IN THE HIGH COURT OF JUDICATURE AT MADRAS
SENTHILKUMAR RAMAMOORTHY, J.
M/s. Thiruvannamalai Pothys, Rep. by its Proprietor Mr.K.Sekar, Thiruvannamalai - Appellant
Versus
The United India Insurance Company Ltd., Having Regs. Chennai & Others - Respondent
Civil Suit (Comm.Div) No. 444 of 2017
Decided On : 21-06-2022
Insurance - Recovery of Claim - Conditions 1, 3(a), 3(b), 6(i) - Life Insurance Corporation of India and Others v. Asha Goel and Another, (2001) 2 SCC 160 - Satwant Kaur Sandhu v. New India Assurance Co. Ltd,(2009) 8 SCC 316 - M/S.Sriraj Steels P Ltd v. United India Insurance Co. Ltd, 2017 SCC Online Mad 8027 - Khatema Fibres Ltd v. New India Assurance Company Ltd and another IV (2021) CPJ 1 (SC)
Fact of the Case:
The Plaintiff, an insured under a standard fire and special perils policy, filed a suit against the insurer for recovery of a sum of Rs.6,82,49,000/- with interest thereon at 24% per annum from the date of plaint till the date of realization. The insurer repudiated the claim, alleging breach of policy conditions and non-disclosure of material facts.
Finding of the Court:
The Court found that the Plaintiff did not breach the insurance policy conditions and that the repudiation by the Insurer was not legal. However, the Court concluded that the Plaintiff failed to establish the value of stock available at the insured premises when the accident occurred. As a result, the Plaintiff was entitled to a sum of Rs.2,25,23,012/- along with interest at 12% per annum from 25.03.2015 till the date of realization, and possession of the recovered stocks, the value of which was deducted by the Surveyor.
Issues: Jurisdiction of the Court, Entitlement to Claim under the Policy, Breach of Policy Conditions, Third Defendant as a Necessary Party, Legality of Repudiation, Liability of the Defendants, Reliefs
Ratio Decidendi: The duty to disclose material facts runs throughout the continuance of the contract of insurance and it is binding on both parties to the contract. The Court also held that the Surveyor cannot be faulted for not considering fully gutted and unidentifiable stocks in the absence of a stock statement or a document correlating the purchase bills and the stocks at site.
Final Decision: The suit was partly decreed by directing the first and second Defendants to pay the Plaintiff the sum of Rs.2,25,23,012/- along with interest thereon at 12% per annum from 25.03.2015 till the date of realization. The Plaintiff was also entitled to the possession of the recovered stocks, the value of which was deducted by the Surveyor, and costs.
JUDGMENT
(Prayer: The suit is filed under Order VI Rule 1 of O.S. Rules r/w Order VII Rule 1 of CPC to direct the Defendants to pay a sum of Rs.6,82,49,000/- together with future interest thereon @ 24% per annum from the date of plaint till the date of realization and for the costs of the suit.)
1. The suit was filed by the insured under a standard fire and special perils policy against the insurer for recovery of a sum of Rs.6,82,49,000/- with interest thereon at 24% per annum from the date of plaint till the date of realization.
2. The Plaintiff is a proprietary concern, represented by its proprietor, Mr.K.Sekar. The Plaintiff is engaged in the business of selling garments. The Plaintiff stated that its stocks-in-trade are purchased from suppliers either on cash and carry or credit basis, and that the monthly turnover is about Rs.25,00,000/-. For purposes of the above business, the Plaintiff established a showroom in Thiruvannamalai on 29.08.2012 in premises measuring about 7500 sq.ft. and consisting of three floors. According to the Plaintiff, garments were purchased and stocked in the said premises. The Plaintiff also incurred expenditure towards infrastructure such as false ceiling, electrical work, facelift, wood and glass work and air-conditioning. The shop was insured by the first and second Defendants(the Insurer) under a standard fire and special perils policy bearing Policy No.012102/11/13/11/00000470, which was valid from 17:00 hours on 25.03.2014 until midnight of 24.03.2015. The insured perils were enumerated in the policy and covered 12 perils such as fire, lightning, explosion, storm, etc. The sum insured under the policy is Rs.6,82,49,000/-. The original copy of the insurance policy was mortgaged with the Bank of Baroda, Thiruvannamalai Branch, the third Defendant herein.
3. The Plaintiff stated that there was a fire at the shop on 20.10.2014 at about 8:00 p.m. On the same date, the Plaintiff was informed about the fire. Therefore, the Plaintiff lodged a police complaint, which was registered under Crime No.536 of 2014 on the file of the Inspector of Police, Town Police Station, Thiruvannamalai. The Plaintiff informed the Insurer about the fire accident and submitted a claim on 24.10.2014 for a sum of Rs.7,49,32,000/-. The said claim covered the value of stock, electrical equipments and other fittings. The police authorities investigated the cause of the accident on the basis of the report of the Tamil Nadu Electricity Board and the Assistant Director of the Tamil Nadu Forensic Sciences Department. On such basis, the final report dated 27.10.2015 was filed before the Judicial Magistrate No.1, Thiruvannamalai, stating that the fire was caused accidentally.
4. The Insurer appointed an independent surveyor, namely, M/s.Meticulous Surveyors, to conduct a survey and also appointed one Mr.M.S.Prasad as the Investigator. Subsequently, the Insurer issued a letter of repudiation on 31.03.2016 rejecting the Plaintiff's claim. Since the letter of repudiation was sent to the address at which the shop was functioning earlier, it was not received until the repudiation letter was sent to the other shop of the Plaintiff on 12.04.2016. According to the Plaintiff, the reasons specified in the repudiation letter, namely, the breach of condition Nos.1, 3(a) and (b) of the fire policy are not valid. The Plaintiff stated that the dispute between the Plaintiff, as the tenant, and his landlord is being made an excuse to evade the liability of the Insurer. According to the Plaintiff, the fact that the landlord sealed the main entrance door of the premises by welding the lock did not, in any manner, enhance the risk or cause the fire. The Plaintiff also pointed out that the report of the statutory authority, which is the Forensic Sciences Department, was ignored by the Insurer. Similarly, the final report of the police was also disregarded. In support of the claim, the Plaintiff relied upon the purchase bills for purchase of garments.
5. The
The duty to disclose material facts runs throughout the continuance of the contract of insurance and it is binding on both parties to the contract.
(1) Surveyor Report – Surveyor Report is an important piece of evidence and it has to be given due weight, though it is not sacrosanct and it can be displaced by leading a cogent evidence.
(1) Constructive approach - A constructive approach, not one that is based on assumptions and surmises with an intention to negate the claim by categorizing it fraudulent is desirable.(2) Industry Ap....
Underinsurance assessed by Surveyor is arbitrary.
(1) Insurance – Standard Fire and Special Perils Policy and Customs Duty Package Policy – Precise cause of a fire, whether attributed to a short-circuit or any alternative factor, remains immaterial,....
The court enforced the principle that ambiguities in insurance policies favor the insured, ruling against the insurer for failing to adequately disclose exclusions.
IMPORATNT POINT Appointment of Surveyor – Insured can also appoint a Surveyor or loss accessor.
The definition of coverage in insurance policies must be adhered to strictly, particularly regarding the specification of property locations insured and the implications of their construction.
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