The Oriental Insurance Co.Ltd. vs Dr. Deepak Raje on 10 October, 2011
13. Counsel for the appellant/Insurance Company also placed
reliance upon a decided case of Hon‟ble National Commission Unit
Trust of India & Anr. Vs. Swarn Latha Jain, reported as IV (2010) CPJ
172 (NC), but in that case, the Senior Citizens Unit Plan (hereinafter
called as "SCUP" for short) Scheme was notified by Gazette of India
dated 28.8.1993 and then it is clearly stated in Clause 5 that the
amount of medical cover under this scheme shall be limited to a
maximum of Rs.1,50,000/- per illness. Form „A‟ which was UTIs SCUP
Membership certificate and part of the Gazette Notification also
specifically stated that there will be a maximum limit of Rs.1,50,000/-
per illness per spouse and in view of this it was found that the insured
was fully aware that maximum cover of Rs.1,50,000/- per spouse per
illness is available under the Scheme as well as Gazette Notification as
well as Form „A‟. Thus, the cited matter is distinguishable on facts.