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What is the case about? What kind of insurance claim is this? Why has the employee filed a case against medical insurance company? Who pays the annual premium, company or the employee in his personal capacity? Is MD and HR department are co-petitioners or they are respondents? Before filing a suit, did he inform the company authorities? What efforts company took to avoid litigation?
attribution https://www.citehr.com/474394-suspen...#ixzz2j4b4g3kI

From India, Chennai
I was the first person to respond to this post and I did not find the post lacking in information for a discussion in this forum. I do not want to get into controversies. But to answer some of the observations made by Mr Diwekar, I am reproducing his queries with my observations,

What is the case about? What kind of insurance claim is this?



The poster has specifically mentioned that the case is against a Medical Insurance company .For a discussion in a forum like this ,this information is more than sufficient.

Why has the employee filed a case against medical insurance company?

The employee must have filed a case against the Company because there must have been difference between his claim and the settled amount. This is more than sufficient to respond in this forum. If he had come to me to engage me as Advocate, then I would have asked questions like what is the difference, was he in employment for long etc. Othewise for a general discussion this was enough.

Who pays the annual premium, company or the employee in his personal capacity?

It is immaterial as to who pays the premium. But it is material whether the premium is paid through the Company. The issue comes up here as the papers were forwarded through the Company. Again, for a normal discussion in a forum like this and for the query he has raised, this information is sufficient.

Is MD and HR department are co-petitioners or they are respondents?

The original poster has clearly mentioned that the employee has filed a case against the Insurance Company and included the HR Dept and the Managing Director. If MD and the HR Department are Co-petitioners, he could not have done without their signatures. We can easily deduce some observations without assuming.

Before filing a suit, did he inform the company authorities? What efforts company took to avoid litigation?

The question was not about litigation details in Consumer Forum. The question is whether an the Management can take action against an employee who resorts to legal means for resolving any dispute. A workman may approach Labour Court for dispute resolution. Can the Management take action against him or her?

I do not find anything wrong in terms of content and details in the query raised by the original poster. I have no observations to make on grammar and spelling.

I am not sure how Mr Diwekar has concluded that the Poster was Head of the Department?

And even assuming that the person posted is Head of Dept or just an assistant, the quality of posting should not be diluted.

And I do not find anything wrong in this posting and I could respond to the query without any difficulty

Thanks

From India, Chennai
Dear Mr T.Sivasankaran,
You have given a long reply to my questions. Thank you very much.
Nevertheless, the post belongs to someone else. This clarification should have come from originator of the post. However, in your reply there appear to be some assumptions. Secondly, as far as quality of the post is concerned, it is a matter of interpretation. Interpretations are based on standards. Possibly our interpretations do not match because of the differences in our perceptions.
If I start giving rebuttal, the debate will turn into quibble which I expect least. Therefore, let us leave it aside and move on. This is what I would like to say at this stage.
Some 2-3 days have passed since the originator has written his post. Lot of discussion has happened since then but the poster is incommunicado. His silence speaks lot!
Thanks,
Dinesh V Divekar

From India, Bangalore

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