ESIC to pay Rs 2.8 lakh for delaying insurers’ bill reimbursement | chandigarh | Hindustan Times
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ESIC to pay Rs 2.8 lakh for delaying insurers’ bill reimbursement

District consumer forum has directed the senior state medical commissioner, social security officer and senior medical officer (SMO) of the Employees State Insurance Corporation (ESIC) to pay compensation to some insured persons for delaying reimbursement of bills. In all 16 cases have been decided by the forum where quantum of compensation comes down to a total of Rs 2.84 lakh.

chandigarh Updated: Feb 05, 2015 17:18 IST
HT Correspondent

District consumer forum has directed the senior state medical commissioner, social security officer and senior medical officer (SMO) of the Employees State Insurance Corporation (ESIC) to pay compensation to some insured persons for delaying reimbursement of bills. In all 16 cases have been decided by the forum where quantum of compensation comes down to a total of Rs 2.84 lakh.

Also the forum in its orders has directed that the petitioners besides the compensation also be paid the reimbursement of bills which totals Rs 5.17, lakh. The pendency of bills of these petitioners is from six months to two years at different levels with the ESIC. Advocate Jasbir Singh had filed a complaint with the forum on behalf of the insured persons.

Singh had submitted that approximately 1.45 lakh insured persons were working in SAS Nagar and contributed over Rs 121 crore to the ESIC every year. The rate of contribution is 6.5% (employees and employer) of wages/salaries.

Speaking for the 16 affected persons, Singh had submitted that the complainants’ bills had been lying pending with the ESIC for up to two years. He submitted that despite the insurers visiting the offices several times and urging officials to clear the bills repeatedly, their cases had not been settled. As a result, they were forced to move court.

The consumer forum observed that undisputedly due to the delay, the complainants had suffered financial loss as well as mental agony. Therefore, in wake of inordinate delay in honouring and realising reimbursement of claims, the complainants deserved to be compensated.

Even the state consumer disputes redressal commission, Punjab and Chandigarh, affirmed the orders of the district consumer forum in several cases where ESIC had filed appeals.