MEGH PAL THAKUR v. ORIENTAL INSURANCE COMPANY LIMITED
2002-03-18
ONKAR CHAND THAKUR, PREM CHAUHAN, SURINDER SARUP
body2002
DigiLaw.ai
ORDER Surinder Sarup (Retd.):- The present complaint has been filed on the allegations that the complainant had purchased Truck No. HP-10-0833 on 9.321998 and the same was registered with the Registration" & Licensing Authority, Shimla on 18.3.1998. It was purchased by for his self employment in order to earn livelihood. The finance for the purchase was arranged through a loan of Rs.5.00 lacs from India Lease Development Limited carrying an interest of 18% per annum. The balance amount was arranged by taking private loans from his relations and friends on returnable basis. 2. The truck, in question, was insured with the opposite party on 9.2.1998 for a sum of Rs.6.50 lacs, and the insurance was valid for a period of one year with effect from 9.2.1998 to 8.2.1999. The complainant duly paid the premium amount of Rs.13,450/- to the opposite party on the date of insurance i.e. 9.2.1998, policy No. being 2794. Unfortunately, the truck, in question, met with an accident on 15.4.198 within about two months of its purchase at Village Shalli, Tehsil Suni, District Shimla, resulting total loss as a result of the extensive damage caused in the accident. F.I.R. was lodged with the Police Station, Delhi in this connection and the factual of accident was also conveyed to the opposite party-Insurance Company. It got conducted a spot survey and an interim report was prepared. Subsequently, final survey was also done by one Shri H. Kumar from Delhi appointed as Surveyor by the opposite party. He submitted his report regarding loss to the vehicle as assessed by him to the opposite party, the assessed loss being the total one. In other words, the complainant was entitled to be indemnified- to the extent of the total insured amount of Rs.6.50 lacs. However, the Insurance Company obtained his consent to settle the claim at a sum of Rs.5.80 lacs. Despite this, it failed to settle the claim at the agreed and consented amount of Rs.5.80 lacs. In this connection-, the complainant event sent two representations to the Divisional Manager of the opposite party but to no avail. Ultimately on 10.2.1999, he was shocked and surprised to receive a letter from the opposite party that his claim had been assessed for the payment of Rs.4,33,500/- only.
In this connection-, the complainant event sent two representations to the Divisional Manager of the opposite party but to no avail. Ultimately on 10.2.1999, he was shocked and surprised to receive a letter from the opposite party that his claim had been assessed for the payment of Rs.4,33,500/- only. When he visited the office of the opposite party to find out the reasons for scaling down the amount of the claim, he was given a vague and unsatisfactory reply to the effect that the amount had been reduced since the terms and conditions of the Police had been violated. Hence the complaint which is duly supported by his own affidavit by the complainant. 3. In the reply filed by the opposite party, the truck, in question, having been insured with it, for the period 9.2.1998 to 8.2.1999 has been admitted. It has also been admitted that the insured amount is Rs.6.50 lacs. It has further been admitted that the Surveyor Shri H. Kumar assessed the loss on total loss basis of the damaged vehicle in the accident. It has further been admitted that on the recommendations of the Surveyor that net liability of the loss on total loss basis being Rs. 5,78,500/-, the complainant gave his consent on 14.7.1998 to the Branch Office of the opposite party at Parwanoo for settlement of his claim. However, when the offer of the complainant was brought to the notice of the Divisional Officer of the opposite party at Shimla, it was found that his claim falls under the category of» non-standard claim in as much as there were unauthorized passengers traveling in the truck which was the breach of Insurance Policy. Hence, the claim was recommended upto 75% of the assessed loss i.e. for a sum of Rs. 4,33,500/- which was intimated to the complainant. This decision of the opposite party was also ratified by its Regional Office at Chandigarh which was the competent authority. 4. Both the parties relied on their respective affidavits as evidence in this case. 5. As narrated above, the facts are not in dispute. The question for consideration, however, is as to whether mere carrying of unauthorized passengers traveling in the truck, in question, when it met with an accident was such a violation of the terms and conditions of the Insurance Policy so as to deprive the complainant of his legal due ?
5. As narrated above, the facts are not in dispute. The question for consideration, however, is as to whether mere carrying of unauthorized passengers traveling in the truck, in question, when it met with an accident was such a violation of the terms and conditions of the Insurance Policy so as to deprive the complainant of his legal due ? In the facts and circumstances of the case, the answer to this self posed query has to be in the negative. It is not disputed that initially the opposite party itself offered to settle the claim of the complainant as per the recommendations of its Surveyor that the net liability of the loss on the total loss basis works out to Rs.5,78,500/-. The subsequent scaling down of that amount by converting the claim under the category of non-standard claim by its Divisional Officer was unjustified. Insofar as the consumer law is concerned, in our considered view, mere carrying of unauthorized passengers in the truck, in question, at the time of the accident would not defeat the just claim of the complainant which itself was accepted by the opposite party by offering him the net liability assessed by its own Surveyor. The opposite party cannot bee allowed to blow hot and cold in the matter, as it has done in the present case. Moreover, there is no cogent evidence on the record to show that at the time of the accident, the vehicle in question was carrying unauthorized passengers. It is significant in this behalf to observe that the only evidence is the self serving affidavit of Shri M.C. Tomar, Divisional Manager of the opposite party who has deposed that the vehicle, in question, was carrying unauthorized passengers on the heard. There is nothing to show from his affidavits as to what is the source of his knowledge regarding this alleged fact. Therefore, we are not inclined to accept this self serving deposition in the absence of any supporting evidence. 6. In view of the forging discussion, we are constrained to hold that the opposite party has been seriously remiss in first offering to settle the claim of the complainant at the figure of Rs. 5,78,500/- and taking his consent for that amount, entitled to the above amount of Rs. 5,78,500/- for indemnification of his rightful and legal claim.
6. In view of the forging discussion, we are constrained to hold that the opposite party has been seriously remiss in first offering to settle the claim of the complainant at the figure of Rs. 5,78,500/- and taking his consent for that amount, entitled to the above amount of Rs. 5,78,500/- for indemnification of his rightful and legal claim. For the reason recorded above, we accept this complaint and award an amount of Rs.5,78,500/- for the loss caused to the vehicle, in question, because of the accident, alongwith 12% interest from the date of filing of the complaint till realization. We also award Rs.1,000/-as litigation costs. The complaint is disposed of accordingly.