We got a representation dated 07.08.2016 from All India Central Paramilitary Forces Ex-Servicemen Welfare Association and a complaint letter dated 25.08.2016 from Ms. Jisha Anand the wife of the deceased Late Sanjeevan S. regarding non payment of death claim under Personal Accidental Insurance Cover for Paramilitary forces of her deceased husband Rfn/GD Late Sh. Sanjeevan S. by Reliance General Insurance Co. Ltd. The Deceased was employed with 23 BN Assam Rifles and covered under Personal Accident Insurance of Paramilitary forces by Reliance General Insurance Co. Ltd. He was killed in terrorist attack while performing his duties on 03.05.2015. Ms. Jisha Anand the wife of the deceased solider was not aware of any such Insurance cover on the life of her deceased husband.
The State Bank of India, had submitted the requirements for claim settlement with the Insurer vide their letter dated 14.07.2015 (F-X) but the claim was rejected by the Insurer vide their letter dated 29.02.2016 (F-Y) on the grounds that all claim papers were not submitted within 180 days from the date of death.
The complainant was following up the matter with different forums such as State Bank Of India, Insurer and other Grievance redressal forums but claim remained unpaid. At last the complainant approached the Mission office through Paramilitary Forces Ex-Servicemen Welfare Association .As the deceased was soldier who laid down his life for our Motherland, the matter was taken up repeatedly by the Mission office, Jansuraksha with Claim Head , Reliance General Insurance Co. Ltd. Firstly the Insurer was reluctant to pay the claim ,but on intervention by the Mission office they had decided to reopen the case for reconsideration and claim was finally settled on 15.12.2016 for Rs 300000.00 through NEFT and credited in the account of Ms. Jisha Anand. Thanksgiving mail dated 29/12/2016 received from All India Central Paramilitary Forces Ex-Servicemen Welfare Association.
******
J&K Paramilitary Accidental Insurance
A complaint on 08.08.2016 received regarding non-payment of personal accidental Insurance claim of Late Rifleman, Sh. Mohd Maqbool Yatoo under policy no 1111342914000034 from Reliance General Insurance Co. Ltd. This was neither PMJJBY nor PMSBY complaint. The Deceased belonged to village Yall, Tehsil Pattan, District Baramulah, Kashmir Valley, and was killed while performing his duties. Because of the disturbance in Kashmir Valley the nominee could not make contact with the Insurer and pursue the matter.
Sh. Shivalik Lal Chandani, Major, Adjutant for Commanding officer was following up the matter since 31st January 2016 with different forums such as State Bank Of India, Insurer and other Grievance redressal forums but claim remained unpaid. As the deceased was soldier who laid down his life for our Motherland, the matter was taken up by the Mission office, Jansuraksha with Sh.Vinay Maran ,Claim Head , Reliance General Insurance Co. Ltd. Mission office intervened in the matter and followed up with the Insurer on 16.08.2016 for immediate settlement of the claim. The claim was finally settled on 17.08.2016 for Rs 300000.00 through NEFT and was credited in the account of Sumaira Begam wife of the deceased.
******
UP Vyopari Durgatna Bima Yojana
A complaint from PMO office on CPGRAM registered vide complaint no PMOPG/E/2016/0109163 dated 04.04.2016 regarding non-payment of Vyopari Accidental Insurance claim of Late Vishal Gupta, under TIN No 09371702432 from United India Insurance Co. Ltd. This was neither PMJJBY nor PMSBY complaint but the complaint was vigorously taken up by the Mission office realizing the sensitivity of the issue.
The Insured Sh.Vishal Gupta had died on 17.09.2012 but the nominee filed the claim papers with Insurer on 21.04.2015. The claim was rejected by the United India Insurance Co. Ltd on the grounds of delay in submission of claim papers. The delay in submission of papers could only be condoned by the Joint Commissioner of Trade Tax,Saharanpur Uttar Pradesh.
The Nominee Smt. Kushboo Gupta wife of the deceased is young widow of 29 years with two small children to feed. Because of the untimely death of her husband the young widow was emotionally struck down and was mentally unstable for quiet long time so she could not make contact with the Insurer and pursue the matter for the settlement of the claim.
The nominee was following up the matter for condonation of delay in submission of papers since 20th May 2016 with Joint Commissioner of Trade Tax, Saharanpur Uttar Pradesh but claim remained unpaid. The file got struck in the office of Additional Commissioner of Commercial Tax, Saharanpur, UP for almost four months.
As the nominee was young widow with two small kids, the matter was taken up by the Mission office, Jansuraksha with the Additional Commissioner Commercial Tax, Lucknow, UP. Mission office intervened in the matter and followed up with Sh. Babu Lal, Joint Commissioner of Trade Tax ,Saharanpur Uttar Pradesh for immediate waiver of the delay in submission of papers. It has been informed by the office of Additional Commissioner, Commercial Tax, Lucknow, UP that they have accorded waiver for the delay in favour of the claimant and file has been sent to Joint Commissioner of Trade Tax, Saharanpur, Uttar Pradesh for onward transmission to United India Insurance Co. Ltd.
We pursued the matter with concerned authorities and it has been confirmed by them that delay has been condoned by the Competent Authority and claim of Rs 400000.00 has been paid on 07.09.2016 to the nominee by United India, Insurance Co Ltd duly confirmed by their mail dated 07.09.2016 . Thanks giving mail received in Mission office on 13/09/2016.
******
PMJJBY Claim not settled by LIC Amravati
We had received a complaint dated 10.07.2016 from Insurance -2 on 17.08.2016 regarding non-payment of claim under PMJJBY on the life of Late Sh. Satish Rathi Vallabhdas to the claimant Smt Sunita Satish Rathi. It was reported by Smt. Sunita Rathi w/o of the deceased that her husband died on 25.11.2015 due to cardiac arrest and claim papers were lodged with the Malkapur Urban Co-operative Bank Limited, Malkapur, Maharashtra and the same were forwarded to Life Insurance Corporation of India ,Amravati Maharashtra on 03.02.2016 for settlement of the PMJJBY Claim but claim remain unpaid inspite of submission of all requirements by the claimant. The claimant contacted Bank a number of times for settlement of the claim but it could not reap any results.
Matter was followed up by Mission Jansuraksha with Reserve Bank of India [Nodal Agency for Urban Cooperative banks] and Life Insurance Corporation of India through mails and telephonic reminders repeatedly. It was requested by the Bank to resend the complaint received from Smt. Sunita Rathi enabling to take up the matter with the Malkapur Urban Co-operative Bank Limited, Malkapur, Maharashtra .Scanned copy of all the documents were called by Mission office and again forwarded to RBI for disposal of the claim. By intervention of Mission office claim under PMJJBY was finally settled on 04.10.2016 and amount of Rs 200000.00 was credited through NEFT in the account of Ms. Sunita Satish Rathithe wife of the deceased. Smt. Sunita Rathi has applauded our efforts for settlement of claim vide her letter dated 05.10.2016 enclosed with her mail dated 18.10.2016. Thanksgiving mail received on 18/10/2016.
.jpg)
No comments:
Post a Comment