NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
R.K. Agrawal, President and Dr. S.M. Kantikar, Member
National Insurance Co. Ltd. —Appellant
versus
M/s. Arora Housing Pvt. Ltd.
and Anr. —Respondents
First Appeal No.320 of 2012
(Against the Order dated 11/04/2012 in Complaint No. 4/2004 of the State Commission Uttaranchal)
Decided on 29.6.2022
Consumer Protection Act, 1986 – S.19 [Consumer Protection Act, 2019 – S.51] – Appeal against order of State Commission – Services – Insurance – Fire Accident – Entitlement for higher compensation – Supplementary report – Material information – The complainant owned only 1215.00 square meters of the area, which comprises Block 1 and Block 2 and the insurance company without any reasonable basis has presumed that it owned 4862.00 square meter of the area. This material information has misled the surveyor, who in turn, submitted the supplementary report reassessing the loss of Rs. 22,22,975/- The complainant is entitled to get an amount of Rs. 96,78,211/- against the insurance claim filed by him. Considering the facts and circumstances of this case he is also entitled to get adequate compensation for mental and physical agony and financial loss and also cost of litigation. Therefore, it would be just and proper that complainant should be awarded a higher rate of interest than the rate Commission generally award on the award amount in lieu of compensation “ Thus, if this controversy whether the complainant owns 4862.00 square meters of area put to rest with a finding that the complainant actually owns an area of 1215.00 square meters, the controversy regarding estimated loss also come to an end. In other words, the original report submitted by the surveyor should be accepted wherein the loss has been assessed at Rs. 96,78,211/- – Thus, the consumer complaint is allowed against the Opposite Party Nos. 1 and 3, the Insurance Company – Appeal dismissed. [Para 11 to 12]’
Result: Appeal dismissed.
ORDER
R.K. Agrawal, J., President—The present Appeal has been filed against the Order dated 11.04.2012 passed by the State Consumer Disputes Redressal Commission Uttarakhand (hereinafter to be referred to as “State Commission”), whereby the Complaint filed by the Complainant was allowed and the Opposite Party Insurance Company was directed to pay a sum of Rs.96,78,211/- alongwith interest @10%p.a. from the date of filing of the consumer complaint till the date of actual payment together with cost of Rs.10,000/- the Complainant.
2. Brief facts of the case as narrated in the Complaint are that the M/s. Arora Housing Private Limited, (hereinafter referred to as the Complainant) was running an institute for education of the students under the name and style of “International Tourism Institute (India)” at its building situated at Jahangirabad Palace, Mallital, Nainital and also a hotel under the name and style of “Palace Resorts” in the same building mainly for the purpose of imparting practical training to the students of the said Institute. The Complainant renovated and furnished the said building for which it invested its own capital and also took a loan of Rs.1.10 Crore from Punjab & Sind Bank (hereinafter referred to as the Opposite Party Bank). The Complainant obtained insurance of the said Building from National Insurance Company Ltd. (hereinafter referred to as the Opposite Party Insurance Company) w.e.f. 17.02.2000 to 16.02.2001. During the currency of the Policy on 16.01.2001 unfortunately the insured building caught fire and was completely destroyed. The Complainant informed the incident to the Opposite Party Insurance Company, who appointed Mr. V.D. Joshi for spot survey and M/s. Rohit Kumar & Co. for survey of the site and assessment of the loss. The Surveyor vide letter dated 30.04.2002 informed the Complainant that claim was adjusted for Rs.96,78,211/- and asked the Complainant for giving its consent. As the Complainant was hard-pressed of the funds, it gave its consent vide letter dated 01.05.2002 for settlement of claim at Rs.96,78,211/-. Despite that the said amount was not paid to the Complainant. After lot of follow-up, the Complainant was informed by the Insurance Company vide its letter dated 26.12.2003 that the claim was settled at Rs.22,22,975/-. But the Insurance Company did not pay even the sum of Rs.22,22,975/- as the Complainant wanted to accept this amount under protest, while on the other hand, the Insurance Company wanted that the Complainant should accept this amount as full and final settlement. Alleging deficiency in service and unfair trade practice on the part of the Opposite Parties, the Complainant filed a Consumer Complaint before the State Commission.
3. The Appellant Insurance Company contested the Complaint before the State Commission and submitted that the consent of the Complainant is not binding upon the Insurer and the insurer has right to pay or settle any claim at an amount different from the amount assessed by the approved surveyor or loss assessor; the survey report submitted by the M/s Rohit Kumar and Co. was prepared in the absence of requisite information and documents as such they could not accept the said report and appointed M/s. Atul Kapur & Co. to investigate, collect, co-relate and corroborate certain information, who with the help of their consulting engineer made thorough investigations / observations / verifications / inspections of the site, prepared a detailed report on 18.12.2003 which was sent to M/s. Rohit Kumar & Co., who prepared their supplementary report and finally assessed the loss at Rs.22,22,975/- and they offered the said amount to the Complainant but they did not accept the same and opted to approach this Commission. It was submitted that there is no deficiency in service on their part and prayed that the Consumer Complaint be dismissed.
4. After hearing both the parties and perusal of material on record, the State Commission allowed the Complaint and dire
Insurance companies cannot avoid liability by citing external compensations, and second surveyors must be appointed with regulatory oversight.
IMPORATNT POINT Appointment of Surveyor – Insured can also appoint a Surveyor or loss accessor.
Purchase of policy – The Opposite Party was, therefore, not liable to indemnify the loss. Regarding existence of the building on the date of purchase of the Policy.
Report of surveyor is an important document and a basis for consideration of the claim.
The insurer must resolve claims in a timely and fair manner, supported by adequate documentation, as upheld by the Consumer Protection Act.
Approved Surveyor’s assessment is necessary for a claim – There is no reason to reject Report of Surveyor Target Surveyor which inspire confidence of Bench.
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