New India Assurance Complaints & Reviews

I have claimed for vehical damage repaire claim on 10th April 09, since last year no claim was raised by me i have got the no claim bonus benefit, last year also policy belongs to New India Assurance & they have not provided me the NCB certificate. but now for my this claim they are asking for NCB certificate & not answering properly as the follow up is done by me.

If the claim is not setteled I have to register a case against the company because the insurance is for our safety not for the suffering.

Policy no - 150303/31/08/01/00009565
Branch Address - Mahalaxmi chambers, Appa Balwant Chowk Pune 02 Ph[protected]/24453091.

after aperiod of 1.6 yrs of theft i had submitted non-traceble certificate to the said office on 03.02.09 as soon as i got it from police. claims file was reopened after 3 months.finally as per the instuctions of the said office(after reopening of file) i had submitted all the original documents along with the legal documents on 21.05.09.now even after a period of 2 months of my approaching the said office my insurance amount was not cleared . my policy no.is 712402/31/06/01/00008185.

I hold a mediclaim policy with The New India Assurance Company for my mother.

Mem No.: 02I00257923B
Policy No.: 511600/34/08/11/00003362

My mother was admitted in AMRI Hospital, Kolkata for a surgery. The total Bill for the hospitalization was Rs. 1, 37, 825/-. On submission for "cashless" claim, the total permissable claim granted by "Medicare TPA Services (I) Pvt Ltd". Kolkata was only Rs. 50, 000/-. Although the insurance cover for the above mentioned policy is Rs. 1, 50, 000/- with accumulated bonus of Rs. 50, 000/- for 1st 1 lac and Rs. 2, 500/- for next Rs. 50, 000/-

The logic given is that all expenses will be reimbursed basis permissible room rent. Now, if permissible room rent is Rs 1000/- and the actual room bill is Rs. 3000/-, then even surgeon fee would be reimbursed only to the extent of 1/3rd of the expense. Sounds pretty irrational.

My sister Ms Priya Taneja has a cashless medical policy from New India Assurance Company Ltd (policy number 310600/34/09/11/[protected],

Recently my sister was admitted to Artemis Hospital Gurgaon for treatment
She was admitted to the hospital on 11th June 2009 for treatment. The procedure was a surgery in OT and post drainage of wound.

The sum assured on the policy in Rs 100000/- and it is cashless in nature.

According to the policy my sister was entitled for a room not exceeding 1% of the sum assured which was Rs 1000. We upgraded the economy room from 4 in a room to twin sharing which was being charged at Rs 2450/- per day with a promise to the hospital to pay the remaining amount.

The hospital staff at this point informed me that the charges for doctor visit and others will also change according to room type, which I agreed upon and I will have to pay just the difference in the amount of charges entitled and actual charges being made.

At the time of discharge on 14th June 2009 the hospital informed me that according to the policy I will have to pay 60% of the outstanding amount. After two hours of arguments and discussions with the TPA department Raksha I had to pay 60% of the bill payable even though my policy is complete cashless and the bill was only for Rs 45615/- while sum assured stands at Rs 100000/-.

When spoken to the TPA people they gave me some calculation and did not share with me a figure which will be given to the hospital. They asked me to read the regulations of the policy.

Henceforth the policy document only reads as follows:

Following reasonable, customary and necessary expenses are reimbursable under the policy:
1. Room boarding and nursing expenses as provided by the hospital/nursing home not exceeding 1.0% of the sum insured (excluding cumulative bonus) per day or actual amount, whichever is less
2. ICU.ICCU expenses not exceeding 2.0% of the sum insured per day. Or actual amount, whichever is less
3. Surgeon Anesthetist, medical practitioner, consultants specialist fees
4. Anesthesia, Blood oxygen, operation theater charges, surgical appliances, medicines and drugs, chemotherapy, radiotherapy, artificial limbs ….. and other medical expenses related to the treatment,
5. Pre hospitalization medical charges up to 30 days period immediately before the insured’s admission to the hospital for that illness or injury
6. Post hospitalization medical charges up to 30 days period immediately after the insured’s discharge from the hospital for that illness or injury

Note:

The amounts payable under 3 and 4 shall be at the rate applicable to the entitled room category. Incase insured opts for room wit higher rent than the entitled category as under 1, the charges applicable under 3 and 4 shall be limited to the charges applicable to entitled category.



The Complaint:

The above part claims nowhere that the amount, which will be reimbursed, will be according to some percentage between the entitlement and actual expenses made on room rent acquired by us. New India Assurance has misled me as nowhere the policy it is mentioned about the above and neither the agent who sold me this informed me of this complexity.

I was made to pay 60% of the bill of Rs 45615/- (excluding medicines expenses) for which I had to pay nothing.

I would like to take this up for serious action as many consumers like me may be duped into this with no clarity on what the policy offers to the insured. Ideally I should have been just paying the difference in the room rent plus the difference of charges for OT and visiting doctors as applicable to the room rented.

A copy of the above complaint has been submitted to the Grievance Cell of New India Assurance

From : Mrs. Smita S Chandratre,
5, Gajra Park – I,
Opp, Gajanan Mandir,
Indira Nagar, Nasik – 422009


Date : 18.05.2009

To,

Resp. Ombudsman,
{For New India Assurance Co.}
Mumbai.

Respected Sir,

Re : Notice against Wrong Consideration of Exclusion Clause [4.3] imposed under Mediclaim Policy …

Ref : Policy No. 150800/34/08/11/00000562
CCN : MDI 0283557/ ID NO. MD[protected]
Mr. Sudhakar Janardan Shukla by
The New India Assurance Co. {TPA : MD India Pvt. Ltd.}


This refers my application dated 08.04.2009 regarding reconsideration of the above mentioned mediclaim. I am thankful to you that you have taken follow up of the same, and I was called by The New India Assurance Co., Nasik Division, for discussion in this case.

Accordingly, I met Divisional Manager, The New India Assurance Ltd., Satpur, Nasik Division on 15.05.2009. Surprisingly, he behaved with me in such a way that he was unaware about this claim or he don't wish to entertain me. I spared my valuable time to meet him only because of request from New India Assurance Ltd. authorities; however, his response was very cool which make me nervous.

Despite of this, I put the facts of the above claim in front of Divisional Manager, already mentioned in my letter dated 08.04.2009. Apart from this, he focused again and again upon the same point,

“ SUM ASSURED ENHANCED BY RS. 50000/- IN CURRENT YEAR.
EXCLUSIONS FOR TWO YEAR [4.3] APPLICABLE FOR PRESENT ILLNESS
HENCE THE CLAIM IS RESTRICTED FOR PREVIOUS YEAR SI+CB I.E. RS. 57500/- ”

I, again strongly object for the reason as above conveyed by him. I would like to let you know that, while issuing the policy, the above EXCLUSIONS FOR TWO YEAR [4.3] CLAUSE or any policy schedule, or, terms and conditions, was/were not conveyed to me, nor it is provided after the policy issued till this date. Moreover, on current year renewal, while increase in S.A. on Insurer's part, this is not conveyed/ provided to me which please note.

As a consumer, please let me know under the Right To Information whether I have, right to get the terms and conditions of my contract or not ? and if yes, then whey the said Insurer failed to provide me the same ?

It is a matter of fun that when I asked about this to the New India Assurance Co. Officials, Nasik Division, they told me that, this is not a duty of Insurer to provide the schedule while giving the policy, and the policyholder should come and collect the same from Company, if he want. You may check the facts in this argument/reply, from Mr. Balasaheb Thorat, my Agent, who is witness of this episode. This proves the lacuna, irresponsible sense in Insurer's system.

Moreover, please note again that this is not a fresh Policy contract with the Insurer but, in continuation of the previous contract only.

While considering increase in S.A. on Insurer’s part, there is no Medical Exam. called for. This means that Insurer is satisfied upon the Physical Condition of the Assured as he has already examined him while issuing a fresh policy. Facts of the Claim are not varying due to increase of the S.A. on Insurer's part. I have already mentioned rest of my points in my letter dated 08.04.2009, which may please be referred again.

In view of the above, I once again state that this is a wrong consideration of EXCLUSION CLAUSE by the New India Assurance Co. Ltd. As
1. I have not been provided any policy schedule or exclusion clause.
2. This is not a fresh policy, but just a renewal of contract, health conditions remains as if at the time of taking the policy.

You are, requested to advice the New India Assurance Company not to impose this Exclusion Clause in this case and reconsider the Claim in full. If I do not get response from your end within 15 days, the way is open to me to fight against this injustice before a court of law.

Thanking you,
Yours faithfully,
sd/-
Mrs. Smita S Chandratre.

Through Email ...

This is regarding a No Claim Discount that is applicable for a two wheeler. My son purchased a vehicle when he was employed in Mysore. Now that he has left for a betterment to abroad, I am using his vehicle in chennai. I am also taking necessary steps to reregister the vehicle in Tamilnadu ( Chennai ). As a part of the process when I wanted to renew the insurance for the vehicle at chennai, the official disallowed the eligible No claim discount quoting the reason that without the Original stamped Insurence certificate they will not be able to arrive the amount eligible.
Please let me know whether I stand a chance to claim this. Even though the value involved is very trivial, as a matter of principle I wish to know the procedure.

I did the insurance of my Car from New India assurance Ltd, Jaipur in year 2008-09. The car was stolen by some unknown miscreants from udaipur, Rajasthan. After all the hustle and pain of FIR, Court dats, FR, letter of indemnity, Letter of subrogation, Letter to RTO etc. the Insurance clerk Mr Yogesh is harassing me. He is neither giving proper response nor forwarding the case further. These are the people who harass the insurere, and it is a dual pain to the customers like me, who have lost their vehicle at one end, and these people are harassing for the reasons best known to them.

New india assurance, Claim Hub, Jawahar Complex, Tonk road, Jaipur, Rajasthan. By this kind of attitude, Insurance will loose the purpose...any body listning.

BHUPENDRA C SHAH
M-5-4-28, Shastrinagar
Naranpura
AHMEDABAD - 380063
Date: 26/12/2008
Phone:[protected]R)
[protected](M)
REGD. A. D.[protected]O)
District Consumer Disputes Redressal Forum
Behind Bhagvati Complex
Mahalaxmi, Paldi
AHMEDABAD-380007

Respected Sir,
Re.: Grievance against
(1) The New India Assurance Co. Ltd (Sri Sheikh, Dy. Manager
Dr. J H Rushat, Chief Manager, Sri H K Vajpaee, Representative)
For Part Payment of Mediclaim & non payment of Interest for delayed
Payment. Policy No 120700/34/08/12/000000/49 of year 2008-09
(2) Insurance Ombudsman (Respected Sri Amitabh)
for making mockery of justice in Hearing and non compliance to my
grievance letters

Sir, I beg your permission to represent my first grievance against The New India Assurance Co. Ltd, Laldarwaja, Ahmedabad - 380001 and second grievance against Insurance Ombudsman through you Office.

(A) Grievance against The New India Assurance Co. Ltd, Laldarwaja, Ahmedabad - 380001
I am a member of LIC MEDICLAIM GROUP INSURANCE POLICY With The New India Assurance Co. Ltd. Premium is deducted from my salary and paid to Insurance Co. through my
Employer.
On12/08/2008 I submitted Claim Forms for Rs. 74799/- with relevant documents but only.
on 23/10/2008 I received discharge voucher for Rs. 73919/- without assigning any reason for part reimbursement as against claim of Rs. 74799/-. I submitted the same voucher duly signed and completed on 23/10/2008 but I received cheque of Rs.73919/-.only on 31/10/2008 at 5.25 p.m. (after office hours)
Thus, I received only part reimbursement which is short by Rs.880/- than claim amount of Rs. 74799/- after inordinate delay of 81 days without penal interest @ 18% p.a.
More over on 10/03/2009 I had submitted my letter showing conditional acceptance of the AWARD for payment of late fee (Interest) issued by Insurance Ombudsman to following address. Neither received payment of interest nor any reply from them:
Chief Regional Manager,
New India Assurance Co. Ltd,
Ahmedabad Regional Office,
Popular House, 5th Floor, Ashram Road
Ahmedabad-380009

Kindly resolve my grievance as detailed above and mentioned in Page No (2)


……………….. (2)
(2)

(1) Reply to my communications pertaining to mediclaim which includes

(i)….E-mail dated 2/11/2008 sent to e-mail [protected]@wilnetonline.net (Sri Sheikh)
(ii)….E-mail dated 11/11/2008 sent to e-mail id jh.[protected]@newindia.co.in (Dr. J H Rushat)
(iii)… Grievance letter dated 12/11/2008 sent by Regd. A D Post to Sri N C Parmar, Manager
(Now Sri Sheikh, Dy. Manager)
(iv)… Regd. Letter dated 12/11/2008 to Dr. J H Rushat, Chief Manager, Handling Grievance
Cell at H O, The New India Assurance Co. Ltd, 87. M G Road, Fort, Mumbai-400001.
(v)… Letter of award submitted on 10/03/2009 to Chief Regional Manager.

(2) Immediate reimbursement of Rs 880/- being short reimbursement along with penal interest
@ 18% p.a. from 12/08/2008 to date of reimbursement of Rs.880/-

(3) Immediate payment of penal interest of Rs.2953/- @ 18 % p.a. for 81 days on Rs.73919/-

(4) Immediate payment of Rs.5000/- towards the cost of case being taken up against The
New India Assurance Co. Ltd .which includes expenses towards Postage, drafting, Printing and Mental Stress/Harassment I am suffering since 12/08/2008 for non compliance of my grievance.

Sir, kindly make use of your good office and arrange to resolve my grievances at the earliest and arrange for payment as detailed below:

(2) SHORTFALL IN PAYMENT[protected][protected]-- RS. 880/-
(3) INTEREST FOR LATE PAYMENT OF RS.73919/[protected] RS.2953/-
(4) COST OF CASE.TAKEN UP[protected][protected]--RS.5000/-
TOTAL AMOUNT[protected][protected][protected]RS.8833/-

(B) Grievance against Insurance Ombudsman (Respected Sri Amitabh)
As per Provisions of IRDA Guidelines I Approached Insurance Ombudsman on 29/12/2008
for redressal of Grievance but the hearing was conducted with bias back ground. Justice was not
done to me. Award (Xerox Copy Enclosed) was given only for payment of interest for late payment but without mentioning rate of interest and period. I had been informed to approach other forum/court. Respected Sri Amitabh, Insurance ombudsman also not responded so far to my letters dated 04/02/2009 and 09/03/2009 (Xerox Copies enclosed for ref.).

Thanking you in anticipation of your kind co-operation in the matter.

Encl.: (1) Claim Form dated 12/8/08 (Two Sides) YOURS SINCERELY,
(2) Voucher F/W letter dated 24/10/2008
(3) E-mail dated 2/11/2008 to Dy. Manager
(4) E-mail dated 11/11/2008 to Chief Manager (B C SHAH)
(5) Grievance letter dated 12/11/2008 to Dy. Manager ASSTT. SECRETARY
(6) Grievance letter dated 12/11/2008 to Chief Manager AUDIT CENTRE, AHMEDABAD
(7) Letter of award submitted on 10/03/2009 to Chief Regional Manager
(8) Letter dated 04/02/2009 to Insurance ombudsman
(9) Letter dated 09/03/2009 to Insurance ombudsman

Dear Sir/Madam,
Since last 4 years I have been paying the premium for my bike 'Yamaha Libero' regularly. The Policy Number for the same is 230101/31/08/01/00000167. Now when I have made the claim for Rs. 3980/- only, The company is not giving any positive response since the claim has been made. One of the employee from the regional office, surat Mr. Ajay is not responding in appropriate manner.
Finally I'm really fed up with Regional Office also and even thinking of going for a legal action against the company.

Requesting you to help me out in this matter as early as possible.

Regards,
Kalpesh Suratwala - [protected]

I have renewed policy bearing number NMBGH OCT 07 00003 which is for period 01/10/07 - 30/09/08.
I have not received new policy certificate for the period 01/10/08 - 30/09/09 (renewal money has been withdrawn as part of CITIBANK good health facility) I have sent a request a week back but yet to recieve policy document.

THIS IS AFFECTING SUBMISSION OF PROOF for availing deduction UNDER 80D of IT act AND also claims, if any

I (Harmeet Kaur) have my hyundai Accent insurance from the new india assurance company limited dated 24/05/2008 to 23/05/09, policy number 320202/31/08/01/00000447.
i have claimed an insurance of the above mentioned model on 01/03/09 through himgiri motors for which surveyor Mr. harpreet has been aloted to me by the insurance company. the person visited himgiri motors after two days that to after a request and the work progressed as per the schedule thenwards.
At the time of delivery i.e. 15/03/09, i made a request to the surveyor for the final survey however he refused to acknowledge that, for which i called his boss named Mr. Dayal on +91-[protected]. however after entertaining once he also switched off his mobile. then the surveyor asked me to pick him from his place if i want to get the final survey on 15/03/09 or alternately get it done from a local photographer.
He abused me on my last call and asked me as I m his slave. As I m in dire need of my car thats why went to his place to pick him up with my father and again he abused us and treated my father very badly.
then he refused to go by delhi metro and asked to get a car else he would not make proper report of survey.
I want strict action against Mr. Harpreet (+91- [protected]) and compensation for the harassment he brought to my family.



From: Dalbir Chawla
A-349 Vikas puri
New Delhi-110018
Ph No. : [protected], [protected]

My mother (Mrs Vaishali Neelwarna) had and overseas mediclaim policy from New India Assurance company for 100000 USD during her 2008 stay in USA.

On 20th July 08 evening my mother complained about headache, eye pain and vomiting. On Monday, 21st July 08, the headache and eye pain became severe. So, she was taken to a doctor at Sandcrest Family Medicine. The doctor asked to do an eye check as the doctors suspected that it might be Glaucoma. So, my mother was examined by an eye doctor at Pankratz Eye Institute. The doctor confirmed that it was not Glaucoma.

Since, the headache and eye pain didn't subside and was becoming worst, she was taken in emergency at Columbus Regional Hospital (CRS) on 24 July 08. A CAT scan was done on her at Columbus Regional Hospital and the doctor did preliminary diagnosis. The doctor at Columbus Regional Hospital directed the patient to be taken to Methodist Hospital in Indianapolis by ambulance as there were no beds available in CRH.

So, my mother was taken to emergency in ambulance at Methodist Hospital. The doctors at emergency centre examined and performed Spinal Tapping and also necessary tests on her. Later in the day she was transferred to the hospital. She was in the hospital for the 8 days, till 8th Aug 08.

We started the claim process from 26th July 08. For all this time we have been receiving updates from Coris USA and New India Assurance Mumbai office that the claim is in process and would be settled soon. My mother went back to India on 11th Nov 08. On 31st Dec 08, my mother now in India received a letter from your Mumbai branch saying that "Insurance Company will make the payment for Glaucoma and the rest of the hospital treatment was for Diabetes and Hypertension and so won't be paid". The diagnosis done my the insurance company doctors of Glaucoma is totally wrong. I have medical report from the hospital showing that my mother was being treated for bilateral external ophthalmoparesis, which is infection to eye caused due to Viral infection. I have MRI scan showing this eye inflammation. Also the total hospitalisation done was for treatment of this eye infection (inflammation) and had nothing do with diabetes. The severe headaches were because of this eye infection behind her eye and were not because on the hypertension or diabetes. The neurologist who treated my mother has clearly mentioned in his reports that the hospital treatment and all the test conducted were for the above said desices and has nothing to do with Diabetes and Hypertension.

We have sent all these report and other report to insurance company, which clearly states the cause of the treatment and hospitalization. Mr. Atul Parab (Sr. Manager) from Mumbai office is looking into this claim. When my brother called he said that he is reconsidering the claim. But still has not given any positive response.

With all the given reports the case is very clear, but still Mr Atul Parab, is not ready to settle the total claim. All the report clearly say that the hospitalization and treatment was done for eye infection and low sodium level and had nothing to do with Diabetes and Hypertension, but still Mr. Atul Parab is not ready to acknowledge this fact. It is almost 6 months still the claim is not settled. Whenever we call the company says that they will settle the claim but have not said anything about the hospital payments.


Following are the Policy details.

23B-12/153200/[protected] Medical Insurance from New India Assurance.

USA Case No. - 67159 (VAISHALI, NEELWARNA MRS)
India Ref. No.YGAC-2-02145


Policy No : 2008/153200/34/08/45/00000598

Name : Vaishali Neelwarna
Address : 16/Deepavishwa HSG Soc
Paud Phata, Erandavana
Pune - 411038

May I request you to pls help me. I have already started getting notice from hospital for the payments.

I and my wife had taken a joint loan from LIC Housing Finance Limited to construct a house after submitting all relevant documents. New India Assurance insured our property under Fire and Special Perils Category. Due to frequent minor tremors followed by subsequent heavy rain and slide, my whole house is in a delapidated condition. The government has even told me to vacate the property and also disconnect the electricity which I have done.
When I approached the Insurance Company for claims the Branch Manager kept on disregarding my applications given various reasons every time I visited the office. He told me that :-
1. The claim dates have lapsed so my application cannot be considered.
2. The area is slide prone so I will not get the insured amount and he has been authorised not to entertain any complaints from where my house is built.
3. Only major earthquakes will be taken into consideration.
My whole house has been declared unfit for residential purposes. I am paying a monthly EMI of Rs. 10, 057.00. to LICHFL for the same.
I had one time even had hired an advocate to write a complaint to the Insurance Company which did not fetch any response. Now, I do not even have the money to hire an advocate for further court procedures.
Please advice as to what should I do.

Respected Sir,

M/s New India Assurance Co. Ltd, Jabalpur (MP) issued me Motor Package Policy Vide No. 31/07/01/00008183 for a period of one year wef[protected] with NO claim Bonus of 50%. Earlier the same vehicle was isured by M/s Oriental Insurance Co. Ltd, Jabalpur with NO claim Bonus of 50%. Hence it implied that either M/s New India Assurance Co. Ltd, Jabalpur (MP) has issued policy with NO claim Bonus of 50% after confirming from M/s Oriental Insurance Co. Ltd, Jabalpur or M/s New India Assurance Co. Ltd, Jabalpur (MP) has issued policy with NO claim Bonus of 50% without confirming from M/s Oriental Insurance Co. Ltd, Jabalpur.

Now, when an insurance claim no.31/08/011/90000158 launched on M/s New India Assurance Co. Ltd, Jabalpur (MP) in last week of June’08, they are asking myself (customer / insured) to collect & submit Certificate of NO claim Bonus of 50% from earlier Insurer M/s Oriental Insurance Co. Ltd, Jabalpur. This is not fair. On request on telephone on dtd[protected], the officials of M/s New India Assurance Co. Ltd, Jabalpur (MP) are arguing that IT IS RESPONSIBILITY OF INSURED TO COLLECT & SUBMIT CERTIFICATE OF NO CLAIM BONUS FROM EARLIER INSURER TO SETTLE THE CLAIM.

Sir,

Logically it is not correct that M/s New India Assurance Co. Ltd, Jabalpur (MP) sell the policy forwarding NO claim Bonus of 50% of earlier insurance and at the settlement of claim harras the insured for submission of adocuments which are not his responsibility.

Sir,
Please direct M/s New India Assurance Co. Ltd, Jabalpur (MP) in the matter suitably under intimation to me.

Thanking You

sir,
i am the owner of bus no. br-11-c-8513, on 22/8/2003 my bus while coming from silliguri towards purnea met with an accident nera kishungunj. An intimation for the same was given to the insurance company i.e The New India Assurance CO. ltd. sir, till date ive not recieved the compensation from the insurance company. The officers just makes some excuse on one or other pretext.

the claim no is[protected]
policy no is[protected]
vehicle no BR-11-C-8513
date of accident 22/8/2003

thanking you
harpal singh

Dear Sir/Madam,

Request you to kindly look in to the matter. We have written several letters to them but they are not responding . We have also enclosed the letters forwarded to them .

Dated 09th January 2008




The Branch Manager,
The New India Assurance Company Limited

Divisional Office ; 323200

Gulab Bhavan, 6 Bahadur Shah Zafar Marg,

New Delhi – 110002.




Subject : Reference to the Claim No. 07RB01NIA0598 under policy no. 323200/42/05/01/00420




Sir,


This is to remind you that we are still waiting for your response and the documents asked by us against the claims made by New India Assurance Company. We have clearly mentioned that failure on your part would compel to take this matter to the consumer court but company has still not attended my complaints.


This is my final reminder to the company and thereafter no reminders will be sent.


Also I would like to admit that I would expect the response of this letter in the next 10 days.





Yours Truly,


Thanking You,





Amit Kumar Gupta



Note : Copy of previous letter attached.



Dated 04th December 2007


To,


The DM,
The New India Assurance Company Limited

Divisional Office ; 323200

Gulab Bhavan, 6 Bahadur Shah Zafar Marg,

New Delhi – 110002.



Subject : Response to your letter dated 23/05/07 under policy no.323200/42/05/01/00420


Sir,


Responding to your letter dated 23/05/07 pertaining to the request of PA Claim logged by me, please take the note of below mentioned points :-


Response to point I :-


Letter dated 20/04/07 we had agreed I had not taken any treatment from the period of 16/11/05 to 31/01/06 as I not felt any problem in this period and I was regularly attending my office (already admitted in previous letters).


Response to point II :-


We have filed the claim for the period starting from 2nd February 2006 to 3rd October 2006, when I felt about the problem and undergone preliminary medical check-up in G B Pant Hospital and not from 16/11/05 to 31/01/06. (Certificate of the medical leave already submitted in original earlier).


Response to point III :-


Already answered number of times that I didn’t felt any problem in this period of 16/11/05 to 31/01/06 that’s why I not taken any medical leave.


Response to point IV :-


I haven’t written any letter dated 30/05/06 declaring myself fit and fine and I strongly request to send me the copy of the letter.


I had undergone the surgery of Cervical Spine Injury on date 15/05/06 so how can I issue such letter on 30/05/06. Also for your information I would like to state the expenses of that surgery got settled by New India Assurance Company through Vipul Medcorps (P) Ltd. (Claim number :- 07RB01NIA0598) in the month of August 2006.
Response to point V :-


Already answered in point 2.


Response to point VI :-


Agreed and claim filed for the period thereafter i.e. 2nd February 2006 to 3rd October 2006.



Strongly Request you to kindly send me the below mentioned documents to support the claims made by you in your previous letter.


*

Letter dated 30/05/06, as claimed that I have declared myself fit and fine.


*

Copy of the reminders send by you, as you mentioned in your letter dated 20/04/07 which was the first letter received by us and also the proof that we received those letters i.e. signature on the receipt of courier (POD) etc.


*

In your letter dated 20/04/07you,ve mentioned that I have withdrawn my PA Claim, so strongly request you to kindly send that letter to me.


Also would like to state that treat this letter as a final reminder from my end and faliure lake this matter to the Consumer Court for settlement as in this whole episode New India Assurance Company has just made claims i.e. withdrawal of claim, letter of fitment dated 30/05/06 etc. and highlighted the already agreed point by us but never pin pointed the actual matter i.e. PA Claim from 2nd February 2006 to 03rd October 2006.


I would like expect this matter to be closed and my claim to be settled in the next 15 days.




Yours Truly,


Thanking You,





Amit Kumar Gupta

I am holding medical and accidental policies with this company. I have paid my premium well in advance from the due date on 30/10/2007 but till today i have not received my Policy details.
I immediately need to furnish my policy details for my Incom tax exemption. U just tell me what should i do ?

My receipt no is
1) 221500/34/07/11/00004241
2) 221500/34/07/11/00004242
3) 221500/42/07/01/00001334

Collection Number : 221500/81/07/[protected] Dated 31/10/2007 Receipt No. 46594 Amount : 11,165
Collection Number : 221500/81/07/[protected] Dated 31/10/2007 Receipt No. 46568 Amount : 355