAL 3790015

What we should do now ?

Reference(s) :

Policy No.451700/34/08/11/00000249
MD ID :MDI[protected]
CCN : MDI0395268

Dear Sir,

With regard to the above mentioned references, I would like to mention that I have lodged an additional claim of about twenty eight thousand in the month of July, for which now more than six months have passed away but we have'nt received the cheque for the said amount. We tried contacting the TPA for as long as two months but their response is now not that conviencing that would make me wait anymore. So, kindly help me on this matter.