Insurance Company ordered by Court to Pay fine for Medical Negligence of Doctors

Insurance Company ordered by Court to Pay fine for Medical Negligence of Doctors

Its indeed Very interesting case.

The Hospital was vicariously held liable for the Medical Negligence of Doctors (wrong surgery) but the Insurance Company was held liable to pay the compensation as per the indemnity / policy conditions.

In a very short, 8 Para, judgment of National Commission, NEW INDIA ASSURANCE CO. LTD V/s.SRI SAI HOSPITAL, U.P., & 3 ORS, date of judgment 4th January, 2016.

Insurance Company ordered by Court to Pay fine for Medical Negligence of Doctors

 Davidsons Principles and Practice of Medicine

The Factual matrix in short :
The main contention of the petitioner is, that, since, the complainant himself has stated that there was fraud and usurping of money from him, under conspiracy, therefore, the fraud and conspiracy is not covered under the insurance policy and Insurance Company therefore is not liable to pay .

The surgery was performed at wrong site/ level on the spinal lesion. It was observed that instead of S1 S2 level, the doctors erroneously performed surgery at one level above i.e. L5 – S1 level & therefore, it was not an error of judgment, but it was a medical negligence. It was further observed that both the fora below made wrong observations regarding fraud and conspiracy, instead of medical negligence on part of Doctors… The Hospital was held liable for vicariously liable for Negligence of its Doctors and as the Hospital was insured with the Petitioner, the Petitioner Insurance company was directed to pay compensation to the Victim!!!!

The Medical Negligence is always proved by Evidence on record and the facts of each case…. Nevertheless, this Judgment throws a light on very important, but, unnoticed aspect of Insurance Cover!!! Now a days as there is a rise in the incidences of Medical Negligence cases as well as attack on Doctors, I think it’s worth paying the Premium….

Another insightful article by Adv. Rohit Erande, Pune.

Insurance Company ordered by Court to Pay fine for Medical Negligence of Doctors

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1 Comment

  1. Avatar
    Piyush February 27, 2016

    Which insurance company the Doctor has taken. I want to take same one

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