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2026 Supreme(Online)(NCDRC) 315

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION
A.P. Sahi, President, Bharatkumar Pandya, Member
Beri & Beri Cold Storage and General Mills Pvt. Ltd. – Appellant
Versus
Syndicate Bank – Respondent
ORIGINAL PETITION NO. 54 OF 2004



Advocates:
For the Appellants/Petitioners: Eklavya Dwivedi, Prithvi Singh, Varoon Biyani
For the Respondents: Puneet Taneja, Dhruv Dwivedi, Shantha Devi Raman, Tanisha Gopal

An insurance claim for indemnity is maintainable under consumer law. A service provider acts with deficiency if it fails to fulfill promised insurance coverage and if the insurer repudiates a claim without conducting a mandatory assessment survey, rendering such repudiation legally invalid.

Headnote:(A) Consumer Protection Act, 1986 - Sections 2(1)(d) and 2(1)(g) - Insurance Act, 1938 - Section 64-UM - Deficiency in service - Repudiation of insurance claim - Requirement of mandatory survey - Complainant being a corporate entity is a 'person' and 'consumer' - Claim of indemnification is not for commercial profit but for restoring status quo - Bank's obligation to ensure comprehensive insurance coverage as promised - Insurance company's failure to conduct mandatory survey under Section 64-UM renders repudiation invalid. (Paras 14, 16, 23, 55, 60)

(B) Evidence and Proof - Admissibility of affidavits and correspondence - Evidentiary value of letters admitting insurance coverage and liability - Inconsistent pleas in affidavits filed by service providers rejected as contradictory to contemporaneous correspondence - Unilateral reversal of stand by bank through belated affidavits carries no credibility. (Paras 46, 47, 51, 55)

Facts of the case:
The complainant, a business entity running a cold storage, obtained insurance policies for its plant, machinery, and stock. Upon an incident involving the collapse of the cooling system and machinery, the complainant filed for indemnification. The bank, which had facilitated the purchase of the insurance, initially pursued the claim with the insurance company, admitting the insurance covered all risks. The insurance company subsequently repudiated the claim on the grounds that the incident arose from machinery breakdown and not fire, despite the bank's initial insistence on comprehensive coverage. The bank later attempted to retract its admissions regarding its role in insuring the property.

Findings of Court:
The court held that the insurance company acted in violation of statutory regulations by failing to conduct a survey before repudiating the claim. The bank was found deficient for failing to secure the comprehensive coverage it had promised. The court ordered both parties to share the liability for the loss, as the bank's and insurance company's inconsistent conduct and lack of professional diligence prejudiced the complainant.

Issues: Whether the complainant is a 'consumer' entitled to file a complaint; whether the claim is for a 'commercial purpose' excluded from the Act; and whether the repudiation of the claim without a proper survey, coupled with the bank's failure to ensure promised coverage, constitutes a deficiency in service.

Ratio Decidendi: Insurance claims for indemnification of loss do not amount to commercial profit generation acts and are thus maintainable under consumer law. A service provider cannot repudiate a claim without conducting a statutory survey of the loss, and once clear evidence of admitted coverage obligations exists, subsequent attempts to withdraw these through affidavits are untenable.

Result: Complaint allowed with directions for compensation.

Table of Content
1. failure to provide comprehensive insurance cover and failure to conduct survey constitutes consumer deficiency. (Para 1 , 2 , 3 , 4 , 5 , 6)
2. procedural delays and inconsistent evidentiary stands by parties significantly hamper adjudication of claims. (Para 7 , 8 , 9 , 10)
3. maintainability of a company's consumer complaint regarding insurance indemnity for commercial ventures. (Para 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21)
4. bank assumes liability by independently undertaking to secure comprehensive insurance to protect its financial interests. (Para 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46)
5. statutory duty to appoint a surveyor under section 64um of the insurance act is mandatory; non-compliance warrants liability. (Para 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64)

ORDER

A. P. SAHI, J (PRESIDENT)

1. This is a complaint arising out of an insurance claim for an incident dated 29.06.2002. The complainant alleges details of the cause of losses, the risk whereof was covered under two insurance policies issued by the opposite party – National Insurance company. The complainant is a cold storage for stocking potatoes and other such farm products more particularly during the potato season for which a Stock Protection policy was taken bearing no. 188555 for the period 04.05.2002 to 08.08.2002. The sum insured under the said policy for the stock of potatoes was Rs.25 lakhs.

2. The second policy was for the period 12.06.2002 to 11.06.2003 bearing no. 188773 for the building, plant and machinery. Both the policies have been filed on record. The Stock Policy specifically mentions an Assured Bank Clause. The plant, building and machinery also refer to the Syndicate Bank, Bulandsahar who are the bankers and had extended the loan as a mortgager of M/s Beri & Beri Cold Storage and General Mills Pvt. Ltd. – complainant herein.

3. After the incident on 29.06.2002, the complainants allege to have intimated the Insurance Company as well as the Bank and a surveyor was appointed by the insurance company, who is said to have visited on 02.09.2002 but no assessment was carried out as he was statedly recalled on the premise that there was no incident of fire. Consequently neither any survey is said to have been conducted or reported. With the bank pursuing the matter by writing several letters to the insurance company, the same ended up in a very quick repudiation by the insurance company vide its letters dated 11.07.2002 and 25.07.2002 respectively in relation to both the policies. The said repudiation led to communications and complaints to the Finance Ministry, Government of India and also legal notices whereafter having failed to get their grievances redressed, the complainants filed this complaint on 06.07.2004.

4. The deficiencies alleged against the bank are that the bank itself had taken up the responsibility to secure the insurance coverage and had clearly omitted its obligation of specifying the coverage that were desirable inspite of the fact that the bank itself had made it a condition precedent while executing the hypothecation deed and mortgaging the property against which the loan was granted to the complainant. The allegations against the bank are that from the documents on record it is well-established that the bank was itself under the impression of the entire coverage and had while communicating to the insurance company also indicated that the shortcoming, if any, in the description of the policy or any lack of coverage was the responsibility of the insurance company itself and hence the claim should be indemnified. The complainant also alleges that after the claim was repudiated, the bank while contesting the present complaint has almost taken a U-turn and has based its contest on unacceptable pleas. The complainant has pointed out that the bank is now attempting to resile b

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