NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
C. Viswanath, Presiding Member and Ram Surat Ram Maurya, Member
M/s Park Leather Industries Ltd. – Complainant
versus
United India Insurance
Co. Ltd. and Anr. – Opp. Parties
Consumer Case No.171 of 2008
Decided on 1.8.2022
Consumer Protection Act, 1986 – S.21(1)(a)(i)[Consumer Protection Act, 2019 – S.58(1)(a)(i)] – Services – Insurance – Fire and Special Perils - Repudiation of Claim – Complaint has been filed seeking claim from the insurance company – Complicated questions if can be decided by Consumer Fora - Whether contention of Opposite Parties that that Complaint contains complicated facts which cannot be adjudicated in a summary proceeding under Consumer Protection Act, if can be accepted - Fora at the national level, the State level and at the district level have been constituted under the Act with the avowed object of providing summary and speedy remedy in conformity with the principles of natural justice, taking care of such grievances as are amenable to the jurisdiction of the Fora established under the Act. These Fora have been established and conferred with the jurisdiction in addition to the conventional Courts. The principal object sought to be achieved by establishing such Fora is to relieve the conventional Courts of their burden which is ever-increasing with the mounting arrears and whereat the disposal is delayed because of the technicalities. Merely because recording of evidence is required, or some questions of fact and law arise which would need to be investigated and determined, cannot be a ground for shutting the doors of any Forum under the Act to the person aggrieved – Therefore, National Commission is competent to adjudicate this Consumer Complaint. [Para 13].
Consumer Protection Act, 1986 – S.21(1)(a)(i)[Consumer Protection Act, 2019 – S.58(1)(a)(i)] – Services – Insurance – Fire and Special Perils - Nature of Insurance Policy – “Commercial Purpose” - Whether the Compliant can be dismissed on the ground that the Complaint on the ground that the Complainant took the Policy in question for “Commercial purpose.” Insurance Policy is taken for reimbursement or for indemnity of the loss which may be suffered on account of insured perils, the services of the insurer cannot be said to have been hired or availed for a commercial purpose. [Para 14]
Consumer Protection Act, 1986 – S.21(1)(a)(i)[Consumer Protection Act, 2019 – S.58(1)(a)(i)] – Services – Insurance – Fire and Special Perils -“Collapse of Building” - Repudiation of Claim – Non Supply of terms and conditions of policy - Liability of Insource Company - Complaint has been filed seeking claim from the insurance company - The Policy was effective from 30.06.2005 to 29.06.2006 and the building collapsed on 01.08.2005 i.e. during the validity of the Policy. The Opposite Party/Insurance Company alleged that the building collapsed due to gradual deterioration. They have not produced any evidence, whatsoever, to support their allegation - It is clear from the report of the Surveyor deputed by the Complainant as well as the statements of the witnesses that the building collapsed due to water inundation. It is also case of the Complainant that the Opposite Party did not supply the terms & conditions of the Policy. The Opposite Parties failed to produce any evidence to prove that they supplied the terms & conditions of the Policy to the Complainant. The Insurance Company, therefore, cannot escape the liability to compensate the claimant for collapse of the building - Surveyor appointed by the Complainant assessed the loss at Rs.46,97,085/-. In the written statement, filed by the Insurance Company they have not stated that the assessment made by the Surveyor deputed by the Complainant was wrong. Since the Insurance Company has not disputed the assessment made by the Surveyor appointed by the Complainant, the Complainant is entitled to the said amount of Rs.46,97,085/- Thus, Complaint is partly allowed. Opposite Parties are directed to pay the Complainant a sum of Rs.46,97,085/- with interest @ 9% per annum from the date of repudiation till realization. [Para 23 to 25].
Result: Complaint allowed.
ORDER
The present Complaint is filed under Section 21 (a) (1) of the Consumer Protection Act, 1986.
2. The Complainant is a Limited Company incorporated under the Companies Act and operates in leather processing business, having one of its establishments at Runkata, Agra. The building, plant & machinery and stocks of the Complainant were comprehensively insured against Fire and Special Perils by Opposite Parties, vide Policy No.080404/11/05/00147, from 30.6.2005 to 29.6.2006. The Complainant paid a premium of Rs.72,126/- under the Policy for risk cover as follows:—
• Buildings including boundary wall, cables. Meter Board & other similar goods for sum assured Rs.1 Crore.
• Plant, machinery & accessories including Generator sets for sum assured Rs.1 Crore.
• Other stocks:—
o Finished Leather Sum Assured : Rs.50 Lakhs
o Chemicals for Sum assured : Rs.35 Lakhs
o Wet Blue like unfinished leather
Sum insured : Rs.1 Crore
Total Sum insured : Rs.3,85,00,000/-
3. The case of the Complainant is that in the night of 01.08.2005, due to heavy rain the factory shed fell down causing huge damage to the building, plant & machinery and stocks. On 02.08.2005, the Complainant sent intimation regarding the loss caused by inundation in the premises to Opposite Party No.2 requesting them to appoint a Surveyor to assess the loss. The Complainant submitted the claim of Rs.91 Lakhs. The Complainant wrote letter dated 04.08.2005 to Opposite Party No. 2 stating that the Complainant had not received any Policy document after paying the premium on 29.06.2005. On the request of the Complainant, the Opposite Party No.2 supplied a duplicate copy of the Policy without terms & conditions of the Policy.
4. Opposite Party No.2 deputed Mr. Dhanesh Kumar Sharma as Surveyor & Loss Assessor. The Complainant received letter dated 03.08.2005 from the Surveyor, seeking information and documents from the Complainant. The Complainant, vide letter dated 09.08.2005, submitted reply fulfilling the requirement and requested the Surveyor to supply Preliminary Survey Report to them. The Complainant received letter dated 23.08.2005 from the Surveyor, requiring further information and documents which was supplied by the Complainant, vide its letters dated 01.09.2005 and 19.10.2005. The Complainant, vide letter dated 28.11.2005, informed Opposite Party No.2 that the reconstruction at the premises was being done. Inspection be done so that the Complainant could remove the waste material from the site. Despite letter dated 28.11.2005, no final visit was made by the Surveyor. The Surveyor, however, assessed the loss at Rs.8,89,176/-. After one and a half years from the date of the incident, the Complainant received a letter dated 19.12.2006 from Opposite Party No.2, repudiating the claim of the Complainant stating as follows:—
“The loss was not due to insured peril of inundation as claimed, hence the same is outside the purview of the policy”.
After receiving the repudiation letter, the Complainant sent letters dated 20.04.2007 and 13.06.2007 to Opposite Party No.2 that repudiation of the claim was arbitrary and illegal and requested to review the decision but no response was received from Opposite Party No.2 till the date of filing the Complaint. Aggrieved by the repudiation of the claim, the Complainant filed the instant Consumer Complaint with this Commission with the following prayer:—
“A- Require respondents (Insurance Co.) to pay Rs.91,50,00/- towards losses suffered by the complainant due to inundation.
B- Require respondents (Insurance Co.) to pay interest on the aforesaid value of claim of such other value @18% p.a. from the date of incident i.e. 1.8.2005.
C- Require respondents (Insurance Co.) to pay Rs.15 Lac by way of compensation for harassment, loss suffered by the complaint due to inaction/delay on the part of respondents.
D- Pass such other & further order as this Hon’ble Commission may deem just, fit & proper under the circumstances.”
5. Opposite Pa
Harsolia Motors vs. National Insurance Co. Ltd.
Bharat Watch Company Through Its Partner vs. National Insurance Company Ltd.
1. Investigated and determined - Merely because recording of evidence is required, or some questions of fact and law arise which would need to be investigated and determined, cannot be a ground for s....
The court affirmed that damages due to inundation are covered under the insurance policy, and failure to provide policy terms invalidated the insurance company's repudiation.
Insurance – Collapse of building – Where policy in question is for reinstatement, Complainant is entitled for Reinstatement Value of similar building.
Inundated - The rainfall measured 24 cm on a single day on 24th August, 2000. Many areas of these cities were inundated. As such, it is proved that cause of loss was inundation due continuous rain fa....
Insurance claims must be assessed justly, with surveyor reports not being conclusive and subject to scrutiny.
Insurance claims must prove the cause of loss without reliance on unsupported allegations.
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