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2026 Supreme(Online)(NCDRC) 448

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION
J. Rajendra, Presiding Member, Anoop Kumar Mendiratta, Member
Dharmendra Kumar Choubey – Appellant
Versus
United India Insurance Company Limited – Respondent
FIRST APPEAL NO. 367 OF 2018



Advocates:
For the Appellants/Petitioners: R.K. Bhawnani
For the Respondents: Pradeep Gaur

An insurance claim for theft cannot be settled on a non-standard basis (partial payment) unless the insurer proves a fundamental breach of policy conditions or clear contributory negligence by the insured that directly facilitated the loss.

Headnote:The dispute centers on the repudiation of an insurance claim for a stolen vehicle. The Insurance Company cited the policy holder’s failure to report the incident promptly, lack of reasonable security measures (violating policy condition 1), and non-submission of both sets of keys as grounds for rejecting the claim. The State Commission had previously allowed the claim on a non-standard basis, awarding 75% of the Insured Declared Value (IDV). The National Commission, upon appeal, found no evidence of contributory negligence or fundamental breach of policy terms, noting the theft occurred after the driver was drugged, and the loss of keys was pre-reported. Issues framed by the court involve whether an insurance claim for theft can be reduced to a non-standard basis (75% IDV) in the absence of fundamental policy breach or contributory negligence, and whether interest should be calculated from the claim date. The Ratio Decidendi establishes that "proportionate deduction would only be justified in case the Insurance Company is able to prove some contributory factor by way of negligence by the claimant." Absent such proof, the insurer cannot justify repudiation or reduction of the claim on a non-standard basis. The appeal is allowed, and the complainant is entitled to the full IDV with interest at 9% per annum from four months after the claim date, rising to 10% if payment is delayed beyond eight weeks.

Table of Content
1. summary of facts concerning insurance claim repudiation. (Para 1 , 2 , 3 , 4 , 5)
2. parties' contentions regarding negligence and delay in intimation. (Para 6 , 7 , 8)
3. court's analysis of non-standard settlement applicability and fundamental breach requirements. (Para 9 , 10 , 11 , 12 , 13 , 14)
4. final order granting full claim settlement due to lack of fundamental breach. (Para 15)

JUSTICE ANOOP KUMAR MENDIRATTA, MEMBER

ORDER

1. Present appeal preferred on behalf of the complainant/appellant assails Order dated 29.01.2018 passed by the Chhattisgarh State Consumer Disputes Redressal Commission, Pandari Raipur (hereinafter referred to as “State Commission”), whereby the complaint was partly allowed on non-standard basis as under:-

“(i) The O.P. will pay a sum of Rs.15,78,802/- (Rupees Fifteen Lakhs Seventy Eight Thousand Eight Hundred and Two) to the complainant within 45 days from the date of this order.

(ii) The O.P. will pay interest @ 9% p.a. on Rs.15,78,802/- from the date of filing of the complaint i.e. 07.10.2017 till realization.

(iii) The parties shall bear their own cost of this complaint.”

2. The appellant and respondent are hereinafter referred to as ‘complainant’ and ‘opposite party’ respectively, as appearing in the complaint, for sake of convenience.

3. In brief, complainant purchased an insurance policy for truck bearing registration No.C.G.07-CA-9807 for the period 22.03.2015 to 21.03.2016. The driver of the vehicle namely, Anuj Kumar Gupta on 06.09.2015 parked the truck in parking at Bahadrabad, Haridwar. On 07.09.2015, some unknown persons committed theft of truck after offering intoxicating substance to the driver (Anuj) as well as cleaner (Suresh). The incident was reported at PS: Bahadrabad as well as complainant intimated the incident to OP through e-mail on 08.09.2015.

A written intimation was further forwarded to OP on 24.09.2015. In support of the claim, complainant further submitted the requisite documents as desired by the Insurance Company. An information regarding loss of one of the keys of the aforesaid vehicle is stated to have been earlier lodged at police station.

However, the claim was repudiated by OP vide letter dated 27.07.2017 since the incident was reported to the Insurance Company with a delay of two days, on account of which the vehicle could not be searched. The insured is further stated to have violated condition No.1 of the policy. The claim was further repudiated on account of non-submission of both the keys of the truck by the insured/complainant.

4. Aggrieved by repudiation of the claim by OP, complainant preferred the complaint before learned State Commission.

5. Learned State Commission noticed that a written complaint had been given by Pradeep Kumar Choubey on 09.09.2015 to Officer In-Charge, PS: Bahadrabad after the incident was narrated by the driver Anuj Kumar Gupta and cleaner Suresh, on gaining consciousness. The contention raised on behalf of the OP doubting the incident of theft was not accepted, considering the investigation report dated 20.11.2015. The judgments relied upon on behalf of OP were stated to be distinguishable but the claim was allowed only on non-standard basis for Rs.15,78,802/- (i.e. 75% of the assured value of truck at Rs.21,05,069/-), after referring to Om Prakash v. Reliance General Insurance Company & Another, IV (2017) CPJ 10 (SC) and Amalendu Sahoo v. Oriental Insurance Co. Ltd. , II (2010) CPJ 9 (SC).

6. Learned counsel for the complainant/appellant submits that learned State Commission erred in allowing the complaint on non-standard basis on 75% of the IDV since there is no dispute as to the factum of theft. He submits that no reason has been reflected by the learned State Commission for allowing the claim on non-standard basis and thereby deducting 25% of the IDV. Learned counsel further assails the Order passed by the learned State Commission whereby the interest @ 9% has been awarded on the claim amount from the date of

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