Health Insurance Breach in Insurance Claim of Policy Number 11240778 705512 and mental harassment to the senior citizen.

Vikas1986

New member
Policy Name
RED CARPET HEALTH INSURANCE POLICY FOR SENIOR CITIZEN
Company Name
Star Health and Allied Insurance Co.Ltd.
Customer Care Number
18004252255
Loss Amount
250000
Ratings
1.00 star(s)
Opposite Party Address
The Director,
Balaji Complex, No. 15, Whites Lane,
Whites Road, Royapettah,
Chennai – 600014.
It may please be hounoured;

That this complaint before the Hon. Consumber forum Pune as under that :-

1. The Insurance company has denied the legitimate insurance claim of Mr. Thomas R. Thomas (Raju Thomas) resident of 311, Clover Park View Society, 7th Lane, South Main Road, Koregaon Park, Pune - 411001. (MS) India bearing policy number 11240778 705512 issued by the company name Star Health and Allied Insurance Co.Ltd. Balaji Complex, No. 15, Whites Lane, Whites Road, Royapettah, Chennai – 600014 despite fulfilling all requisite conditions and submitting all necessary documents, the claim remains unresolved.

Please find the details of the Insurance Policy and the insurer's:

Name of the Insured Mr.Thomas Raju Thomas
Age / Gender 73 years, 10 months/ Male
Policy Number 11240778 705512
Claim Intimation Number CIR/2025/151118/1861696
Product Name RED CARPET HEALTH INSURANCE POLICY FOR SENIOR CITIZEN
UIN NO. SHAHLIP 22199V062122
Policy Period 24th March 2024 to 23rd March 2025
Date of Admission 11th March 2025
Room Category Sharing / Semi Private Room A/C
Total Insurance Claim Amount is of Rs.1.75 Lakhs
Legal Services Rs.25000/- (Legal Fees)

2. The Director of the Company was reminded several times of the reimbursement of the Police claim, also was issued a legal notice by registered post and also by the email on the registered email Id of the company and has acknowledged it but so far has not reimbursed any claims.

3. Legal notice was issued dated 23rd August 2025 by the Registered post and by the email on the registered email Id of the company and has acknowledged it; even then has not responded nor have paid back neither has provided any reimbursement against the Health insurance Claim. Such practice of the company has defaulted with the breach of trust, breach of contract causing mental and financial trauma to the complainant.

Therefore, this complaint with humble prayer to the honourble Conusmer Forum to issue orders to reimburse the Health Insurance claim of Rs.1.75 lakh and the legal fees of Rs.25000/- from the respondent.
Any other orders in the interest of Jusitce.
Advocate for the Complainant
Adv.Vikas S.Waghmare
Pune
7030875522
 
It may please be honored:

The Complainant is the senior citizen above 70 years and needs the sincere attention.

Please find the attached copies of the Policy details, Gmail Correspondence and the Legal Notice issued to the company.
With Humble Prayer to seek your honor to issue orders to reimburse the claim amount as per the complaint.

PUNE
Date : 16/10/2025 Advocate For the Complainant
 

Attachments

Back
Top