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2023 Supreme(Online)(Del) 18254

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
Not Mentioned, Not Mentioned
Complainant – Appellant
Versus
Opposite Party (OP) – Respondent
Consumer Complaint



Insurance coverage for spontaneous combustion includes claims despite absence of visible fire if an additional premium was paid for coverage.

Headnote:(A) Insurance Act, 1938 - Standard Fire and Special Perils Policy - Spontaneous Combustion - Claim for loss due to spontaneous combustion denied by insurer citing absence of fire - Court upheld that coverage includes spontaneous combustion irrespective of fire being present - Liability of insurer to cover losses as per paid additional premium. (Paras 7-11)

(B) Insurance Claims - Principles of coverage - Assessment of loss should reflect the market value of destroyed property, rather than merely cost price, to enable restoration to original position. (Paras 10-12)

Facts of the case:
The Complainant filed for compensation due to extensive losses from spontaneous combustion in their molasses storage covered under a fire policy - Claim was repudiated by the insurer citing policy exclusions.

Findings of Court:
Repudiation of the claim was found unjustified; the decision is set aside and remanded for an assessment of losses under the guidelines established in the order.

Issues: Whether the loss from spontaneous combustion without fire is covered by the insurance policy.

Ratio Decidendi: The Court reasoned that paid provisions for spontaneous combustion are sufficient for coverage without requiring simultaneous fire; repudiation on these grounds was unfounded with determined obligations to reassess loss claims based on market value.

Result: Complaint allowed with directive for loss reassessment and award of litigation costs.

Table of Content
1. filing a consumer complaint for insurance claims. (Para 1 , 2)
2. details of insurance coverage and loss claims. (Para 3 , 4)
3. arguments from both parties regarding claim repudiation. (Para 5 , 6)
4. court's observations on definitions of fire and coverage. (Para 7 , 8 , 9)
5. assessment of insurance loss based on market value. (Para 10 , 11)
6. final ruling and directions for claim reassessment. (Para 12 , 13)

1. The present Consumer Complaint (CC) has been filed by the Complainant against Opposite Party (OP) as detailed above, inter alia praying for directions to the OP(s) to pay:
(i) the principal sum of Rs.1,60,00,000,
(ii) the interest amounting to a sum of Rs.22,63,000 till the date of filing the instant Complaint calculated at the banker's lending rate of 14.5% per annum and further interest at the same rate till the date of payment by the OP.
(iii) the cost of instant proceedings and
(iv) legal expense in the sum of Rs.11 lakh incurred prior to and upon the institution of the instant proceedings.




2. Notice was issued to the OP. Parties filed Written Statement / Reply, Rejoinder, Evidence by way of an Affidavit and Written Arguments / Synopsis etc. as per details given in the Table at Annexure - A.

3. It is averred / stated in the Complaint that:
(i) The complainant is a private limited company incorporated under the Companies Act. The complainant company is conducting the business, inter alia, of the manufacturing of sugar. The sugar is manufactured from the crushing of sugarcane. During the processing of the sugarcane into sugar, a thick syrupy by - product called molasses is produced. Sugar is crystalized from a concentrated juice in three stages and at each stage crystalized sugar fraction is produced besides the said by - product in the form of non - crystalline fraction or molasses fraction. The said by - product of molasses is stored in large cement storage tanks and is to be later fermented in a distillery in order to yield extra neutral alcohol, rectified spirit and ethanol. The Complainant had taken out the following Insurance Policy:
"STANDARD FIRE AND SPECIAL PERILS POLICY" paying a premium of Rs.40,500 for the sum insured of Rs.5.0 crore and had paid, on the Insurer's demand, further premiums of Rs.7,875 Rs.9,375 and Rs.6,000, thus aggregating a sum of Rs.23,250, on the same insured sum towards "ADD ON COVERS" OF (i) SPONTANEOUS COMBUSTION AND (ii) STFI Cover and (iii) EARTHQUAKE respectively.
(ii) It had been the practice of the OP over the past 20 years to depute its Representative to inspect the building and the plant and machinery and the nature of the goods stored in order to prescribe the most appropriate Standard Fire and Special Perils Policy that the Complainant should take. It is also contended by the Complainant that the OP was apprised of the special phenomenon of internal heating of spontaneous combustion that products like grains, seeds, molasses, etc., were prone to in storage in large quantities. That mindful of the said phenomenon the OP advised a particular kind of Fire and Special Perils Policy and issued the same.
(iii) On 23.4.2018, the complainant bought an Insurance Policy from the OP covering the perils of fire and spontaneous combustion of the goods comprising sugar and molasses stored in its sugar manufacturing factory for Rs.50.00 crores. The period covered under the Policy was 23.4.2018 to 22.4.2019.
(iv) On 6.8.2018 and again on 9.8.2018 there was explosion in the Complainant's molasses tanks Nos. 15 and 6 respectively resulting in short duration fires and an exothermic reaction raising the temperature of the molasses to such high levels that it foamed and frothed and overflowed out the tank burning into charcoal solid material resulting in an estimated loss of Rs.150 lac, as reported in the Complainant's letter dated 9.8.2018. It was also informed vide above said letter to the Insurer / OP that the Complainant feared further damage to the molasses stored in Tank No. 8 as we






















































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