SUPREME COURT OF INDIA
Hemant Gupta, V. Ramasubramanian, JJ.
Khatema Fibres Ltd. - Appellant
Versus
New India Assurance Company Ltd. & Anr. - Respondents
Civil Appeal No.9050 OF 2018
Decided On : 28-09-2021
(A) Consumer Protection Act, 1986 – Sections 2(1)(g) and 23 {Consumer Protection Act, 2019 – Section 58} – Insurance Act, 1938 – Section 64UM(2) – Insurance – Standard Fire and Special Perils policy – Fir accident inside factory premises – Amount of Rs.2,85,76,561/- awarded by National Commission – Appellant was not entitled to succeed unless they were able to establish any deficiency in service on part of Insurance Company – Claim of appellant has been admitted, to the extent of loss as assessed by Surveyor – Even any inadequacy in quality, nature and manner of performance which is required to be maintained by or under any law or which has been undertaken to be performed pursuant to a contract, will fall within definition of expression ‘deficiency’ – But to come within said parameter, appellant should be able to establish either that Surveyor did not comply with code of conduct in respect of his duties, responsibilities and other professional requirements as specified by regulations made under the Act, in terms of Section 64UM(1A) of Insurance Act, 1938, or that Insurer acted arbitrarily in rejecting whole or a part of Surveyor’s Report in exercise of discretion available under Proviso to section 64UM(2) of Insurance Act, 1938 – Judgment of National Commission does not call for any interference – Appeal dismissed. (Paras 30, 31, 32 and 39)
(B) Insurance Act, 1938 – Section 64UM(2) – Report of Surveyor – Evidentiary value – Surveyor’s report is not the last and final word – Surveyor’s report is not so sacrosanct as to be incapable of being departed from – Insurance Act, 1938 even while assigning an important role for Surveyor, casts obligation on him under sub-section (1A) of Section 64UM6 to comply with code of conduct in respect of his duties, responsibilities and other professional requirements as specified by regulations made under the Act – Surveyor is governed by a code of conduct, breach of which may give raise to an allegation of deficiency in service and discretion vested in Insurer to reject report of Surveyor in whole or in part, cannot be exercised arbitrarily or whimsically and that if so done, there could be an allegation of deficiency in service – Consumer Forum which is primarily concerned with an allegation of deficiency in service cannot subject Surveyor’s report to forensic examination of its anatomy, just as a civil court could do – Once it is found that there was no inadequacy in quality, nature and manner of performance of duties and responsibilities of Surveyor, in a manner prescribed by Regulations as to their code of conduct and once it is found that report is not based on adhocism or vitiated by arbitrariness, then jurisdiction of Consumer Forum to go further would stop. (Paras 35, 36, 37 and 38)
Facts of the case:
Aggrieved by the Judgment of the National Consumer Disputes Redressal Commission confining compensation payable to them only to the extent of the assessment as made by the final Surveyor, the complainant before the National Commission has come up with the above appeal. Grievance of the appellant is primarily with respect to the quantification of the net weight of the
raw material destroyed in the fire accident. The price of the material, fixed by the Surveyor at Rs.15137.35/- per MT, is not seriously disputed. Though a dispute is raised with regard to the salvage value, contention relating to the same is very weak.
Findings of Court:
This is not a case where the Insurance Company has repudiated claim of the appellant arbitrarily or on unjustifiable grounds. This is a case where the claim of the appellant has been admitted, to the extent of the loss as assessed by the Surveyor. In cases of this nature the jurisdiction of the special forum constituted under the Consumer Protection Act, 1986 is limited. Perhaps if the appellant had gone to the civil court, they could have even summoned the Surveyor and cross examined him on every minute detail. But in a complaint before Consumer Forum, a consumer cannot succeed unless he establishes deficiency in service on the part of the service provider.
Result : Appeal dismissed.
Yes, the court in this case held that a consumer cannot succeed before a consumer forum unless they establish a "deficiency in service" as defined in the Act. The judgment explicitly states that the primary requirement for the consumer to succeed in their claim is to demonstrate that there has been a deficiency in service on the part of the service provider. The court emphasized that the definition of "deficiency" includes faults, imperfections, shortcomings, or inadequacies in the quality, nature, or manner of performance that are required to be maintained by law or undertaken in pursuance of a contract (!) (!) .
JUDGMENT :
V. Ramasubramanian, J.
1. Aggrieved by the Judgment of the National Consumer Disputes Redressal Commission (for short “National Commission”) confining the compensation payable to them only to the extent of the assessment as made by the final Surveyor, the complainant before the National Commission has come up with the above appeal.
2. We have heard Ms. Meenakshi Arora, learned senior counsel for the appellant and Mr. Joy Basu, learned senior counsel for the respondent-Insurance Company.
3. The appellant took a “Standard Fire and Social Perils” policy for the period from 7.05.2007 to 6.05.2008, for a sum of Rs.42,40,00,000/-. When the policy was in force, a fire broke out in the factory premises of the appellant on 15.11.2007.
4. The appellant submitted a claim on 19.11.2007, estimating the quantity of waste paper destroyed by fire at 8500 MT and its value at Rs.13,00,00,000/-.
5. One M/S Adarsh Associates, appointed by the respondent-Insurance Company, conducted a survey, sought documents from the appellant, raised queries and received clarifications from the appellant and submitted a final report dated 9.01.2009, assessing the loss suffered by the appellant on account of the fire accident as Rs.2,86,17,942/-.
6. Though the appellant, vide their letter dated 2.5.2009, objected to the survey and assessment report and sought the appointment of another surveyor, the respondent informed the appellant by their letter dated 21.08.2009 that the claim of the appellant has been approved only to the extent of Rs.2,85,76,561/-, in full and final settlement. The appellant, through letter dated 14.09.2009, again raised objections to the Survey Report, but the respondent informed the appellant by their letter dated 7.10.2009 that the claim could be finalized only for the amount indicated in the letter dated 21.08.2009.
7. Therefore, the appellant filed a consumer complaint before the National Commission under Section 21(a)(i) of the Consumer Protection Act, 1986, claiming: (i) compensation in a sum of Rs.1364.88 lakhs towards the loss suffered in the fire accident; (ii) compensation in a sum of Rs.2095.52 lakhs, for the financial stress caused by the respondent by delaying the processing of the claim; (iii) interest @ 18% p.a. on the compensation amount of Rs.1364.88 lakhs from November, 2007 till 31.12.2009; and (iv) the cost of litigation estimated at Rs.1,00,000/-.
8. The National Commission, by its Judgment dated 3.07.2018 rejected the claim of the appellant under both the heads, but directed the respondent to pay only the amount of Rs.2,85,76,561/- as admitted by them. This amount was directed to be paid to the appellant with interest @ 9% p.a. from 15.11.2007, only till the date the Insurance Company had made the offer. It is against the said Judgment of the National Commission that the appellant has come up with the above appeal under Section 23 of the Consumer Protection Act, 1986.
9. Admittedly, the respondent-Insurance Company appointed one Shri Kapil Vaish, a Chartered Accountant, on 16.11.2007 itself (the day following the date of fire accident), to conduct a spot inspection and file a status report. When he visited the factory premises, the fire fighting was still going on and it was found that the fire had taken place only in the waste paper yard of the factory. In the status report submitted by Shri Kapil Vaish on 16.11.2007, he indicated that the fire had affected waste paper bales lying in an area measuring 27 mtrs. X 55 mtrs. = 1485 sq.mtrs. in open compound. Presuming that waste paper would have been stacked in bunches of six bales, one on top of the other and that the quantity of affected waste paper could be around 5000 MT, whose cost may be around Rs.20-22 per kg., Shri Kapil Vaish roughly estimated the loss to be around Rs.10-11 crores. The appellant themselves estimated the quantity of waste paper burnt in the
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