UTTARAKHAND STATE CONSUMER DISPUTES REDRESSAL COMMISSION, DEHRADUN
Kumkum Rani, President, B.S. Manral, Member
United India Insurance Company Ltd. – Appellant
versus
Lalit Prasad Arya and Anr. – Respondents
Decided on 22.1.2026
Consumer Protection Act, 2019 – Section 41 – Appeals against the orders of the District Commission – The complainant’s privately registered and insured vehicle met with an accident and fell into a ditch – The appellant (insurance company) repudiated the claim based on an investigator’s report revealing that, at the time of the accident, the vehicle had been hired for Rs.500/- to drop a passenger, thereby violating the private car policy conditions (use for commercial purpose/hire and reward) – The District Commission allowed the complaint in full, reasoning that a one-off charge of Rs.500/- did not constitute commercial use – The insurance company appealed this decision – Whether an insurance company can entirely repudiate an accidental damage claim of a private vehicle if it was being used for commercial purposes (hire) at the time of the accident – Whether the complainant is entitled to concurrent compensation for both interest on the claim amount and separate damages for mental agony – The State Commission disagreed with the District Commission, affirming that the vehicle was indeed being used for commercial purposes at the time of the accident, which constitutes a breach of the insurance policy – However, relying on the Supreme Court judgment in National Insurance Company Limited Vs. Nitin Khandelwal, the Commission held that the nature of the vehicle’s use cannot be the sole basis for total repudiation – Instead, the claim must be honored on a non-standard basis (75% of the admissible claim) – Furthermore, the Commission reiterated the settled law that compensation for mental/financial agony and interest cannot both be awarded simultaneously – The appeal was partly allowed.
ORDER
Kumkum Rani, President—This appeal under Section 41 of the Consumer Protection Act, 2019 has been directed against the impugned judgment and order dated 19.03.2024 passed by learned District Consumer Disputes Redressal Commission, Bageshwar (hereinafter to be referred as “The District Commission”) in consumer complaint No. 04 of 2019, styled as Sh. Lalit Prasad Arya Vs. Micro Branch Manager, United India Insurance Company Limited and another, wherein and whereby the consumer complaint was allowed and the appellant - insurance company to pay compensation of Rs.2,08,000/- to respondent No. 1 / complainant together with interest @8% p.a. from 11.10.2018, i.e., the date of repudiation of the claim till payment, besides to pay Rs.20,000/- towards mental agony and Rs.10,000/- towards litigation expenses. It was further held that since the surveyor of the insurance company has assessed the loss on Net of Salvage Basis with R.C., hence the insurance company shall have no right over the salvage of the insured vehicle. The proceedings of the consumer complaint were dropped against respondent No. 2 / opposite party No. 2.
2. The facts giving rise to the present appeal, in brief, are, as such that respondent No. 1 / complainant is the registered owner of vehicle bearing registration No. UK-02-A-0273, which was insured with the appellant - insurance company under Private Car Package Policy for the period from 13.11.2017 to 12.11.2018 at an IDV of Rs.2,64,000/-. During the currency of the insurance policy, the insured vehicle met with an accident on 07.04.2018 at 10:00 p.m. near Khirabgarh, Nayal and fell in a 40 mts. deep ditch. The intimation of the accident was given by the complainant to the insurance company. The insurance company got the claim investigated through its investigator - respondent No. 2 / opposite party No. 2. The insurance company through letter dated 11.10.2018 repudiated the claim of the complainant on the ground that as per the investigation report, at the time of accident, the insured vehicle was being used for commercial purpose, i.e., hire and reward, in contravention of the terms and conditions of the SC/5/A/16/2024 United India Insurance Company Limited 22.01.2026 Versus Sh. Lalit Prasad Arya and another insurance policy, hence the claim is not payable. Therefore, the consumer complaint was filed by the complainant before the District Commission.
3. The appellant - insurance company filed written statement before the District Commission and pleaded that upon receipt of intimation of accident of insured vehicle, Sh. Ravindra Pal Singh Tomar was appointed as investigator to investigate the matter. During the course of investigation, it transpired that on 07.04.2018 at 9:30 p.m., the complainant had taken the insured vehicle on booking of Rs.500/- from Kapkot to Pothing and while returning back, the accident took place. The vehicle was registered and insured as a private vehicle, whereas at the time of accident, it was being used for commercial purpose, in violation of the terms and conditions of the insurance policy. Thus, the claim of the complainant was rightly repudiated by the insurance company and there lies no deficiency in service on their part.
4. Inspite of sufficient service of notice, the respondent No. 2 / opposite party No. 2 neither appeared before the District Commission, nor filed any written statement, hence the District Commission vide order dated 01.06.2019 proceeded the consumer complaint ex-parte against him.
5. The District Commission, after hearing learned counsel for the contesting parties and after taking into consideration the material available on record, allowed the consumer complaint vide impugned judgment and order dated 19.03.2024 in the above terms. Feeling aggrieved by the impugned judgment and order, the insurance company has preferred the instant appeal before this Commission.
6. We have heard learned counsel for the appellant - insurance company and perused the record. Vide
National Insurance Company Limited Vs. Nitin Khandelwal; IV (2008) CPJ 1 (SC). (Para 10)
(1) Settlement on Non-Standard Basis (Insurance Law Principle) – As established by the Supreme Court in Nitin Khandelwal, when a vehicle is insured as a private vehicle but meets with an accident whi....
Driving License – As it is proved that the vehicle was in stationary condition, therefore, there was no necessity of driving licence of the insured and in the given facts and circumstances of the cas....
Surveyor – The surveyor should have given the reason why he has disallowed the cost of such parts.
Damage to vehicle in accident – When there is overloading of vehicle beyond licensed carrying capacity, claim has to be settled for not exceeding 75% of admissible claim.
The court established that the compensation awarded should reflect the total loss as assessed by the surveyor, leading to a modification of the original order.
Accident of insured vehicle – In case of total loss insurance claim is to be settled on total loss basis and not on IDV.
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