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A/1339/2019

Date of filing :31.07.2019

Date of order :10.12.2021

MAHARASHTRA STATE CONSUMER DISPUTE REDRESSAL

COMMISSION,MUMBAI, BENCH AT AURANGABAD.

FIRST APPEAL NO. : 1339 OF 2019

IN COMPLAINT CASE NO.: 01 OF 2019

DISTRICT CONSUMER FORUM : HINGOLI

Lalita Laxman Lakhade,

R/o Rameshwar, Tq.Aundha Nagnath,

Dist.Hingoli.

…APPELLANT

VERSUS

1. The Oriental Insurance Co.Ltd.

Having office at Station Road, Parbhani,

Tq. & Dist.Parbhani,

Through it’s Branch Manager.

2. Jaika Insurance Brokerage Pvt.Ltd.,

2nd floor, Jayka Building, Commercial Road,

Civil Line,Nagpur – 440 001.

3. The Taluka Agriculture Officer,

Taluka Agriculture Office, Aundha Nagnath,

Tq. Aundha Nagnath, Dist.Hingoli.

…RESPONDENTS

CORAM : Smt.S.T.Barne, Hon’ble Presiding Judicial

Member.

Mr.K.M.Lawande, Hon’ble Member.

Present : Adv. D.P.Mundhe for appellant,

Adv. K.M.Loya for respondent No.1,

Adv.S.K.Labde for respondent No.2.

J U D G M E N T

(Delivered on 10/12/2021)

Per Mr.K.M.Lawande, Hon’ble Member.

1. Being aggrieved by the judgment and order dated 25.06.2019 passed

by District Forum , Hingoli in C.C.No.01/2019 org.complainant has

preferred this appeal.

A/1339/2019

2.

The appellant is the complainant and the respondent No.1 to 3 is the

opponent No.1 to 3 in complaint No.01/2019 before District Consumer

Dispute Redressal Forum. The appellant and respondent are hereinafter

referred to as ‘complainant’ and ‘opponent” as per their status in the

complaint and District Consumer Disputes Redressal Forum is referred to

as ‘District Forum’ for the sake of convenience.

(3)(i) It is the case of complainant that her husband Lakshman Sakharam

Lakhade was returning from Aundha Nagnath to his home on 31.10.2017 in

evening after day to day business on his motorcycle, when a speedy

oncoming truck dashed to his vehicle and he was grievously injured and was

further taken to Government Hospital at Aundha Nagnath and was further

taken to one 'Nirmal Hospital 'at Nanded, where he was treated for 2 to 4

days and later was shifted to Kamalnayan Bajaj Hospital at Aurangabad.

However, during the treatments there he died on 03/11/ 2017. The dead

body was also referred for Post-mortem.

(ii)

The deceased was having agricultural land in his name. The

complainant submitted the insurance claim under Gopinath Munde

Farmer’s Accident Insurance scheme to opponent No.3 Taluka Agricultural

Officer, Aundha Nagnath. It was informed to the complainant that

documents are forwarded to opponent No.1, Insurance Company through

opponent No. 2 broker company. The complainant was inquiring with

opponent No.3 Agricultural Officer. However, she was informed that her

claim will be settled. The Insurance Company has not settled her claim till

the filing of the consumer complaint. The opponents have thereby caused

A/1339/2019

deficiency in service towards the complainant. The complainant filed

consumer complaint seeking directions to the opponents to pay Rs.2 lacs

under insurance scheme with interest. The compensation towards agony

and cost is also sought.

(4) The opponent Insurance Company filed written statement before the

District Forum and denied the rival allegations. It was replied that the

complainant did not submit the valid and effective driving licence of the

diseased. The Insurance Company has repudiated the complainants claim

on this ground. In additional statement , it is replied that complainant has

not come with clean hands and has suppressed many material facts. That,

FIR is lodged after 28 days after the death of deceased, no reason is given for

delayed lodging of the FIR. It is not informed who was the owner of the

offending truck and whether it was insured or not? It is also not informed

whether the truck driver was having driving license or not. RTO accidental

report on inspection of vehicles is not filed by the complainant. There is no

deficie

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