NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
AVM J. Rajendra, AVSM VSM (Retd.), Presiding Member
M/s. Raj Khad Bhandar – Appellant
versus
United India Insurance Co. Ltd. – Respondent
First Appeal No.1726 of 2016
(Against the Order dated 20/10/2016 in Complaint No.41/2015 of the State Commission Haryana)
Decided on 25.1.2024
Consumer Protection Act, 1986 – Section 19 [Consumer Protection Act, 2019 – Section 51] – Services – Fire Insurance – Admission of Claim – Whether the claim paid by the OPs is as per the policy – The Joint physical verification prepared by the Complainant and the OP and signed by both the parties revealed that 20 items were damaged in the said fire incident. Having admitted the extent of the loss, the Complainant made further claim. it is the contention of the Complainant that the value of the goods as Rs.29,70,107/-. This amount of the claim cannot be granted as these goods are well beyond those stated in the joint inspection report. The amount admitted by the Complainant as well as the OP which constitutes the best piece of evidence, is Rs.2,46,535/-. This amount is even less than the amount assessed by surveyor. The surveyor assessed loss as Rs.3,27,000/- which is on the higher side. Notwithstanding the same, the learned State Commission considered that as the insurance company relied upon the report of the surveyor, the Complainant was awarded compensation of Rs.3,27,180/-, as determined by the surveyor – Therefore, order upheld, Appeal dismissed. [Paras 10 to 19].
Result: Appeal dismissed.
ORDER
The present First Appeal has been filed under Section 19 of the Consumer Protection Act, 1986 (“the Act”) against the Order dated 20.10.2016 passed by the learned Haryana State Consumer Disputes Redressal Commission, Panchkula (“the State Commission”), in Consumer Complaint No.41 of 2015, wherein the Complaint filed by the Complainant (Appellant herein) was partly allowed.
2. For Convenience, the parties in the present case being referred to as mentioned in the Complaint before the State Commission. The Complainant is the proprietor of M/s. Raj Khad Bhandar and running Pesticides and Fertilizer Products business. United India Insurance Company Ltd. is referred to as the Opposite Party/Insurer (OP).
3. Brief facts of the case, as per the Complainant, are that the Complainant obtained a standard fire insurance policy from the OP for Rs.40,00,000/- valid from 05.11.2012 to 04.11.2013. On the night of 30.10.2013, a fire erupted in the Complainant’s shop, resulting in the destruction of goods valued over Rs.40,00,000/-. Subsequently, they submitted a claim for the sum assured, but only Rs.3,27,180/- was paid. Dissatisfied, they filed Consumer Complaint No.41 of 2015 before the State Commission, seeking release of full Rs.40,00,000/- along with interest @ 18% p.a. Also, Rs.1,00,000/- was claimed for mental agony and Rs.21,000/- as costs.
4. In the reply, the OP asserted that based on the report of fire and the claim by the Complainant, surveyor was appointed on 31.10.2013. They conducted inspection on 01.11.2013 and the Complainant was instructed to segregate the damaged and other articles. After receiving the necessary information, a follow-up visit was made on 07.11.2013 and the loss was assessed at Rs.3,27,000/-This assessment was not accepted by the Complainant, who failed to substantiate the claim of loss of Rs.40,00,000/-. Additionally, the OP has also raised objections as regards maintainability of the complaint contending that it is defective due to non-joinder of necessary parties. Specifically, Syndicate Bank, Panipat, the Complainant’s financier, has not been impleaded. The OP has also cited concealment of true facts, among other grounds and sought dismissal of the complaint.
5. The learned State Commission partly allowed the complaint, issuing the following Order—
“6. ….As per calculation submitted by complainant value of the articles is Rs.2,46,535/- much less then the amount assessed by surveyor. The surveyor has assessed loss to the tune of Rs.3,27,000/- which is on the higher side. As insurance company is relying upon the report of the surveyor, so it cannot go out of the same. Resultantly claimant is awarded compensation to the tune of Rs.3,27,180/- as mentioned in Ex.R-1 .
7. As a sequel to above discussion complaint is allowed and O.P. is directed to pay Rs.3,27,000/- alongwith interest @ 12% per annum from the date of filing of the complaint till realization. Complainant is also awarded compensation of Rs.21,000/- for mental harassment and agony and Rs.11,000/- as litigation expenses.”
6. Being aggrieved by the impugned order, the Complainant (Appellant herein) filed this present Appeal seeking the following:
It is therefore, most respectfully prayed that this Hon’ble Commission may graciously be pleased to:—
[a] Call the Record and Admit the appeal
[b] Modified the Judgment and Order dated 20.10.2016 passed by the Hon’ble State Consumer Disputes Redressal Commission, Haryana, Panchkula in Complaint No. 41 of 2015 and the respondent may kindly directed to pay Rs. 40 lacs [for loss of pesticides, fixture and furniture suffered by the appellant) along with interest @ 18%
[c] Pass such other order/orders as this Hon’ble Commission may deem just and proper in the facts and circumstances of the case.
7. The Appellant raised the following grounds of appeal in the present memo:—
(a) The Appellant had regularly deposited the stock report with his banker. The surveyor failed to consider the stock statements
Sri Venkateswara Syndicate vs. Oriental Insurance Company Limited and Anr.
(1) Hearsay – No documentary evidence in regard to financial stress of the insured has been brought on record and this assertion is merely a hearsay.(2) Sampling – A mere sampling of some bills canno....
Insurance Policy – Fire in Insured Premises – For a surveyor’s report to be declared unacceptable, it is essential that it should be shown to be perverse & arbitrary.
IMPORATNT POINT Appointment of Surveyor – Insured can also appoint a Surveyor or loss accessor.
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.
Surveyor report The surveyor report is not based on legally justiciable reasons and facts and cannot be relied upon, being arbitrary and perverse.
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