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DELHI STATE CONSUMER DISPUTES
REDRESSAL COMMISSION, NEW DELHI
Hon’ble Mr. Justice Lokeshwar Prasad, President; Ms. Rumnita Mittal &
Mr. Mahesh Chandra, Members
NATIONAL INSURANCE COMPANY LIMITED—Appellant
versus
J.K. MITTAL—Respondent
Appeal No. A-1355 of 2002—Decided on 20.11.2003

Advocates:
Counsels for the Parties :
For the Appellant :Mr. Pradeep Gaur, Advocate.
For the Respondent: In person.

The judgment establishes the consumer's right to approach the forum for redressal despite the existence of an arbitration clause.

Headnote:

Consumer Protection Act - Insurance Claim - Section 12 of the Consumer Protection Act, 1986 - [Section 12 of the Consumer Protection Act, 1986] - The court discussed the deficiency in service on the part of the insurance company and the applicability of the terms and conditions of the insurance policy. The court also considered the settlement of the claim based on the estimated value and market value of the car. The judgment highlighted the consumer's right to approach the forum for redressal despite the existence of an arbitration clause.

Fact of the Case:

The respondent filed a complaint under Section 12 of the Consumer Protection Act, 1986 alleging deficiency in service by the insurance company for not settling the claim for the full insured value of the stolen car.

Finding of the Court:

The court found the insurance company to be deficient in service and directed it to pay the full insured value of the car, along with interest and compensation, to the respondent.

Issues: Deficiency in service, applicability of insurance policy terms and conditions, consumer's right to approach the forum for redressal despite the existence of an arbitration clause.

Ratio Decidendi: The court held that the insurance company was deficient in service and that the consumer could approach the forum for redressal despite the existence of an arbitration clause.

Final Decision: The appeal was dismissed as being barred by time and devoid of merit.

ORDER

Ms. Rumnita Mittal, Member—This appeal is directed against order dated 21.9.2002, passed by District Forum (East), Saini Enclave, Delhi, in Complaint Case No. 87/2002 entitled Shri J.K. Mittal v. National Insurance Company Limited.

2. The relevant facts of the case, in brief, are that the respondent Shri J.K. Mittal had filed a complaint under Section 12 of the Consumer Protection Act, 1986 (hereinafter referred to as ‘the Act’) before the District Forum alleging deficiency in service on the part of the appellant on the ground that the respondent had purchased a Maruti Car, bearing Registration No. DL-7C-B-6513 from M/s. Bagga Link Motors Limited on 29.9.2001 which was duly insured with the appellant through its Preet Vihar Branch for Rs. 2,65,952/- vide Cover Note No. 0855105. The delivery of the above said car was, however, taken on 18.10.2001. The said car was stolen on 19.11.2001 i.e. after one month of delivery for which the respondent had lodged a complaint with the concerned Police Station but the F.I.R. was registered on 20.11.2001. On the same day the respondent had informed the appellant insurance company and had also lodged his claim with it after depositing all the relevant documents. Thereafter the respondent had also submitted the non-traceable report of the police on 24.12.2001. However, despite having fulfilled all the formalities the appellant had failed to settle the claim of the respondent and as such the respondent had prayed for directions to the appellant to pay the entire insured amount of Rs. 2,65,952/- with interest @ 18% p.a. from the date of lodging of the claim till payment, together with Rs. 1,00,000/- as compensation for loss suffered by the complainant, as well as cost of litigation.

3. The O.P. in its reply/written version filed before the District Forum had taken the defence that on receiving the claim of the respondent the appellant had immediately appointed Shri. P.T. Thomas as Investigator and M/s. Darbari Lal Puri & Sons as Surveyor and Loss Assessor to assess the loss incurred on account of theft of the car. Thereafter immediately on receipt of the respective reports from the aforesaid Investigator and Assessor, the appellant had approved the claim of the respondent for Rs. 2,45,000/- subject to the compliance of certain conditions, including handing over of the original keys and the Registration Certificate of the stolen car to the appellant. A communication in this regard was duly addressed to the respondent vide letter dated 22.1.2002. However, the complainant refused to accept the said amount and insisted on the payment of full insured value of the car. It was, therefore, stated by the appellants in its reply/written version that there was no deficiency in service on the part of the appellant and as such the complaint, filed by the respondent, was liable to be dismissed with heavy costs.

4. The learned District Forum, however, came to the conclusion that the appellant had been deficient in service in not passing the claim of the respondent for the full insured value of the car and as such directed the appellant to pay to the complainant the full insured value of the car i.e. Rs. 2,65,952/- together with 12% interest from the date of lodging of the claim on 20.11.2001 till actual payment and also awarded Rs. 5,000/- as compensation and Rs. 1,000/- as cost of litigation to the respondent.

5. Aggrieved by the aforesaid order, the appellant has preferred the present appeal before this Commission.

6. We have carefully perused the documents/material on record, as well as have heard the arguments advanced on behalf of both the parties. We have also duly considered the written submissions filed on behalf of the appellant. At the very outset an objection has been taken on behalf of the respondent that the present appeal being time-barred is liable to be rejected on the said ground alone. The appellant has, however, filed an application for condonation of delay along with the present appeal









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