[2025:RJ-JP:33619] HIGH COURT OF JUDICATURE FOR RAJASTHAN BENCH AT JAIPUR S.B. Civil Writ Petition No. 18921/2024 Anuj Sharma S/o Sh. Shiv Prasad Sharma, Pre. Add - Flat No. 303, Gokul Dham First, Rani Sati Nagar, Ajmer Road, Near 200 Fit Bypass, Jaipur-302019, Rajasthan At Present Robin Villa Plot No. Ab 33, Behind Of Kk Diagnostic, Nirman Nagar, Ajmer Road, Jaipur 302019 ----Petitioner Versus 1. Hdfc Ergo General Insurance Co. Ltd., Office-6Th Floor, Lila Business Park, Andheri, Kurla Road, Andheri East, Mumbai-400059, Maharashtra. Through Managing Director, Registered Office At Roman House, Ht Park Marg, 169, Bekwe, Reclamation, Mumbai-400020, Maharashtra 2. Hdfc Egro General Insurance Co. Ltd., Upasana Tower, 3Rd Floor, Near Venu Bekri Wali Gali, C-Scheme, Jaipur, Rajasthan Through-Branch Manager ----Respondents For Petitioner(s) : Mr. Sushil Kumar, through V.C. For Respondent(s) : HON'BLE MR. JUSTICE SAMEER JAIN Judgment 25/08/2025 1. Present petition is filed under Article 226 and 227 of the Constitution of India. 2. Learned counsel for the petitioner has prayed for setting aside of the impugned award passed by Permanent Lok Adalat on 21.04.2023 and award dated 15.07.2019 passed by office of the Ombudsman. It is submitted that the order passed by both the authorities is contrary to the records and actual facts of the case. It is further submitted without giving an opportunity of hearing [2025:RJ-JP:33619] (2 of 3) [CW-18921/2024] and analyzing the record the case of the claim of the petitioner herein, was dismissed, on account of the fact that petitioner was having hypertension and diabetes. 3. Having heard the contentions made by the learned counsel for the petitioner, this Court deems it apposite to analyze the impugned order dated 21.04.2023; the relevant extract from the said is reproduced herein below: “;gka ;g mYys[k djuk mfpr gksxk fd izkFkhZ us bl laca/k esa cSafdax yksdiky ds ;gka Hkh f’kdk;r ntZ djok;h FkhA ijUrq d`".kk gkVZ ,.M tujy gkWLihVy ds MkW0 iq"isUnz xxZ] ftuds }kjk izkFkhZ dk bZykt fd;k tk jgk Fkk] ls izkFkhZ dh mDr of.kZr chekfj;ksa dh vof/k ds laca/k esa tkjh nLrkostkr esa ijLij fojks/kkHkkl gksus ds dkj.k mudk 'kiFk&i= ekaxk x;k Fkk] ijUrq muds }kjk 'kiFk&i= is’k ugha fd;k x;kA ,slh fLFkfr esa muds }kjk izkFkhZ dh chekfj;ksa ds laca/k esa ijLij fojks/kkHkkl gksus ,oa bl ckcr~ chek yksdiky ds le{k 'kiFk&i= is’k ugha djus ds dkj.k mUgksaus vokMZ fnukafdr 16-07-2019 }kjk izkFkhZ dk izkFkZuk&i= fujLr dj fn;kA ftlls ;gh”Li"V gksrk gS fd izkFkhZ yxHkx ikap o"kksZa ls ch0ih0 ,oa Mk;fcVht dh chekfj;ksa ls xzflr Fkk rFkk bl ckcr~~ bZykt ys jgk Fkk ftldh iqf"V mldk bZykt djus okys MkWDVj dh fjiksVZ ,oa cSafdax yksdiky }kjk ikfjr vokMZ fnukafdr 16-07-2019 ls gksrh gSA izkFkhZ dk Dyse ikWfylh esa of.kZr rF;ksa@’krksZa ds rgr doj ugha gksrk gS] ,slh fLFkfr esa mldk Dyse Åij fd;s x;s foospu ds vk/kkj ij [kkfjt fd;k tkuk fof/klEer gS rFkk gekjs bl er dh iqf"V mDr izLrqr ekU; U;kf;d n`"VkUrksa ls Hkh gksrh gSA oSls Hkh gLrxr izdj.k esa izkFkhZ }kjk viuh lEifRr ij _.k fy;k x;k FkkA ftl ij mDr _.k ds lkFk gh foi{kh }kjk mlds i{k esa mDr of.kZr ikWfylh tkjh dh x;h FkhA vkSj pwafd izkFkhZ dk Dyse] ikWfylh esa of.kZr 'krksZa ds rgr doj ugha gksrk gS] ,slh fLFkfr esa vizkFkhZ dEiuh }kjk mldk Dyse fu;ekuqlkj [kkfjt fd;k x;k gSA vr% mijksDr rF;ksa ,oa ifjfLFkfr;ksa dks n`f"Vxr j[krs gq, izkFkhZ dk izkFkZuk&i= fuEukuqlkj vLohdkj fd;k tkrk gSA ” 4. On consideration of the same, this Court find that there is no scope for interference for the following reasons: [2025:RJ-JP:33619] (3 of 3) [CW-18921/2024] 4.1 That the documents filed by the claimants were contradictory in nature. 4.2 That appropriate affidavit to settle done the contradictions was not filed in time. 4.3 The report of the doctor has suggested that the petitioner was undertaking treatment of hypertension and diabetes, for the period of five years, and the same was not covered under the scheme of the respondents. 5. In view of the above, the instant petition stand dismissed. Pending applications, if any, shall stand disposed of. (SAMEER JAIN),J JKP/48