Oriental Insurance Company — group insurance policy no. 215502/48/2019/1913 dated 28.09.2018

Address:

COSMOS SYSTEMS c-128/2, Ist Floor, MOHAMDPUR, BIKAJI CAMA PALACE, NEW DELHI-110066, New Delhi, Delhi, 919560033638

We have taken group insurance policy no. 215502/48/2019/2013 dated 29.09.2018 from your company mayapuri branch for the benefit of our employees posted at various site covering benefit hospitalization.

In this regard it is intimated that of our employee mr. Harish kumar s/o sh bhola ram working at our site upl, crn no - 2883, igstpp, jharli, jhaggar, haryana was injured on 27.11.2018 while working in the plant and was injured badly as one heavy iron plate fell on his leg. He was immediately provided the necessary first aid and taken to the hospital for treatment.

The matter was also immediately reported to your office on the date of accident i. E. On 27.11.2018 vide following e. Mails marked to mr rajender parshad and to mr. Vijay kumar vide their following official e. Mail 1. Rajender. [protected]@orientalinsurance.co.in

He remain hospitalized from 28.11.2018 to 01.12.2018 in the hospital for treatment and he incurred an expenditure of rs. 52, 376.00 from his own pocket during the treatment. ]

Since he was covered under the above said group insurance policy taken by us from your company, we farwarded his madical bill along with all the relevant docoments for reimbursement.in this connection our employee visited personally to mayapuri branch on dated 23.01.2019 and again on 13.02.2019 for handing over the claim. But to our surprise your representative mr.
Rajender parshad refused to accept the claim on one or other pretext.

Since all the original bill was there in the claim our representative returned back with documents and we do not prefer to send the same by post for the safety of original documents enclosed with the claim.

Inspite of our repeated telephonic request he bent upon to refuse / to not to accept the claim.in this regard we send our request by e. Mails to him but no positive response is received from his. The copy of the e. Mail is enclosed herewith for your reference.

It is a clear cut a breach of agreement we jointly entered for the safety of our employees and needs immediate attention.

It is requested to look into the matter on top priority so the hardship faced by of our employees is sorted out and you fulfill your contractual obligation under the policy.
In this connection we are forwarded the scan copies of all the documents for their kind consideration. All the original documents shall be provided to them as and when required for necessary action. It is humbly requested to sort out the matter on priority to end the hardship to a innocent employee.

Hope for an early action.

Ramesh chand m. No. [protected]
Cosmos systems