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NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
N/A, N/A
Anjan K. Roy v. Oriental Insurance Company Ltd.
| Table of Content |
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| 1. acknowledgment of the filing of a consumer complaint under the consumer protection act and the context for the insurance claim. (Para 1 , 2 , 3) |
| 2. discussion on the denial of coverage based on specific exclusions and the proper interpretation of insurance policy terms. (Para 4 , 5 , 6) |
| 3. conclusion reached allowing the complaint due to insurer's failure in duty and obligation. (Para 8 , 15) |
| 4. clarification of insurer's obligations regarding risk assessment and the consequences of not communicating policy exclusions. (Para 12 , 14) |
1. The present case is filed under Section - 21 of the Consumer Protection Act,1986.
2. The case of the Complainant is that it is engaged in manufacturing of drugs at Units 14 & 15, KHB Industrial Area, Yelahanka, Bengaluru. The Complainant obtained Standard Fire & Special Peril Policy (SFSP) from the Opposite Party, vide Policy No. 421500/11/2010/151, for the period 23.11.2009 to 22.11.2010 for Rs. 8,77,66,000 covering the said manufacturing units. The Policy was got renewed from 23.11.2010 to 22.11.2011, vide Policy No. 421500/11/2011/149, for sum insured Rs. 13,11,34,962. The Complainant further got the Policy renewed from 23.11.2011 t
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