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HARYANA STATE CONSUMER DISPUTES
REDRESSAL COMMISSION, CHANDIGARH
Hon’ble Mr. Justice S.S. Sandhawalia, President;
Mr. S. Kulwant Singh, Member
GIRDHARI LAL BANSAL—Complainant
versus
ORIENTAL INSURANCE CO. LTD. & ANR.—Opp. Parties
Complaint Case No. 92 of 1992—Decided on 8.7.1993

Advocates:
Counsel for the Parties :
For the Complainant :Mr. L.M. Suri, Sr. Adv. with Arun Kumar, Advocate
For the Opp. Parties :Mr. Mahesh Gupta, Advocate.

Headnote:Insurance Contract - Terminus point of time from which the insured is entitled to be indemnified for a loss fully covered by his insurer, - Entitlement to indemnity for the loss incurred begins from the date of the loss itself - Determination of the loss must relate back to the date of the loss.

       Held: That both the general law of insurance and the specific language of the insurance contract provides that the insurer will indemnify the insured against loss or damage. In the classic words of Lord Breit L.J. the insured has to be indemnified fully. Can it possibly be said that where the insured is reimbursed for his loss after years from the actual date of the loss and arising of the cause of action, that he is fully indemnified, therefor ? To our mind the answer to this core question has to be plainly in a categoric negative.

       Full indemnification means that the insured is to be reimbursed as if and on the very date of the loss, and certainly not when the insured may choose to determine the same or to accept liability, therefor. In our view the entitlement to indemnity for the loss incurred begins from the date of the loss itself, and not on any other slippery date. (para 14)

       Further held: Our aforesaid conclusion, however cannot obviously mean that the insurers loss has in actual fact to be magically determined forthwith on its very date. Plainly enough, the necessary procedures for the assessment of loss must and should be gone through. We have held else where that this must be done with utmost expedition, but even such expedition would necessarily take a reasonable amount of time. The insurance corporations formalities of lodging the claim, its verification, and the assessment through independent investigators and surveyors and the final decision of the Company have inevitably to be gone through. However, once this has been done then on the well accepted legal premises the accepted liability must relate back to the very date of the loss. In the eye of the law full indemnification would mean that the insured has been given and tendered his loss and reimbursed on the very date. This is the figurative legal situation, but in actual practical terms it implies that the insured must be compensated for the period for which he remained deprived of the lawful compensation which was his due. This can be simply remedied by awarding the reasonable amount of commercial interest from the date of the loss itself. In essence the determination of the loss must be done in full, yet it must relate back to the date of the loss and the recompense, therefor is the interest due thereon. (Para 15)

       Result: Ordered accordingly. Complaint allowed with costs of Rs. 2,000/-. The amount to be paid with interest at 13%.

       IMPORTANT POINT

       The terminus point of time from which the insured is entitled to be indemnified for a loss fully covered by his insurer is the very date of the loss and the arising of the cause of action. therefore.

ORDER

Mr. Justice S.S. Sandhawalia, President — The terminus point of time from which the insured is entitled to be indemnified for a loss fully covered by his insurers-is the solitary significant question which now survives in this complaint.

2. The facts and merits may be noticed with utmost brevity relevant to the issue aforesaid. The complainant M/s. Girdhari Lal Bansal are the owners of the Swaraj Mazda Truck admittedly insured with the Oriental Insurance Company for a sum of Rs. 1,50,000/- During the currency of the risk the said vehicle was involved in an accident on the 9th of December, 1991 in Himachal Pradesh and the complainants inevitably lodged their claim with the insurers for the full amount. The Surveyor appointed by the insurers assessed the loss at the sum of Rs. 1,50,000/- as it was a total loss. However, the opposite party procrastinated in the finalisation of the claim and it was not nearly nine months later that they informed the insured that only an amount of Rs. 1,12,375/- was payable which also would be tendered after the fulfilment of necessary formalities. Aggrieved after the present complaint was filed on the 4th of December, 1992, claiming the insured amount of Rs. 1,50,000/- and an additional compensation to the time of Rs.3,13,000/- in all plus interest and Rs. 10,000/-as costs.

3. The opposite parties in the first instance contested the complaint both on preliminary objections as also on merits. The complainant adduced oral and documentary evidence in support of its case and their witnesses were cross-examined on behalf of the opposite party.

4. However, on the 11th of March, 1993 vide a communication of the said date, the Insurers conveyed their willingness to pay an amount of Rs. 1,48,500/- against the claim subject to the completion of the requisite formalities This offer was accepted on behalf of the complainant conditionally on the ground that since the case was pending before this Commission, they would be entitled to the other ancillary reliefs claimed before it. An application dated the 31st of March, 1993 was also moved praying for a direction of the release of the offered sum of Rs. 1,48,500/-which has been replaced to by the opposite party admitting the offer, but praying that this may be directed to be paid in full final settlement of the claim after the requisite formalities of the delivery of salvage etc. has been done.

5. From the aforesaid fact situation, it would be somewhat manifest that the core question which arise herein is with regard to the time and the precise date from which the insured becomes entitled to the admitted liability for the covered risk. In behalf of the complainants the firm stand is that such entitlement begins from the very date of the accident or the arising of the cause of action and not very date of the accident or the arising of the cause of action and not later. In sharp constrast thereto the stand of the insurers is that the liability arise only after it has been determined and from the date on which it has been accepted by the insurers. It is plaint that in the present day world where insurance coverage is becoming the rule rather than the exception, that the question assumes great significance. Inevitably it calls for some indepth examination of larger principle in the absence of direct precedent.

6. Mr. L.M. Suri, the learned Senior Counsel for the complainant in an erudite and forceful submission had contended that the insured’s right to indemnification for the loss arises from the very date of the loss itself and not a day later. Replying on the nature and the under-lying premise of a general insurance contract, it was submitted that it was a contract of indemnity and necessarily such indemnification must be full and from the actual date of the loss. The firm stand was that the procedure for determination or the stage of acceptance by the insurer are irrelevant to the pristine issue. Reliance was placed by way of analogy only on a number of authoriti











































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