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2026 Supreme(Online)(NCDRC) 357

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION
Inder Jit Singh, Presiding Member, Sudhir Kumar Jain, J
Jasoda Patel – Appellant
Versus
Universal Sampoo General Insurance Company Limited – Respondent
FIRST APPEAL NO. 985 OF 2023|271 OF 2024



Advocates:
For the Appellants/Petitioners: Rutwik Panda, Anshu Malik
For the Respondents: D. Varadarajan, Rajat Khattry

An insurance policy is a location-specific contract, and an insurer is not liable to indemnify losses occurring at premises other than those explicitly specified in the insurance policy schedule, regardless of whether the locations are within the same geographical district.

Headnote:(A) Insurance - Standard Fire and Special Perils Policy - Location specificity - Loss incurred at a location different from the premises covered under the insurance policy - Whether insurer liable - Held, an insurance contract is location-specific and an insurer is not liable for losses occurring at locations not mentioned in the policy schedule, even if within the same district - Repudiation of claim on grounds of location discrepancy is valid. (Paras 9, 10, 11)

(B) Consumer Protection - Deficiency in Service - Surveyor report - Surveyor's assessment quantifying loss cannot be used to impose liability if the primary risk coverage condition (location) is not met.

Facts of the case:
The appellants operated a business and obtained insurance policies including fire and burglary coverage for specific premises. Following damages caused by a cyclone, the appellants claimed the loss amount. The insurance company repudiated the claim on the ground that the loss occurred at a location different from the one insured under the policy. The State Commission previously allowed the complaint, ordering the insurance company to pay the loss as assessed by the surveyor, which led to cross-appeals.

Findings of Court:
The Commission held that the insurance policy was location-specific. Since the loss occurred at a place other than the contractual risk location, the insurer’s liability was not established, rendering the State Commission’s decision erroneous.

Issues: Whether the insurer is liable for losses occurring at a location other than that specified in the insurance policy schedule.

Ratio Decidendi: A contract of insurance is a contract between the insurer and insured based on the terms specified; where a policy identifies a specific risk location, the insurance coverage is confined to that location, and losses occurring elsewhere fall outside the contractual indemnity. Result : Appeal filed by the insurance company allowed; appeal filed by the claimants dismissed.

Table of Content
1. factual background of insurance policy and claimed loss at non-insured premises. (Para 1 , 2)
2. arguments regarding repudiation of claims and the interpretation of policy conditions. (Para 3 , 4 , 5 , 6 , 7)
3. determination that insurance coverage is location-specific and repudiation based on location is valid. (Para 8 , 9 , 10 , 11)

HON’BLE DR. INDER JIT SINGH, PRESIDING MEMBER

HON’BLE JUSTICE DR. SUDHIR KUMAR JAIN, MEMBER

For Jasoda Patel & Kalinga Gypsum : Sh. Rutwik Panda, Advocate & Ms. Anshu Malik, Advocate

For Universal Shampoo: Sh. D. Varadarajan and Rajat Khattry, Advocates

Dated: 07th April, 2026

ORDER

DR. SUDHIR KUMAR JAIN, J

1. The present first appeals bearing no. 985 of 2023 and 271 of 2024 are proposed to be decided by common order being involving similar questions of law and facts. The parties are referred here in accordance with the memo of party in first appeal no. 985 of 2023. Briefly stated relevant facts as detailed in the complaint are that the appellant 1/the complainant 2/Jasoda Patel (hereinafter referred to as “the appellant no 1”) is the Director of the company and appellant 2/the complainant 1/Kalinga Gypsum private Ltd (hereinafter referred to as “the appellant no 2”) is a Private Limited Company. The appellants are engaged in the business of manufacturing gypsum powder at their factory. To commence their business operations, the appellants had availed two loans from respondent no 3/opposite party no. 3/Indian Bank (hereinafter referred to as “the respondent no 3”) one being a Term Loan with a sanctioned limit of Rs.50,00,000/- bearing Loan Account No. 50228779416, and the other a Cash Credit Loan with a sanctioned limit of Rs.20,00,000/- bearing Loan Account No. 50259410840. The appellants have duly repaid and cleared the aforementioned loan amounts in full. The appellants had obtained two insurance policies from respondent no 1/opposite party No. 1 /Director, Universal Sampoo General Insurance Company Limited (hereinafter referred to as “the respondent no 1”) and respondent no 2/the opposite party No. 2/Manager, Universal Sampoo General Insurance Co. Ltd. Bank (hereinafter referred to as “the respondent no 2”) upon payment of the requisite premiums (i) a Standard Fire and Peril Policy bearing Policy No. 2114/55490964/03/000 dated 09.10.2018, and (ii) a Burglary Policy bearing Policy No. 2913/55490963/03/000 dated 10.10.2018. The sum insured under each of these policies was Rs.70,00,000/- for the period from 11.10.2018 to 10.10.2019.

1.1 The appellant’s factory and machinery on 03.05.2019 suffered extensive damage due to the devastating Super Cyclone “Fani.” The appellants claim that the loss sustained amounted to Rs.63,33,000/-. The said incident was promptly reported to respondent nos. 1 and 2 who thereafter deputed their surveyor to conduct spot verification on 10.05.2019 and again on 05.09.2019. The surveyor, upon assessment, quantified the loss at Rs.12,09,188/-. However, the appellants submitted a claim form before respondent nos. 1 and 2 seeking compensation of Rs.63,33,000/-. Despite repeated requests and reminders, the said claim was not settled. Subsequently, on 01.10.2019, the appellants issued a legal notice through their advocate to respondent nos. 1 and 2 calling upon them to settle the claim. However, the respondents failed to comply. The appellants being aggrieved filed the present consumer complaint under section 17 read with section 12 of the Consumer Protection Act, 1986 (hereinafter referred to as “the Act”) titled as Kalinga Gypsum (p) Ltd. & another V Universal Sampoo General Insurance Company Limited & others bearing no 84/19 before State Consumer Disputes Redressal Commission, Odisha, Cuttack (hereinafter referred to as “the State Commission”). The appellants prayed that the respondents no. 1 & 2 be directed to settle the claim amount of Rs.63,33,000/- in their favour. The appellants have further prayed for an award of Rs.10,00,000/- towards compensat

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