NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
AVM J. Rajendra, AVSM VSM (Retd.),
Presiding Member
Pradeep Kumar Yadav – Petitioner
versus
ICICI, Lombard Gerneral
Insurance Co. Ltd. – Respondent
Revision Petition No.1662 of 2022
(Against the Order dated 15/09/2022 in Appeal No.649/2014 of the State Commission Uttar Pradesh)
Decided on 23.9.2024
Consumer Protection Act, 2019 – Section 58(1)(b) – Insurance Policy – Theft of vehicle – Repudiation of claim – Not justified – Minor delay in intimation to Insurance Company as well as delay in lodging FIR is no more a factor for insurer to deny claim of petitioner/Complainant – Impugned order of State Commission is set aside & Order of Forum is upheld.(Paras 11, 12, 17 and 18)
Result: Revision Petition allowed.
ORDER
This Revision Petition is filed under Section 58(1)(b) of the Consumer Protection Act, 2019 (“the Act”) against the order dated 15.09.2022, passed by the learned U.P. State Consumer Disputes Redressal Commission, Lucknow (‘State Commission’) in FA No.649/ 2014 wherein the State Commission allowed the Appeal filed by the Respondent/OP against the order dated 13.02.2014 passed by the District Consumer Disputes Redressal Forum, Varanasi (‘the District Forum’) wherein the District Forum allowed Complaint No.07/2013.
2. For convenience, the parties are referred to as placed in the original Complaint filed before the District Forum.
3. Brief facts of the case, as per the Complainant, are that he is the owner of Tata Sumo bearing No.UP-65-AT-7251 and had taken an insurance policy from Respondent/OP from 13.08.2012 to 12.08.2013. On 14/15.08.2012 vehicle was stolen and on 15.08.2012 he informed the police by dialing 100 about the theft of the vehicle and thereafter, he lodged the Crime No.132/12 under Section 379 IPC on 22.08.2012 at Jaipura Varanasi Police Station. On 01.09.2012 intimation was also given to the insurer about the theft. However, the Insurance Company repudiated the claim on 02.11.2012 on the ground of violation of condition No.1 of the insurance policy in question due to delay in intimation of 8 days to the police authorities and 16 days in intimation to the insurance company. Being aggrieved, he filed a consumer Complaint before the District Forum.
4. In reply before the District Forum, OP refuted all allegations in the complaint. While acknowledging that the vehicle was insured with OP, they emphasized that the policy was subject to specific terms and conditions. The complainant failed to promptly report the theft to the police and to inform the insurer. The OP refuted the allegation that the insurance claim was repudiated solely due to delay in lodging the FIR, asserting that there was breach of crucial policy terms and conditions, including the delay in reporting theft to police as well as insurer. They contended that this delay deprived both parties of the opportunity to effectively search for the vehicle. There was thus no deficiency in service on their part and sought the complaint to be dismissed.
5. The learned District Forum vide Order dated 13.02.2014 allowed the complaint and directed the Respondent/OP as under:
“ORDER
The complaint of complainant Pradeep Kumar Yadav is accepted. The opposite parties are jointly and severely ordered to pay the insured amount of Rs.4,40,000/- of the insured amount of vehicle within one month from the date of this order and for mental, physical and mental agony Rs.5,000/- and legal expenses Rs.2000/- after the expiry of time limit 7% interest will be payable from the date of filing this complaint. Apart from this, the rest of the reliefs sought by the complainant against the opposite parties are set aside. (Extracted from translated copy)
6. Being aggrieved by the Order of the learned District Forum, the OP filed an Appeal No.649/2014 and the State Commission vide order dated 15.09.2022 allowed the Appeal and set aside the order of the District Forum with the following observations:
5. The insurance claim has been rejected by the insurance company on the ground that after the vehicle was stolen, the theft was reported with extreme delay. It is the contention of the learned counsel for the appellant that in fact the policy was obtained by the complainant from another company, which had lapsed. After the vehicle was stolen, a new policy was obtained by suppressing the information regarding the old policy and thee police report was lodged with extreme delay, therefore the insurance company was cheated by the complainant. Accordingly no claim is payable. The legal position in this regard is clear that if the insured vehicle is stolen, the first Information should be filed immediately. As per the facts of case law New India Assurance Co. Ltd. v. Sharif Ahmad IV (201
Insurance Policy – Theft – Delay in intimating theft of vehicle to insurance company – Insurance Company could not have repudiated the claim.
Intimation – the delay in intimation to the Insurance Company as also the purported transfer of the vehicle to a third party by entering into a sale agreement is no more a factor for the insurer to d....
(1) Immediate Notice – The object behind giving immediate notice to the police appears to be that if the police is immediately informed about the theft or any criminal act, the police machinery can b....
Insurance claim cannot be repudiated only on the ground of delay on part of complainant in intimating Insurance Company.
Insurance Company cannot repudiate claim in toto, made by owner of vehicle which was duly insured with Insurance Company, in case of loss of vehicle due to theft, merely on the ground that there was ....
(1) Lodgement of FIR – after the vehicle is stolen, a person, who lost his vehicle, would immediately lodge an FIR and the immediate conduct that would be expected of such a person would be to assist....
(1) Definition of Fundamental Breach – An insurance company can only deny a claim in its entirety if there is a “fundamental breach” of policy conditions. A delay in reporting is generally considered....
The Consumer Protection Act prioritizes consumer interests, allowing claims to proceed despite delays if satisfactorily explained, emphasizing pragmatic interpretation over hyper-technicality.
Login now and unlock free premium legal research
Login to SupremeToday AI and access free legal analysis, AI highlights, and smart tools.
Login
now!
India’s Legal research and Law Firm App, Download now!
Copyright © 2023 Vikas Info Solution Pvt Ltd. All Rights Reserved.