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NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
R.K. Agrawal, President and Dr. S.M. Kantikar, Member
Basmati – Petitioner
versus
LIC of India – Respondent
Revision Petition No.808 of 2010
(Against the Order dated 05/11/2009 in Appeal No.36/2009 of the State Commission Chhattisgarh)
Decided on 4.5.2022

Advocates:
Counsel for the Parties:
For the Petitioner:Mr. Brijesh Mishra, Advocate
For the Respondent:Mr. Kamal Mehta, Advocate

IMPORTANT POINT
Suppression of material fact - there is suppression of material facts by the Insured and the sum assured is not payable to the Complainant/Petitioner.

Headnote:

Consumer Protection Act, 1986 – S.21(b)[Consumer Protection Act, 2019 – S.58(1)(b)] -Revision against order of State Commission – Services – Insurance – Repudiation of Claim – Death of Insured – Information about pre-existing insurance policies - Suppression of material facts - Absence of any rebuttal by the Complainant/Petitioner - Whether there is suppression of material facts or not - In the present case, not giving the information relating to pre-existing insurance policies by the Insured at the time of taking the subsequent insurance policies was certainly material information, which had been fraudulently suppressed by him, knowing well that its disclosure may be detrimental to his intention of getting the subsequent insurance policies - Had the said information been given by the Insured, the Insurer may have taken a decision whether the subsequent insurance policies should be issued or not and if the same are to be issued, what should be the altered terms and premium therefore – Therefore, in the present case, on account of suppression of material information by the Insured, the Respondent/Insurance Company has been deprived from taking an informed decision – On facts, there is suppression of material facts by the Insured and the sum assured is not payable to the Complainant/Petitioner – Revision dismissed. [Paras 9 to 12].

Result: Revision dismissed.

ORDER

R.K. Agrawal, President.—The present Revision Petition has been filed by the Original Complainant under Section 21 of the Consumer Protection Act, 1986 against the Order dated 05.11.2009, passed by the Chhattisgarh State Consumer Disputes Redressal Commission, Pandri, Raipur, (hereinafter referred to as the State Commission) in Appeal No. 36/2009, preferred by Life Insurance Corporation of India, the Opposite Party/Respondent herein (hereinafter referred to as the Respondent/Insurance Company). By the Impugned Order, the State Commission while reversing the Order dated 23.12.2008, passed by the District Consumer Disputes Redressal Commission, Durg (hereinafter referred to as the District Commission) in Complaint Case No. 251/2007, filed by the Complainant/Petitioner, has disposed of the Appeal filed by the Respondent/Insurance Company, with a direction to the Respondent/Insurance Company to pay a sum of Rs.25,000/- to the Complainant/Petitioner herein as compensation for the deficiency in service committed by it in not deciding the claim in time and thereby compelling the Complainant/Petitioner to re-approach the District Commission as also Rs.500/- as costs. By its Order dated 23.12.2008, the District Commission had allowed the Complaint filed by the Complainant/Petitioner and directed the Respondent/Insurance Company to pay to the Complainant/Petitioner the amount of 13 policies in question along with interest @ 6% p.a. from the date of filing of the Complaint and also pay litigation costs of Rs.2000/-.

2. The facts, in brief, as culled out from the Complaint are that one Sukhdev, the husband of the Complainant/Petitioner (hereinafter referred to as the Insured), while working in Bhilai Steel Plant, had taken 13 insurance policies in the total sum of Rs.13,40,000/-. The details of the said policies have been given in Para-2 of the Complaint. The premium of the said policies was being deducted from the monthly salary of the Insured and paid to the concerned Branch of the Respondent/Insurance Company. The Insured died on 15.11.2002 in the Jawaharlal Nehru Hospital, Bhilai Steel Plant, Bhilai, where-after the Complainant/Petitioner preferred claim under the policies in question. When no amount was paid to her by the Respondent/Insurance Company, she sent a notice, dated 14.11.2004, to the Respondent/Insurance Company but neither there was any reply to the notice nor was any amount paid by the Respondent/Insurance Company. Accordingly, the afore-noted Complaint came to be filed before the District Commission, praying for a direction to the Respondent/Insurance Company to pay the assured sum of Rs.13,40,000/- along with bonus as per Rules as also interest @ 12% from the date of the Complaint etc.

3. Upon notice, the Respondent/Insurance Company filed its Reply before the District Commission. While admitting about issuance of all the 13 policies in question, it was stated on behalf of the Respondent/Insurance Company that the Insured had taken the policies from different Branches. The premium was being deducted from the salary of the Insured. However, subsequently, the Insured requested his Employer not to deduct the premium, on account of which the Employer stopped sending the premium amount and, therefore, the policies were lapsed. The Employer Bhilai Steel Plant had not been made a party in the Complaint otherwise things would have been cleared. As directed by the State Commission in the first round of litigation, the Complainant/Petitioner had not filed the claim forms properly and, therefore, the matter was not considered. Further, it was stated by the Respondent/Insurance Company that under Bima Kiran Policy a person cannot be paid for more than Rs.3.00 Lakhs and the Insured had taken eight such policies in the total assured sum of Rs.10,50,000/-. The list of the said eight policies has been depicted in Para-10 of the Written Version filed by the Respondent/Insurance Company. In three policies, out of the said eight po

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