KERALA STATE CONSUMER DISPUTES REDRESSAL COMMISSION, THIRUVANANTHAPURAM
B. Sudheendra Kumar, President and Ajith Kumar D., Judicial Member
ICICI Lombard General Insurance Co. Ltd. – Appellant
versus
Devassia – Respondent
First Appeal No.819 of 2017
(Arisen out of Order Dated in Case
No.CC/224/16 of District Idukki)
Decided on 17.12.2024
Insurance of vehicle – Deficiency in service – Not proved – Claim of Repair Charges – Vehicle met with an accident – Amount ordered by District Commission was more than the Insured Declared Value (IDV) – Merely because OP decides not to contest the case, it cannot be said that commission need not evaluate the evidence before allowing the claim – Since OP remained ex-parte, District Commission had casually & mechanically passed the order impugned without due appreciation of evidence & in the said circumstances, this Commission if of considered view that order impugned cannot be sustained & consequently, it is set aside. (Paras 7 to 10)
Result: Appeal allowed.
JUDGMENT
B. Sudheendra Kumar, President.—The appellant is the opposite party in C.C.No.224/2016 on the files of the District Consumer Disputes Redressal Commission, Idukki (for short ‘the District Commission’).
2. The appellant challenges the order passed by the District Commission directing the appellant to pay an amount of Rs.59,477/- (Rupees Fifty Nine Thousand Four Hundred and Seventy Seven only) with 9% interest to the complainant along with compensation of Rs.5,000/- (Rupees Five Thousand only) and costs of Rs.1,000/- (Rupees One Thousand only) with a further direction to pay 12% interest on default.
3. The complainant is the respondent herein. The complainant is the owner of a vehicle bearing registration No.KL 7/BG-3262 which met with an accident on 08.02.2016. In order to repair the said vehicle, the complainant spent an amount of Rs.1,06,492/- (Rupees One Lakh Six Thousand Four Hundred and Ninety Two only). Immediately after the accident, the matter was reported to the opposite party with whom the vehicle was insured during the relevant period. Thereafter, the complainant duly made the claim to the opposite party who paid only an amount of Rs.47,015/- (Rupees Forty Seven Thousand and Fifteen only) without any explanation. In the said circumstances, the complainant filed a complaint alleging deficiency in service on the part of the opposite party.
4. Notice was served on the opposite party. However, the opposite party did not incline to appear or contest the case before the District Commission. The complainant filed proof affidavit and Exhibits P1 to P12 were marked for the complainant. After evaluating the evidence, the District Commission directed the opposite party to pay the amount as aforesaid.
5. Notice was served on the respondent. However, the respondent has no representation.
6. Heard the learned counsel for the appellant and perused the records.
7. It is not disputed that the vehicle of the complainant was having a valid insurance coverage on 08.02.2016 when the accident occurred. The complainant got the repairing works of the vehicle done through an authorised service centre for an amount of Rs.1,06,492/- (Rupees One Lakh Six Thousand Four Hundred and Ninety Two only).
8. It is not disputed that the opposite party paid only an amount of Rs.47,015/- (Rupees Forty Seven Thousand and Fifteen only) towards repairing charges. Exhibit P9 would show that the complainant had to spend an amount of Rs.1,06,492/- (Rupees One Lakh Six Thousand Four Hundred and Ninety Two only) for repairing the vehicle.
9. We have gone through Exhibits P1 to P8 which are the invoice bills. The total of Exhibits P1 to P8 would come to Rs.1,04,992/- (Rupees One Lakh Four Thousand Nine Hundred and Ninety Two only). It is also to be noted that the Insured Declared Value (IDV) of the vehicle is Rs.1,00,625/- (Rupees One Lakh Six Hundred and Twenty Five only) as per Exhibit P11 insurance policy. Therefore, the ordered amount should not have exceeded the Insured Declared Value (IDV). However, in this case, the District Commission ordered to pay an amount of Rs.59,477/- (Rupees Fifty Nine Thousand Four Hundred and Seventy Seven only), which was the amount obtained by subtracting the amount of Rs.47,015/- (Rupees Forty Seven Thousand and Fifteen only) already paid by the opposite party from the total amount of Rs.1,06,492/- (Rupees One Lakh Six Thousand Four Hundred and Ninety Two only) claimed by the complainant. Thus, the amount ordered by the District Commission was more than the Insured Declared Value (IDV) as per Exhibit P11.
10. It is settled law that even though the opposite party remains ex-parte, the Commission is duty bound to evaluate the evidence and find out the truthfulness of the claim before passing the order allowing the claim. Merely because the opposite party decides not to contest the case, it cannot be said that the commission need not evaluate the evidence, before allowing the claim. In this case, it appears that since the
Damage to insured vehicle in accident – Insurance company may not pay full cost of repair – They deduct specific amount based on depreciation, policy exclusions etc.
Accident of insured vehicle – In case of total loss insurance claim is to be settled on total loss basis and not on IDV.
The central legal point established in the judgment is the interpretation of the provisions of the Consumer Protection Act, 1986, to establish deficiency in service and unfair trade practice, influen....
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