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NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
Vinay Kumar, Presiding Member
M/s. Ravindra Spinners Ltd., Through its Director —Appellant
versus
National Insurance Company Ltd. Through its Regional Manager & Anr. —Respondents
First Appeal No. 169 of 2013
(Against the order dated 19.12.2012 in CC No.02/2009 of the State Commission, Haryana)
Decided on 8.7.2013

Advocates:
Counsel for the Parties:
For the Appellant :Mr. Arvind Jain, Advocate.

IMPORTANT POINT
Insured cannot reopen his claim for further relief after full and final settlement of insurance claim.

Headnote:Consumer Protection Act, 1986—Sections 17, 19 and 21—Insurance—Full and final settlement of insurance claim—State Commission dismissed complaint on ground that claim of Complainant under policy had been settled by respondent/National Insurance Co. with payment of Rs.51.89 Lakhs which had been accepted by Complainant in full and final settlement of claim—Payment of Rs.51.89 Lakhs was received without protest—Insured is seeking to reopen his claim for further relief—No evidence was led before State Commission to show that acceptance of appellant/Complainant was obtained by any acts of fraud or misrepresentation or coercion on part of respondent/Insurance Company—It is a case of action as an afterthought—Decision of State Commission is based on complete and correct appreciation of evidence on record—Appeal dismissed. (Paras 5 to 9)

       

ORDER

Vinay Kumar, Presiding Member—M/s. Ravindra Spinners Ltd. has filed this appeal against the order of Haryana State Consumer Disputes Redressal Commission in Consumer Complaint No.02 of 2009. The State Commission has dismissed the complaint on the ground that the claim of the Complainant under the policy had been settled by the respondent/National Insurance Co. with payment of Rs.51.89 lakhs on 14.3.2008, which had been accepted by the Complainant in full and final settlement of the claim.

2. The appeal has been filed with delay of 27 days. Explanation for it is contained in the application for condonation of delay. On perusal of the same the delay is condoned.

3. The records submitted on behalf of the appellant have been perused and Mr. Arvind Jain Advocate has been heard at length on behalf of the appellant. The case of the appellant/complainant, as seen from the complaint filed on 7.1.2009 before the State Commission, was that it had received the amount under coercion/compulsion due to financial constraints. The memorandum of appeal also states that the State Commission has failed to appreciate that the Complainant accepted the amount under pressure and due to financial problem. It is contended that the State Commission failed to appreciate that the ‘full and final’ acceptance cannot be held against the appellant/Complainant as it amounted to reduction of the claim to 75%.

4. Learned counsel for the appellant Mr. Arvind Jain argued that the allegation of coercion/pressure should have been appreciated by the State Commission in the light of the fact that the Complainant had lost everything in the accident of fire and was left with no option but to accept whatever was offered. However, learned counsel clarified that no specific evidence on the plea of coercion had been led before the State Commission. He accepted that no evidence was produced before the State Commission to show that the amount of Rs.51.89 lakhs was received under protest. He also accepted that the discharge slip acknowledging the payment in full and final settlement was signed on 14.3.2008, while the legal notice was issued by the appellant to the respondent/Insurance Company nearly four months thereafter, on 5.7.2008.

5. On consideration of the pleadings and evidence before it, the State Commission has arrived at the following categorical decision:-

“Having considered the facts and circumstances of the case and the ‘Discharge voucher’, we find force in the contention raised on behalf of the opposite parties. It is well settled law that once the claim has been accepted by the claimant without any objection by signing consent letter in full and final settlement of claim offered by the Insurance Company, thereafter, the claimant cannot be allowed to reopen his claim seeking any further relief. However, mere execution of discharge voucher in the form of letter of indemnity cannot deprive the claimant of consequential relief if discharge voucher was obtained by fraud, misrepresentation or under coercion. There is no evidence on behalf of the complainant that any fraud or misrepresentation or coercive method was adopted by the Insurance Company upon the complainant at the time of signing the discharge voucher and as such the complainant is not entitled for any further compensation.”

6. As seen from the impugned order, the State Commission has relied upon the law as laid down by Hon’ble Supreme Court of India in United India Insurance v. Ajmer Singh cotton and General Mills & Ors. Etc.1 as well as the decision of this Commission in National Insurance Company Ltd. v. Kuka Rice & General Mills.2

7. Considered objectively, the pleadings and the evidence led before the State Commission clearly established that:-

a) That the payment of Rs.51.89 lakhs was received without protest.

b) The discharge slip admittedly signed on 14.3.2008 makes it a full and final settlement of the claim.

c) It took the Complainant nearly four months to give the legal notice of 5.7.20




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