2026 Supreme(Online)(NCDRC) 683
NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION
A. P. Sahi, President, Bharatkumar Pandya, Member
Capri Global Capital Ltd – Appellant
Versus
United India Insurance Co Ltd – Respondent
CONSUMER COMPLAINT NO. NC/CC/245/2011
Important Points
Subject
Insurance Law - Professional Liability Insurance
Act Referred
Code of Criminal Procedure, 1973: S.164, S.173(8)
Headnote
(B) Insurance Law - Claim intimation - 'Immediate' notice - Requirement of promptness - Failure to notify insurance provider during policy duration while incurring expenses - Effect of delayed intimation - Insurance company deprived of right to evaluate claim and conduct defense - Claim held inadmissible. (Paras 34, 41-42, 48)
Facts of the case:
The complainant, a financial services company, purchased a liability policy to cover costs and expenses for the defense of its directors and officers. Following criminal investigations and arrests of certain directors, the company engaged legal counsel and incurred substantial litigation expenses. The company notified the insurer of these claims after the policy had expired and only after significant legal costs had been incurred without seeking the insurer's prior consent or immediate notification as required by the policy terms.
Findings of Court:
The court found that the complainant breached the essential conditions of the policy by failing to provide immediate notice and failing to obtain the insurer's consent before incurring legal expenses. The insurance contract mandated that notice of any claim must be given immediately and that costs should be incurred with the insurer's consent. The delay in intimation, which occurred only after the policy's expiry, prejudiced the insurer's right to assess the defence and the legitimacy of the claims.
Issues: 1. Whether the complainant's failure to provide immediate notice of criminal proceedings constitutes a breach of the policy conditions. 2. Whether the insurer is liable to indemnify legal expenses incurred without the insurer's prior consent under the terms of the policy.
Ratio Decidendi: The policy explicitly requires the insured to provide immediate notice of claims and to obtain the insurer's consent before incurring legal expenses. These conditions are not mere procedural formalities but are fundamental to the contract of insurance, ensuring the insurer can effectively evaluate and conduct a defense. Where a policyholder ignores these conditions and acts unilaterally, they forfeit their right to indemnity.
Result: Complaint dismissed.
For the Appellants/Petitioners: Rajiv Duggal
For the Respondents: Animesh Sinha, Ishita Pandey, Shubham Budhiraja
| Table of Content |
|---|
| 1. policy coverage scope and definition of insured risks. (Para 1 , 2 , 3 , 4 , 5 , 6) |
| 2. parties' contentions regarding timely notice and admissibility of legal costs. (Para 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16) |
| 3. contractual interpretation of 'immediate notice' and consent requirements. (Para 17 , 18 , 19 , 20 , 21 , 22 , 23) |
| 4. correspondence between the parties regarding claim repudiation. (Para 24 , 25 , 26 , 27 , 28 , 29 , 30) |
| 5. analysis of delayed notification and impact on insurer's liability. (Para 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42) |
| 6. final determination on liability and absence of deficiency in service. (Para 43 , 44 , 45 , 46 , 47 , 48 , 49) |
ORDER
JUSTICE A. P. SAHI , PRESIDENT
1. The complainant is a non-banking finance company claiming to be registered with the Reserve Bank of India and engaged in the business of providing financial services like investment, banking, etc., located at Mumbai.
2. The complainant acquired a Director and Officers Liability Policy for the duration 29.04.2010 to 28.04.2011 for an indemnity limit of Rs.3,00,00,000/- to cover the risks of Directors and Officers regarding their costs and legal expenses incurred for successful prosecutions. The policy being unique needs a reference in detail, but it may be pointed out that the name of the Directors of the Company, whose risk was covered, was also attached to the policy including the name of Mr. Rajesh Sharma, a Chartered Accountant and Director of the Company.
3. The policy schedule is Ext. A to the complaint and is extracted hereinunder:
| POLICY NO | 500100/46/10/82/00000049 |
| INSURED NAME | Money Matters Financial Services Ltd And its subsidiary companies a) Money Matters Securities Pvt. Ltd b) Money Matters Investment Advisors Pvt. Ltd c) Money Matters Distribution Company Pvt. Ltd d) Money Matters Capital Pvt. Ltd e) Money Matters Research Pvt. Ltd f) Money Matters Resources Pvt. Ltd |
| INSURED ADDRESS | 1-B, 1st Floor, Court Chambers, 35, Sir Vithaldas Thackeray Marg, New Marine Lines, Mumbai- 400 020 |
| Details of Profession/Business | Financial Services like Investment Banking, debt syndication, private equity syndication, M&A, public offerings, securities broking etc. |
| Issuing Office & address | UNIT 500100, UIIC Corporate cell, Vulcan Insurance Building, Ground Floor, 77.V.N.Road, Churchgate, MUMBAI 400020 |
| Telephone No: | 022-2282 2551-52-53-54-55. Fax:022-2282 0521 |
| Dev Off./Agent | 7777771 / 88888004 |
| Brokers | Bharat Re-Insurance Brokers Pvt. Ltd |
| Receipt Date/No | 29/04/2010 500100/81/10/000000599 |
| Collection particulars | Cheque no 774175 dtd. 28/04/2010 drawn on Axis Bank Ltd, Mumbai |
| Collection number and date | 29/04/2010 / 500100/81/10/000000589 |
| POLICY PERIOD | 00.00 Hrs on 29/04/2010 to Midnight of 28/04/2011 |
| Limit of Indemnity | AOA : Rs.30,00,000/-; AOY: Rs.30,00,000/- |
| Deductible | INR Nil each and every Director's reimbursement Claim IN R 25,000 each and every Company reimbursement claim brought in India. |
| Retroactive Date | 29/04/2010 |
| Territory & Jurisdiction | Anywhere in India |
| Scope of Cover | 1) Coverage to the Company, Management, Directors, Managers, Officers and the other employees as per the list attached on the Named basis. 2) Cover for legal representatives, heirs assigns or estates in the event of Death, incapacity, insolvency or bankruptcy of the company. 3) Cover for recovery against joint property owned by spouse. 4) Employment Practices Liability Cover extension. 5) Cover for Subsidiary Companies as given above 6) Cover for Independent, Non- Executive and Nominee Directors 7) Cover for Retired Director up to 6 Years |
| Type of cover | 1) Claims made Policy. 2) Named Policy as per the schedule and the names attached for Director's and Officer's Liability Insurance. 3) Unnamed Policy covering all the employees for Company Reimbursement Liability Insurance |
| Endorsements | 1. Insured Vs Insured, Cross Liability Endorsement. 2. Employment Practices Liability Cover extension endorsement. |
| Premium | Rs. |