AHMEDABAD - Gbic.co.in

FINDINGS & CONCLUSIONS:-There is no doubt that he was insured under policy no. 344172297 under Jeevan Asha- IIplan no 131-25 for SA of Rs.5.00 lakhs w.e.f 28.09.2003. It is also proved that heunderwent Non-Hodgkin’s lymphoma (Cancer) treatment for which he has undergone theoperation for biopsy on 12.03.2008.As per the said policy condition under the head COMMON EXCLUSIONS FOR BOTHMAJOR AND MINOR SURGICAL PROCEDURES, the operation for biopsy is not qualifythe payment. Hence, the decision taken by the respondent is just & fair requires nointerventions.The complaint is dismissed without any relief.Category – Refund of PremiumShri Halke Lal Sen …………………………….. ComplainantV/SLIC of India, Jabalpur.…………………………………...…….RespondentOrder No.BPL/LI/09-10/54Order dated 19.10.2009CASE NO. LI/07-23/04-09/JBPBrief BackgroundShri Halke Lal Sen, Resident of Hatta, Dist. Damoh (M.P.) complaint that hehas taken a Policy bearing No. 371443466 and 371703077 each of Rs.50,000/- on 15-12-1998 and 15-01-2000 which was matured andpayment was made to him but the premium paid in excess Rs. 2874/-was not refunded to him. Despite of several correspondence therespondent has not refunded the same.Aggrieved from the action of respondent Complainant has lodged thecomplaint on dt.23-04-09 to the Hon’ble ombudsman seeking direction tothe Respondent for payment of Rs. 21874.00.The Respondent represented by Shri Sudhakar Mehta, Manager (Claims)Jabalpur submitted that the payment was already made to thecomplainant on 12-10-2009 vide their cheque no. 5274 dated 12.10.2009for Rs. 2874.00. Hence the complaint may be dismissed.