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2023 Supreme(J&K) 434

IN THE HIGH COURT OF JAMMU & KASHMIR AND LADAKH AT SRINAGAR
M.A. CHOWDHARY, N. KOTISWAR SINGH, JJ.
National Insurance Company Limited – Appellant
Versus
M/s Kunal Stone Crusher – Respondent
FAO(D) No. 1 of 2020, CM No. 1685 of 2020
Decided on : 10-08-2023

Advocates:
Advocate Appeared:
For the Appellant :Mr. Atir Javed Kawoosa, Advocate
For the Respondent:Mr. S. M. Ayoub, Advocate

Headnote:

Insurance - Insurable Interest - Consumer Protection Act - [M/S Kunal Stone Crusher V. National Insurance Company Limited] - [Insurance Act, 1938, Section 64VB; Consumer Protection Act, 1986, Section 2(g), 14, 17, 27] - The court discussed the insurable interest of the complainant in the property and the scope of exclusion clause IMT 47 under the Insurance Act. The court also considered the duty of good faith and disclosure in insurance contracts as per the Consumer Protection Act. The interpretation of exclusion clauses, duty of disclosure, and the principle of good faith influenced the court's decision to remand the matter for fresh determination.

Fact of the Case:

The complaint was filed against the Insurance Company for not entertaining the claim after an excavator, insured by the complainant, met with an accident. The Insurance Company argued that the complainant had no insurable interest in the property and that the policy did not cover the accident. The Consumer Commission held in favor of the complainant, awarding compensation. The Insurance Company challenged the decision.

Finding of the Court:

The court found that the Commission did not address the scope of the exclusion clause IMT 47 and the duty of disclosure by the Insurance Company. It remanded the matter for fresh determination on these issues. The court also upheld the finding that there was insurable interest in the property and did not require reconsideration.

Issues: Scope of exclusion clause IMT 47, Duty of disclosure by the Insurance Company, Insurable interest of the complainant

Ratio Decidendi: The court's decision was influenced by the interpretation of exclusion clauses, duty of disclosure, and the principle of good faith in insurance contracts. It emphasized the need for proper explanation of exclusion clauses and the duty of both parties to disclose all material facts in the insurance contract.

Final Decision: The court remanded the matter for fresh determination on the scope of the exclusion clause and the duty of disclosure. It upheld the finding on insurable interest and directed the parties to appear before the Commission for further proceedings.

ORDER :

N. Kotiswar Singh, J.

1. The present petition has been filed against the order dated 24.10.2019 passed by Jammu & Kashmir State Consumer Disputes Redressal Commission (SCDRC), Srinagar in complaint No. 43/2011, titled “M/S Kunal Stone Crusher V. National Insurance Company Limited”

2. It is the case of the complainant that the complaint was filed by M/S Kunal Stone Crusher through Manzoor Ahmad Naikoo after the machine one Tata Hitech Excavator which was purchased by him and insured with the National Insurance Company which was valid from 17.07.2009 to 16.07.2010, for an amount of Rs. 20.00 lacs. The said machine was used for excavation works on being hired by various contractors.

3. It is the case of the complainant that on 20.08.2009 during the subsistence of the insurance, the said Excavator met with an accident at Mihi Mangil Road Banihal while undertaking excavation work after falling into the deep Nallah and was totally damaged. The said accident was duly reported and, accordingly, FIR was registered with the Police Station Banihal vide FIR No. 179/2009. The complainant also duly informed, about the said accident, to the Insurance Company which was duly acknowledged by the insurance company. After the said intimation, the insurance company deputed one Surveyor for preliminary survey and spot inspection and accordingly to submit the report.

4. The complainant also submitted his own claim to the tune of Rs. 32,26,072/-. The surveyor after examining and discussing, settled the claim for Rs. 14.20 lacs on the basis of, total loss net of salvage basis, which was acceptable to the complainant, but the Insurance Company without proper reasons did not entertain the claim leading to filing of the complaint before the Consumer Commission alleging deficiency in services. The said complaint before the Commission was registered,

5. The Insurance Company taking the plea that complainant has no insurable interest in the property, inasmuch as, the said machine earlier belonged to one M. C. Chopra who had sold to Ab. Qayoom and Ghulam Ahmad Dar on 08.06.2007 prior to the commencement of the insurance without intimating any such transfer to the Insurance Company and thereafter, the complainant along with Khursheed Ahmad and Mehraj Din purchased the machine from Ab. Qayoom and the Ghulam Ahmad Dar, as such, the complainant is not the consumer and there was no contract between the complainant and Insurance Company, as such, there cannot be any deficiency of service on the part of the Company towards the claimant.

6. Learned Commission after considering the issue of insurable interest of the property held that in terms of the Surveyor’s report which was not being denied by the Insurance Company, the complainant is entitled to a sum of Rs. 14.20 lacs along with interest @ 9% from the date of complaint.

7. The aforesaid award has been challenged by the Insurance Company on two grounds; one that the Insurance Company has taken a specific plea as mentioned in the objection filed before the Commission that the policy did not cover any accident arising out of the operational use of the Excavator and it has been specifically mentioned in the policy that the policy is subject to IMT 47 and as per the commercial vehicle package policy of the Insurance Company, IMT 47 provides that the insurance policy shall not be liable for loss of damage resulting from overturning arising out of the operation as a tool of a vehicle and in the present case the complainant choose not to subscribe.

8. It has been said that though the insurance was in respect of the said machine, but it was not covered for loss of damage resulting from overturning arising out of operation and it has been clearly mentioned in the policy and in fact no additional payment which is required to be paid on account of loss of damage resulting from overturning arising out of the operation was paid by the insured and, as such, since the policy did not cover any such loss on account of overturning

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