Upholding the orders passed by the Haryana State Consumer Disputes Redressal Commission, the National Consumer Disputes Redressal Commission (NCDRC) on Tuesday said that Birla Sun Life Insurance had indulged in unfair trade practice by denying cashless access for treatment to the policy holder.
Further, the insurance company was directed to pay the complainant a sum of over ₹2 lakh with an of 9% interest.
Cashless treatment
The complainant had alleged that despite having a mediclaim policy which promised cashless treatment, the insurance company had refused cashless payment and did not settle the claim. “The respondents, denied cashless treatment on the premise that there was a possibility of the complainant having concealed information about his previous ailments” read the order.
Challenging the lower forum orders, the insurance company alleged that the policy holder had not revealed certain ailments which he was suffering from, even before the policy was taken.
However, referring to documents and prescriptions placed on record, the forum held that there had been deficiency in services on the part of the insurance company.
