1993 Supreme(Bom) 347
IN THE HIGH COURT OF BOMBAY
BOMBAY
Justice G.G. Loney, President M.G. Gavai, Member.
Smt. Lalita Shivaji Jagatap... Complainant.
Versus
Bank of India and another... Opposite-parties.
Complaint No. 252 of 1993, decided on 3-8-1993.
An insurance company cannot deny a claim on frivolous and untenable grounds, especially when the policyholder has fulfilled their obligations and informed the company about changes as per the policy terms.
Headnote:
CONSUMER PROTECTION ACT, 1986 - INSURANCE POLICY - SECTION 13 - INSURANCE COMPANY'S LIABILITY TO SETTLE CLAIM - INSURANCE COMPANY'S DENIAL OF CLAIM ON GROUND OF CHANGE OF PREMISES WITHOUT KNOWLEDGE - CHANGE OF PREMISES INFORMED TO INSURANCE COMPANY - CLAIM REJECTED ON FRIVOLOUS GROUNDS - CONSUMER COURT DIRECTED INSURANCE COMPANY TO PAY CLAIM AMOUNT WITH INTEREST AND COMPENSATION.
Fact of the Case:
Complainant purchased a plain paper copier machine on loan from Bank of India (OP 1). OP 1 arranged for insurance policy with OP 2 for the machine. The machine was stolen, and complainant reported the theft to OP 2. OP 2 denied the claim on the ground that the complainant had changed the premises of the machine without informing them, which violated the policy terms. Complainant claimed the price of the machine and compensation for loss of business from OP 1 and OP 2.
Finding of the Court:
The court found that the complainant had informed OP 2 about the change of premises twice under certificate of posting. The court also found that the claim was rejected on frivolous and untenable grounds, causing delay and loss to the complainant.
Issues: Whether OP 2 was liable to settle the complainant's claim for the stolen machine.
Ratio Decidendi: The court held that OP 2 was liable to settle the complainant's claim as the change of premises was informed to them and the claim was rejected on frivolous grounds. The court relied on the documents and evidence presented by the complainant.
Final Decision: The court allowed the complaint and directed OP 2 to pay the complainant the claimed amount for the machine, compensation, and interest.
2. The short facts giving rise to this consumer dispute are that the complainant had purchased a plain paper copier machine for Rs. 1,27,801/- out of the loan obtained from the Bank of India, the O.P. No. 1. Under the agreement, O.P. No. 1 agreed to arrange for the Insurance Policy in case the plain paper copier was lost or damaged. The Bank wanted the security of the loan advanced to complainant. The Opposite Party No. 2 provided the insurance policy for the period between 30-1-1991 to 29-1-1992 under an insurance policy. Between the night of 20th and 21st April, 1991, there was theft of the said plain paper copier machine and the incident was reported to O.P. No. 2 on 24-4-1991. The Opposite Party No. 2 asked the complainant to furnish certain documents which she submitted. The aforesaid facts stand proved on the basis of documents placed on record. The complainant alleged in this complaint that the complainant's claim has been denied by the Opposite Party No. 2 on the ground that the premises mentioned in the policy were changed without the knowledge of the insurance company, which is a gross violation of the terms and conditions of the policy. The said letter is dated 31-10-1992 addressed to the complainant by O.P. No. 2. According to the complainant, the change of premises was informed to O.P. No. 2 by complainant twice under certificate of posting but the O.P. No. 2 failed to record the change of premises. The complainant, therefore, claimed the price of the lost machine amounting to Rs. 1,27,801 jointly and severaly from O.P. No. 1 and 2 and also claimed Rs. 2,500/- per month towards the loss of business.
3. A Notice under section 13 of the Consumer Protection Act, 1986 was sent to the opposite party dated 1-6-1992. None appeared for the opposite parties when the case was fixed for hearing on 2-8-1992. We have, therefore, proceeded ex-parte against the O.P. No. 2. The complainant represented by Shri D.D. Shinde, Advocate and Shri C.B. Gorhe was present for the Bank of India, O.P. No. 1.
4. After careful consideration of the allegations contained in the complaint, we find that the documents viz. Insurance Policy clearly show that the O.P. No. 2 had issued shop-keepers insurance policy in favour of the complainant for the security of the xerox machine on payment of Rs. 1730/- premium. The insurance was obtained at the instance of O.P. No. 1, the Bank of India who had advanced the loan. The complainant has placed on record the letters addressed by her to O.P. No. 2 the Insurance Company to settle her claim expeditiously. Similarly, vide letter dated 20-1-1991, the complainant informed the Branch Officer of O.P. No. 2 that insured copier machine had been shifted to the premises of Sessions Court at Baramati. The said letter was sent by complainant to O.P. No. 1 under certificate of posting. The copy of that letter was endorsed to O.P. No. 2, also. It is, therefore, apparent that the changed premises of the insurance machine were informed to the O.P. No. 2. It is, therefore, incorrect on the part of the O.P. No. 2 to deny the complainant's claim on the ground that the change of premises were not informed to the O.P. No. 2. Thus, we find that the claim of the complainant has been rejected by the O.P. No. 2 on frivolous and untenable grounds. We further find from the record that the incident was reported to the Local Police to investigate the offence of theft. The police investigated the offence and informed to the complainant dated 1-8-1992 that the complainant of theft was correct but the accused is not traceable. We also find from the record that complainant's claim was found to be genuine by the Bank Officials and local officers of the Insurance Company who had recommended the settlement of complainant's claim. Under these circumstances, we find that the comp