Circuit Bench Nagpur

StateCommission

A/17/493

M/S. GREEN PONDS - Complainant(s)

Versus

NATIONAL INSURANCE COMPANY LTD - Opp.Party(s)

ADV.NIRANJAN KHADAKKAR

05 May 2022

ORDER

STATE CONSUMER DISPUTES REDRESSAL COMMISSION
MAHARASHTRA NAGPUR CIRCUIT BENCH
NAGPUR
 
First Appeal No. A/17/493
( Date of Filing : 05 Dec 2017 )
(Arisen out of Order Dated 11/10/2017 in Case No. RBT/CC/13/574 of District Additional DCF, Nagpur)
 
1. M/S. GREEN PONDS
THROUGH H.R. MANAGER SHRI. DEEPAK BALIRANJI RAHATE, R/O. 69, GANGA VIHAR, WATHODA LAYOUT, OPP. THAOKAR GYM, NAGPUR
NAGPUR
MAHARASHTRA
...........Appellant(s)
Versus
1. NATIONAL INSURANCE COMPANY LTD
THROUGH BRANCH ADMIN, SAJJAN SINGH BUILDING, OUNT ROAD, EXTN, SADAR, NAGPUR-440 001
NAGPUR
MAHARASHTRA
...........Respondent(s)
 
BEFORE: 
 HON'BLE MR. DR. S.K. KAKADE PRESIDING MEMBER
 HON'BLE MR. A. Z. KHWAJA JUDICIAL MEMBER
 
PRESENT:
Adv. Mr. Khadakkar, for the appellant.
......for the Appellant
 
Adv. Mrs. Anita Mategaonkar, for the respondent.
......for the Respondent
Dated : 05 May 2022
Final Order / Judgement

 

(Delivered on 05/05/2022)

PER SHRI A. Z. KHWAJA, HON’BLE JUDICIAL  MEMBER.`

1.         Appellant M/s. Green Ponds through H.R. Manager, Shri Deepak Baliranji Rahate has preferred the present appeal under Section 15 of the Consumer Protection Act, 1986 feeling dissatisfied by the impugned judgment and order dated 11/10/2017 passed by the learned Additional District Consumer Commission, Nagpur in Consumer Complaint No. RBT/CC/13/574, by which  the complaint filed by the complainant/appellant came to be dismissed.

 

2.         Short facts leading to filing of the present complaint may be narrated as under,

            Complainant/appellant – M/s. Green Ponds is a partnership firm and had purchased one Mahindra Bolero vehicle on 19/01/2009 from Provincial Automobile Company Pvt. Ltd., Nagpur and for the same had taken finance from Cholamandalam D.B.S.  Finance Ltd.  The vehicle purchased by the  complainant  was also  duly  registered  with the Regional  Transport  Authority and was also duly insured with the  O.P.-National Insurance Company for the period  from 17/01/2010 to 16/01/2011. The complainant has alleged that  in the month  of May 2010 the vehicle of the complainant  was plying at Pune along with  driver- Mr. Raju Dhind.  On 01/05/2010 after the  work  was over  the vehicle  was parked  in front of Annapurna Apartment, near Rescon Industries, Yerandwna, Pune at  10.00 p.m.  On the next date i.e. on 02/05/2010 it was found that the vehicle was stolen. The complainant then lodged the report with   Kothrud Police Station on 05/05/2010, vide Crime No. 159/2010. The complainant has alleged that oral intimation was also given to the National Insurance Company. The complainant has further alleged that since the vehicle was not traced  the complainant lodged the claim with the National Insurance Company- O.P. on 16/11/2010. The O.P. then gave reply on 07/12/2010 asking for explanation for the delay in lodging the claim.  The complainant  informed  the  O.P. – National Insurance Company  that the delay was caused  as the complainant  was pursuing  the matter with  the Police but this  explanation  was not accepted by  the  O.P. and  claim of the complainant  came to be repudiated  and same  was  communicated   to the complainant  on 11/08/2011 by letter.  The  complainant  had already  given the  explanation for delay  so  was  convinced that  there was deficiency  in  service on the part of the O.P.- National Insurance Company by not accepting the claim of the complainant. The complainant therefore filed the Consumer Complaint against the O.P.- National Insurance Company under the Consumer Protection Act, 1986. However, the learned Additional District Consumer Commission, Nagpur, dismissed the complaint on the ground that there was huge delay in giving intimation to the O.P.- National Insurance Company. The learned Additional District Consumer Commission, Nagpur also came to the conclusion that there was breach of terms of contract of insurance and so the learned Additional District Consumer Commission, Nagpur dismissed the Consumer Complaint No. RBT/CC/13/574 by judgment and order dated 11/10/2017. Against this impugned  judgment and order dated 11/10/2017 the appellant has come up in present appeal.

 

3.         We have heard Mr. Khadakkar, learned advocate for the appellant and Mrs. Anita Mategaonkar, learned advocate for the respondent.  We have carefully gone through the documents and papers placed on record by both the parties.

 

4.         There is no serious dispute  that the  complainant had purchased Mahindra Bolero  vehicle and same was duly insured with the  respondent /O.P.-National Insurance Company and  period of insurance  was from 17/01/2010 to 16/01/2011. There is also no serious dispute that the vehicle  of the complainant  was stolen in the  intervening  night between 01/05/2010 and  02/05/2010 when it was parked at Yerandwna, Pune. It is also not  in dispute that  the complainant  informed the theft of the vehicle to Kothrud  Police Station  on 05/05/2010 and offence was also registered vide Crime No. 159/2010. The complainant has contended in his complaint that after lodging the report the complainant was pursuing the matter with the Police Authority. The complainant  had also approached  the National  Crime Record Diary and  on 06/10/2011 he came to know  that  his vehicle  Mahindra Bolero was not  traceable  at all and so he lodged the claim with  the O.P.- National Insurance Company on 16/11/2010. At this stage it would be pertinent to deal with the documents placed on record by the appellant /complainant. The appellant /complainant has placed on record the copy of First Information Report (FIR) which shows that the report was lodged with Kothrud Police Station on 05/05/2010 vide Crime No. 159/2010. The complainant has also filed  on record one copy of  claim as well as copy of  repudiation  letter regarding  the Repudiation of his claim by the respondent /O.P. National Insurance Company.  If we go through  the  repudiation letter dated 16/11/2011, the respondent /O.P. National Insurance Company has repudiated  the claim of the appellant /complainant  on the ground  that  there was delay of six months in lodging  the claim. On this aspect we have heard Mr. Khadakkar, learned advocate for the appellant.  The learned advocate for the appellant  has submitted that  the delay had taken  placed in  lodging the claim only  because  the  complainant  was seriously  pursuing the theft of his vehicle  but  has  contended that  the theft had taken  placed during the period  when the vehicle was insured namely from 17/01/2010 to 16/01/2011. It was submitted on behalf of the learned advocate for the appellant, in case of theft of vehicle the issue of breach of policy condition was not at all germane. On this aspect Mr. Khadakkar, learned advocate for the appellant has heavily relied upon several judgments delivered by the Hon’ble Supreme Court as well as Hon’ble National Consumer Commission. On the other hand Mrs. Anita Mategaonkar, learned advocate for the respondent  has strenuously  submitted before  us that  it was mandatory  for the complainant /policyholder to give due  intimation to the insurance company immediately and  delay  in giving  intimation  amounts   to breach of policy condition. However, first we would like to dealt with the judgments on which reliance has been placed  by Mr. Khadakkar, the learned advocate for the appellant.  In the case of  the National Insurance Company Vs. Nitin Khandelwal,  judgment delivered on 08/05/2008  in Appeal (Civil) 3409 of 2008 by the Hon’ble Supreme Court of India,  it has been observed in para 13 of the judgment  that  in case theft of vehicle  beach of condition is not  germane and also the appellant - insurance company is  liable to indemnify the owner of the vehicle when the  insurer has obtained  comprehensive  policy  for the loss caused to the insurer. It is further  observed that  even assuming that there was a breach  of  condition  of the insurance  policy  the  insurance company ought to have  settled the claim on non standard basis and  insurance company cannot  repudiate  the claim in toto in the case  of loss of vehicle  due to theft.

 

5.         Appellant has also relied upon one judgment of Hon’ble State Consumer Commission, Chattisgarh in the  case of  Iffco Tokio General  Insurance  Company Limited Vs Shri Kheer Sagar Patel, delivered  on 26/05/2014 in Appeal No. FA/13/372.  In  this case   also the Hon’ble State  Consumer Commission  was dealing with  the theft of vehicle and the Hon’ble State  Consumer Commission has also placed reliance  upon  the judgment  in the case of National Insurance Company Vs. Nitin Khandelwal (cited supra). The appellant has further placed reliance upon one more judgment of  the Hon’ble Supreme Court of India in the case of Om Prakash Vs. Reliance General Insurance and Anr. delivered  by the Hon’ble Supreme Court of India on 04/10/2017 in  Civil Appeal No. 15611 of 2017,  in this case also the insurance company has rejected the claim on the ground of delay of 8 days in giving intimation to the respondent.  It was observed by the Hon’ble Supreme Court of India  that it was necessary for the Insurance Company to verify the cause of delay before rejecting the claim of the policy holder.  Further, the learned advocate for the appellant has also relied upon some judgments delivered by the Hon’ble  State Commission.

 

6.         In the light of  the aforesaid  judgments, it is submitted by Mr. Khadakkar, learned advocate for the appellant  that  the  respondent – National Insurance Company ought  not to have  rejected the claim of the  complainant /appellant  without  verifying  the reasons and cause  for  delay of six months.  On the other hand, Mrs. Anita Mategaonkar, learned advocate for the respondent has submitted before us that the terms and of the insurance contract have to be construed strictly. No doubt in the  present case  before us  the facts on record show that  the theft had taken place on  01/05/2010  and 02/05/2010 at Pune and report  was also lodged  to the Police Station, Kothrud on 05/05/2010 but the claim was lodged on 16/11/2010. The complainant /appellant has specifically pleaded in para No. 5 of the complaint  that  he had also given oral intimation  regarding theft of his vehicle  to Pune office of National Insurance Company and thereafter the  complainant  was pursuing  the  matter with  the Police Authorities  and was making  attempts  to recover the stolen vehicle  but  if we go through the  copy of repudiation letter issued by the respondent/O.P. National Insurance Company, the respondent–National Insurance Company has summarily  rejected the  claim of the complainant  on the ground  that  there was breach of policy  condition No. 1 which speaks  that  immediate  notice should be given to the company.

 

7.         During the course of argument Mr. Khadakkar, learned advocate for the appellant  has also placed  reliance upon one more judgment  of the Hon’ble Supreme Court of India in the case of Gurshinder Singh Vs. Sriram General  Insurance  Co. Ltd. delivered on  24/01/2020 in Civil Appeal No. 653/2015  wherein it has been observed in para No. 20 that when an insured has lodged the FIR  immediately after the theft of  a vehicle  and   the police after  investigation has lodged a final report , then mere delay in intimating the insurance company about the  occurrence of the theft cannot be  a ground  to deny the claim of the insured.

 

8.         In the light of the observations made in the  various  judgments of the Hon’ble Supreme Court of India  as well as  Hon’ble National Commission of India, we are of the view that  it was not open to the respondent – National Insurance Company to reject the claim of the complainant  summarily  on the  ground  of delay  in lodging  the claim, particularly when it was the case of theft of vehicle and theft had taken placed during the period of insurance policy. We are therefore of the view that the learned  Additional District Consumer Commission, Nagpur had not appreciated  this aspect in proper perspective  and has  thereby rejected the  complaint  and so the order passed by the learned  Additional District Consumer Commission, Nagpur dated 11/10/2017 will have to  be set aside and  complaint will have to be remanded back to the learned Additional District Consumer Commission, Nagpur for deciding  the same afresh  as per law. As such we hereby allowed the appeal and proceed to pass the following order,

ORDER

i.          Appeal is hereby partly allowed

 

ii.          Impugned order dated 11/10/2017 passed by the learned Additional District Consumer Commission, Nagpur in Consumer Complaint No. RBT/CC/13/574 is hereby set aside. Complaint is remanded back to the learned Additional District Consumer Commission, Nagpur for decision afresh in accordance with law.

 

iii          In these circumstances  both  parties shall bear their own costs.

 

vi.        Copy of order be furnished  to both the parties, free of cost. 

 
 
[HON'BLE MR. DR. S.K. KAKADE]
PRESIDING MEMBER
 
 
[HON'BLE MR. A. Z. KHWAJA]
JUDICIAL MEMBER
 

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