High Court Of Himachal Pradesh
R B.MISRA,PRESIDENT,V.VERMA,PRATIMA MALHOTTA
UNITED INDIA INSURANCE CO.LTD. - Appellant
Versus
LEELA SHARMA - Respondent
Appeal No. 41 of 1992
Decided On : 07/22/1993
CONSUMER PROTECTION ACT - SECTION 2(1)(g) - INSURANCE - REPUDIATION OF CLAIM - JURISDICTION OF CONSUMER FORA - VALIDITY OF REPUDIATION - BURDEN OF PROOF - INSURANCE COMPANY'S DUTY TO INVESTIGATE - GOOD FAITH - VALID GROUNDS - RENEWAL OF LICENSE - EFFECT ON INITIAL SHORTCOMING - EVIDENCE - ADMISSIBILITY - CROSS-EXAMINATION - AWARD OF COMPENSATION - FAIRNESS AND JUSTNESS - NEW GROUNDS RAISED FOR THE FIRST TIME IN APPEAL - REJECTION.
Fact of the Case:
The respondent filed a complaint before the District Forum seeking compensation for the loss suffered due to an accident involving his truck, which was insured with the appellant insurance company. The insurance company repudiated the claim on the ground that the driver of the truck did not possess a valid driving license.
Finding of the Court:
The District Forum held that it had jurisdiction to adjudicate the dispute, despite the repudiation of the claim by the insurance company. The Forum also found that the repudiation was not justified as the insurance company had failed to discharge the burden of proof of breach of the condition of the policy. The Forum awarded compensation to the respondent.
Issues: 1. Whether the Consumer Fora has jurisdiction to adjudicate a dispute arising out of repudiation of an insurance claim? 2. Whether the insurance company has the burden of proof to establish breach of the condition of the policy? 3. Whether the repudiation of the claim in the present case was justified?
Ratio Decidendi: 1. The Consumer Fora has jurisdiction to adjudicate a dispute arising out of repudiation of an insurance claim, even if the insurance company has repudiated the claim unilaterally. 2. The insurance company has the burden of proof to establish breach of the condition of the policy. 3. The repudiation of the claim in the present case was not justified as the insurance company failed to discharge the burden of proof and the repudiation was not made in good faith or on valid grounds.
Final Decision: The appeal filed by the insurance company was dismissed and the order of the District Forum was upheld.
V. Verma, Member.—The chief objection taken before the learned District Forum Solan, and reiterated before us in appeal against the formers order dated the 25th August, 1992 is that in view of the claim having been repudiated the District Forum ought to have declined to exercise jurisdiction and left the respondent to knock the door of competent civil court. Reliance for this proposition has been placed on the order of the Honble National Commission in Rajdeep Leasing and Finance Pvt. Ltd v. New India Assurance Company, 1992 CPC 88. The learned Forum below duly took the above authority into consideration and held that it has no application to the facts of the present case. The appeal does not disclose how the District Forum has gone wrong in coming to the above finding For this reason as also on merits, we are at one with the learned District Forum.
2. Probably the observations in Janta Machine Tools v. Oriental Insurance Co. Ltd, O P No. 12/90, decided on 21-8-1990 (NC), have encouraged (though wrongly) the learned Counsel for the appellants to press for adjudication by a civil court rather than by the Redressal Fora constituted under the Consumer Protection Act, 1986 Most likely he has not come across the elaboration that the Honble National Commission subsequently made in Life Insurance Corporation of India, Andhra Pradesh v Shri Bhavanam Srinivasa Reddy, 1991 (2) CPR 587 (NC), and re-affirmed in M/s Raj Kumar and Co. v M/s United India Insurance Company, Iv92(l) CPR 333. These observations reproduced in extenso are to the following effect:— "Any unilateral repudiation of the contract by the Insurance Company on the allegation that there had been a Suppression of relevant material by the insurer at the time of taking policy of insurance will not disentitle the policy holder from approaching the Redressal Forums constituted under the Act seeking an adjudication of the question whether tbe said repudiation was justified in law. In such a case the Consumer Disputes Redressal Forum has not only the jurisdiction but also a duty to investigate into the question whether the charge made by the Insurance Company on the basis of which the alleged repudiation was made is well founded in fact In case it is found as a result of such investigation that the insurance company was justified in repudiating the contract, the complaint petition before the Forum will have to fail ; if, on the other hand, the Forum comes to tbe conclusion that the charge levelled by the insurance company is not substantiated and hence there was no justification for its purported action repudiating the contract of insurance, the contract of insurance will be treated as subsisting and an enquiry will be conducted into the merits as to whether there was any deficiency in service on the part of insurance company so as to entitle complaint to grant of relief under the Act- Thus, it is clear that the jurisdiction of the statutory Redressal Forums to conduct an adjudication into the complaint is in no way affected by the unilateral repudiation of the contract of insurance by the insurer. In the decision rendered by this Commission in the New India Assurance Company Ltd v. M/s. Vipro Electronics Pvt. Ltd, Revision Petition No 12 of 1990 (Reported in I (1991) C P. J. 335) it has been held that the mere fact that the insurer had repudiated his liability in respect of the claim put forward by the* * • * * • •. Therefore, merely because tbe insurer has repudiated the insurance claim under the policy unilaterally, it is difficult to hold that the various Redressal Forums constituted under the Consumer Protection Act, I9y6 will have no jurisdiction to deal with the matter. If such a contention of the Insurance Company is accepted then in every case the Insurance Company can get a report from the surveyors and repudiate the claim and thus oust the jurisdiction of tbe Redressal Forums. The Redressal Forums, therefore, are bound to see whether or not the repudiation was m
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