BIHAR STATE CONSUMER DISPUTES
REDRESSAL COMMISSION, PATNA
Hon’ble Mr. Justice D.P.S. Choudhary, President &
Mrs. Asma Ahmad, Member
MOTILAL KHAITAN—Complainant
versus
REGIONAL MANAGER/BRANCH MANAGER, UNITED INDIA INSURANCE CO. LTD.—Opposite Party
Complaint Case No. 26 of 1995—Decided on 5.2.2003
Counsels for the Parties :
For the Complainant :Mr. R.R. Upadhya, Advocate.
For the Opposite Party :Mr. Anil Kumar Sinha, Advocate.
The court emphasized the importance of honoring the Surveyor's report and held the Insurance Company liable for the delayed payment of the insurance claim.
Headnote:
Insurance Claim - Theft - Section 379/461, I.P.C. - 7,25,000.00 x 3,25,865.99, 11,03,334.25 - The court found that the net liability after applying the average clause was Rs. 2,14,126.26, and the Insurance Company was directed to pay this amount with interest at the rate of 9 per cent.
Fact of the Case:
The complainant firm filed a complaint against the Insurance Company for settling an insurance claim after a theft occurred in their premises. The Insurance Company delayed the payment despite the Surveyor's report fixing the net liability at Rs. 2,14,126.26.
Finding of the Court:
The court found that the Insurance Company was liable to pay the complainant the amount of Rs. 2,14,126.26 with interest at the rate of 9 per cent, as determined by the Surveyor's report.
Issues: Delay in settling the insurance claim, application of the average clause, and the liability of the Insurance Company.
Ratio Decidendi: The court relied on the Surveyor's report, which fixed the net liability after applying the average clause, and held the Insurance Company responsible for the delayed payment.
Final Decision: The court allowed the complaint and directed the Insurance Company to pay the amount of Rs. 2,14,126.26 with interest at the rate of 9 per cent.
Mr. Justice D.P.S. Choudhary, President—Complainant has filed the complaint petition against the O.P. with a prayer for settling the insurance claim of the complainant as quantified at Rs. 5,33,371.75 paise besides interest.
2. The brief fact of the case is that the complainant firm M/s. Khaitan Enterprises which dealt with the distribution of surgical manufacturing companies having its office at Frazer Road, Patna-1, was insured with the O.P. Nos. 1 to 4. O.P. No. 5, the Union Bank of India is the banker of the Firm. It is alleged that on 29.7.1994, the complainant learnt that a theft was committed in the premises of the firm and an FIR was lodged with the Kotwali Police Station on the same day. A case under Section 379/461, I.P.C. bearing Kotwali Police Case No. 281/1994 was registered against unknown. The police submitted final report on 31.8.1994 stating case true against the unknown, which was accepted by the C.J.M., Patna. It is also alleged that the period of Insurance was from 10.9.1993 to 9.9.1994 and the theft took place within the period of Insurance. The complainant placed the claim before the O.Ps. on 3.8.1994. The Insurance Company asked for several documents, which were supplied and received by the Insurance Company. A Surveyor was appointed by the Insurance Company. The Surveyor report was not submitted within time and the Insurance Company did not settle the claim in spite of several requests made by the complainant. Thereafter, the complainant case was filed. The O.P. Insurance Company appeared, filed written statement and also filed affidavit of O.P. Nos. 1 to 4. The main contention of the Insurance Company is that the Surveyor report has been received, which has fixed net liability to the extent of Rs. 2,14,126.26. The Insurance Company further found that Hosiery item is not covered under the insurance policy of the Scheme of theft, therefore, the item of Hosiery requires to be excluded from the computation of the amount, assessed by the Surveyor. The Insurance Company after applying average clause accounting a sum of Rs. 1,95,913/- which it is ready to pay to the complainant, as full and final settlement. Annexure I is the report of Surveyor Mr. H.L. Sah. It is further contention of the O.P. Nos. 1 to 4 is that the complainant is not entitled for more than 1,95,913 as stated above and since the complainant did not accept the said amount, there is no deficiency in service on the part of the O.P. Nos. 1 to 4.
3. O.P. No. 5 (Union Bank of India) which was added as party at the instance of the complainant also appeared and filed written statement. Its contention is that the complainant happens to be customer of the Bank and theft of the insured goods were the primary security of the Bank.
But the security claim of the complainant as submitted to the Insurance Company O.P. Nos. 1 to 4 are liable to pay the amount claimed by the complainant with which the Bank has no concern.
4. At the time of argument on behalf of the parties report of the Surveyor Mr. H.L. Sah, has been placed before us. It is a detailed report. At paragraph 26 of the report, there is assessment of loss of stock and after accounting, the Surveyor has mentioned that the loss due to burglary was to the tune of Rs. 3,83,331.75 paise. Further at paragraph 26 of the report under heading liability of the insured and insured factor, it is mentioned that “as per stock statement submitted to us the stock before loss of Rs. 11,03,334.23 and the insurance is of Rs. 7,25,000.00 only. Hence by applying average clause, the liabilities will be determined as under :
7,25,000.00 x 3,25,865.99
11,03,334.25
Thus, the net liability is Rs. 2,14,126.26 only. Para 28 mentioned that the occurrence of theft to be genuine. The police report also supported the case (occurrence) as well local people. We failed to understand why the Insurance Company has calculated the net liability on the basis of average claim to the tune of Rs. 1,95,913/-. Learned Counsel appearing on b