CONSUMER DISPUTES REDRESSAL COMMISSION
MAHARASHTRA STATE, MUMBAI
FIRST APPEAL NO.243 OF 2009 Date of filing: 27/02/2009
IN CONSUMER COMPLAINT NO.58/2007 Date of order : 20/06/2009
ADDITIONAL DISTRICT CONSUMER FORUM, THANE
@ MISC.APPLICATION NOS.382 & 383/2009
SBI Cards & Payment Services Pvt.Ltd.
Mahalaxmi Engg.Estate, Plot no.571
Lady Jamshedji 1st X Road, Mahim(W)
Mumbai 400 016 ………..Appellant/org.O.P.no.1
v/s.
1. Shri Jugal Kishore Furia &
Kajal Kishore Furia
M-Q, APMC Market
Phase II, Dana market
Sector 19/A, Vashi
Navi Mumbai ………Respondents/org.complainants
2. SBI Life Insurance Co.Ltd.
Central Processing Centre
Kapas Bhavan, Plot no.3/A
Sector 10, CBD Belapur
Navi Mumbai 400 614 ………Respondent/org.O.P.no.2
Corum: Shri S.R.Khanzode, Hon’ble Presiding Judicial Member
Smt.S.P.Lale, Hon’ble Member
Present : Mr.Vikas Salvi-Advocate for the appellant
Mr.D.V.Bajaj-Advocate @ Mr.J.P.Gadiya-Advocate
for respondents/org.complainants
Ms.Neelam Seth/A.R. for Respondent no.2.
O R D E R
Per Shri S.R.Khanzode, Hon’ble Presiding Judicial Member
1. This appeal arises out of order/award dated 29/2/2008 passed in consumer complaint no.58/2007 Shri Jugal Kishore Furia & Kajal Kishore Furia v/s. SBI Cards & Payment Services Pvt.Ltd. and another passed by Additional District Consumer Forum, Thane (‘Forum below’ in short). Late Kishore Furia had taken SBI credit card issued by appellant/O.P.no.1-SBI Cards & Payment Services Pvt.Ltd. on 7/4/2006. As per the facility made available, according to respondents/original complainants, late Kishore Furia was covered under the said insurance cover issued by respondent no.2/org.O.P.no.2-SBI Life Insurance Co.Ltd. Unfortunately, soon after issue of the card, on 23/4/2006 late Kishore Furia died in an accident. Invoking the insurance cover, a claim was made, which stood repudiated on the ground that since in the case of late Kishore Furia commencement of coverage did not take place. Feeling aggrieved thereby, this consumer complaint was filed, which stood partly allowed as per the impugned order/award and whereby, O.P.no.1-SBI Cards & Payment Services Pvt.Ltd. was directed to make the payment of Rs.6 lakhs towards the insurance claim along with cost of Rs.2000/-. Feeling aggrieved thereby, original O.P.no.1 preferred this appeal. There is delay in filing the appeal and therefore misc.application no.382/2009 is filed.
2. Heard Mr.Vikas Salvi-Advocate for the appellant, Mr.D.V.Bajaj-Advocate @ Mr.J.P.Gadiya-Advocate for respondents/org.complainants and Ms.Neelam Seth / A.R. for Respondent no.2.
3. Perused the record. Impugned order/award was passed on 29/2/2008. Said award was passed ex-parte against O.P.no.1- SBI Cards & Payment Services Pvt.Ltd.
(Hereinafter referred as “SBI Card”). According to appellant, they came to know about the impugned order/award only after they were informed about it after filing of the execution proceedings by original complainants from O.P.no.2-SBI Life Insurance Co. (‘SBI Life Insurance’ in short). Soon thereafter they took steps to obtain the copy, processed it and filed this appeal. Delay is calculated from the date of order and not from the date of knowledge. Application is supported by an affidavit of Mr.Nitin Shivram Sonawane, Authorized officer of the appellant. This application is opposed by respondents/original complainants as per their say filed on record. As per this, respondents’ statement made about delay is an incorrect. It is mere denial and not making out any positive case in respect of cause shown by the appellant. Delay factor is more elaborately further explained in the appeal memo. At the time of arguments on this application, respondents/original complainants tried to submit that even during the course of hearing of the consumer complaint, appellant-O.P.no.1 was informed but preferred to remain absent. There is no statement either in the reply filed to this condonation of delay application or elsewhere. Furthermore, these events refers to pending consumer complaint and not a scenario after settling the dispute as per impugned order/award. Therefore, accepting the appellant’s statement made giving reasons for condonation of delay, and since, particularly, we find that on consideration the merit of the case, substantial question of law is involved, we hold that sufficient cause is shown to allow the application for condonation of delay. Misc.application no.382/2009 is, thus, deserves to be allowed subject to payment of cost as per final order.
4. Coming to the merits of the appeal, we find a substantial question about interpretation of the clauses of the contract, whereby insurance cover is made available free of cost to the SBI Card holders is needed. To avail insurance cover to a particular card holder, ‘commencement and termination of coverage’ clause is relevant and it stipulates two conditions for commencement of the coverage viz (i) Card becoming active and (ii) Credit of the premium in respect of member. In the instant case, it is alleged that premium in respect of the member i.e.late Kishore Furia was not credited since he died before the issue of first bill wherein the premium was to be charged on him. These facts needs to be assessed properly and since it is a claim relating to the contract of insurance, clauses thereof need to be construed strictly. In this background, it is necessary that both the parties shall be given just and reasonable opportunity to raise proper pleadings and to lead evidence and then Forum below can settle the dispute according to law. We hold accordingly and pass following order:-
ORDER
1. Misc.application no.382/2009 for condonation of delay stands allowed subject to payment of cost of Rs.10,000/- to respondents/org.complainants. This cost shall be adjusted from the amount of Rs.25,000/- deposited at the time of filing this appeal by the appellant. Balance of the amount be paid to the appellant.
2. Appeal is allowed. Costs shall be the costs in the cause.
3. Impugned order/award dated 29/2/2008 is set aside.
4. Matter is remitted back to the Forum below in the light of the observations made in the body of the order.
5. All the parties shall appear before Forum below on 30/7/2009 and thereafter, Forum below shall decide and settle the dispute within three months thereof.
6. Misc. application for stay stands disposed of.
7. Copies of the order be furnished to the parties.
(S.P.Lale) (S.R.Khanzode)
Member Presiding Judicial Member


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