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CHHATTISGARH STATE CONSUMER
DISPUTES REDRESSAL COMMISSION, RAIPUR
Hon’ble Mr. Justice V.K. Agrawal, President &
Mr. R.S. Awasthi, Member
M/S. MANKESHWAR BANGLE STORES—Appellant
versus
BRANCH MANAGER, ORIENTAL INSURANCE CO. LTD. & ORS.—Respondents
Appeal No. 270 of 2003—Decided on 31.7.2004

Advocates:
Counsels for the Parties :
For the Appellant :Mr. Mukesh Sharma, Advocate.
For the Respondent Nos. 1 to 3:Mr. Abhishek Sinha, Advocate.
For the Respondent No. 4: None.

The validity of an insurance claim and the insurer's repudiation of the claim must be based on sufficient evidence and a bona fide application of mind, as repudiation under such circumstances would not constitute deficiency in service.

Headnote:

Consumer Protection Act - Insurance Claim - Section 15 - [Consumer Protection Act, 1986, Section 15] - The court affirmed the findings of the District Consumer Disputes Redressal Forum that the incident of fire and the damage to the stock were doubtful, based on detailed appreciation of documents and material placed on record. The court also held that if the claim of the complainant under the insurance policy has been repudiated bona fide and after due application of mind by the insurer on the basis of documents and surveyor's report, then the repudiation would not constitute deficiency in service.

Fact of the Case:

The appellant, an insured under a Fire policy, claimed compensation for damage to his shop and bangles due to a fire. The insurer repudiated the claim, leading to the appellant filing a complaint.

Finding of the Court:

The court affirmed the District Consumer Disputes Redressal Forum's findings that the incident of fire and the damage to the stock were doubtful, and the complaint was dismissed.

Issues: Validity of the insurance claim, sufficiency of evidence to support the claim, and the insurer's repudiation of the claim.

Ratio Decidendi: The court held that if the claim under the insurance policy has been repudiated bona fide and after due application of mind by the insurer on the basis of documents and surveyor's report, then the repudiation would not constitute deficiency in service.

Final Decision: The appeal was dismissed as having no substance.

ORDER

Mr. Justice V.K. Agrawal, President—This appeal under Section 15 of the Consumer Protection Act, 1986, is directed against the order dated 21.3.2001 in Complaint No. 79/98 by District Consumer Disputes Redressal Forum, Sarguja (hereinafter called ‘the Distt. Forum’ for short) dismissing the appellant’s complaint.

2. Undisputably the appellant carries on his business at Baikunthpur, Distt. Sarguja in the name of M/s. Mankeshwar Bangle Stores. The complainant had obtained Fire policy ‘B’ from the respondent/insurer. It was alleged that during subsistence of policy on 11.10.1996, the said shop caught fire on account of short circuit resulting in damage to the shop and the bangles kept therein. The complainant, therefore, laid claim with the respondents/insurer. Surveyors B.S. Gambhir and P.K. Agarwal were appointed by the respondent/insurer. The claim of the complainant/appellant however was repudiated by the respondent/insurer. Hence, the complaint was lodged by the appellant claiming Rs. 1,99,070/- with interest as compensation.

3. The complaint was resisted by the respondents/insurer. According to them, the occurrence of incident of fire, as alleged by the complainant was found to be doubtful as per report of the Surveyor. The claim was, therefore, repudiated by the respondents by their letter dated 9.2.1998.

4. The Distt. Forum by the impugned order held that the incident of fire as reported by the complainant appears to be suspicious. The account regarding stock of bangles kept in the complainant’s shop was also not reliable. It was held that the material placed in the above regard by the complainant was discrepant and mutually contradictory. The complaint, therefore, was disallowed, with the liberty to the complainant/appellant to seek remedy in the Civil Court.

5. Heard the learned Counsels for the parties and perused the record.

6. It is mainly contended by the learned Counsel for the appellant that he has placed sufficient material on record to show that the incident of fire occurred in the shop of the complainant, and, therefore, he was entitled to compensation under the insurance policy issued by the respondents. The learned Counsel for the respondents/insurer, however, supported the impugned order.

7. It is undisputed that the complainant/appellant obtained Fire policy “B” covering the risk of the plastic and glass bangles kept in his shop for the period from 27.10.1995 to 26.10.1996. According to the complainant, the incident of fire took place on 11.10.1996 resulting in loss to the bangle stock kept in his shop. It may be noticed in the above context that the Surveyors B.S. Gambhir and P.K. Agarwal were admittedly appointed by the respondents/insurer to investigate and assess the loss. In his report dated 13.6.1997, Surveyor B.S. Gambhir has stated that there was no evidence regarding the loss to the stock of the complainant by fire. It appears from the said report that the complainant informed the Surveyor Gambhir that he had repaired the shop and thrown away the salvage, under advice of Development Officer of respondent Mr. G.S. Virdi. However, the statement of G.S. Virdi, Development Officer recorded by the Distt. Forum negates the complainant’s version as above. He has stated that the complainant had not given any photographs, etc. of the damage to the shop. He has not been asked any question by the complainant, as to whether he had advised the complainant to repair the shop?

8. The other Surveyor P.K. Agarwal has also in his report dated 13.11.1996, expressed his doubts about the genuineness of the incident of fire. He has stated that though the cause of incident as per complainant/insured was short circuit but he did not find any electric wiring on the spot. He has also reiterated the stand as above in his statement. There is nothing in his cross-examination to discredit his statement as above. It may further be noticed that no salvage of the damaged goods was produced by the complainant, before the Surveyor Gam









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