Orissa

Anugul

CC/06/2014

Ajit Ku Swain - Complainant(s)

Versus

BM,National Insurance Co Ltd & Others - Opp.Party(s)

D.K.Pani

27 Aug 2019

ORDER

DISTRICT CONSUMER DISPUTES REDRESSAL FORUM
ANGUL
 
Complaint Case No. CC/06/2014
( Date of Filing : 15 Jan 2014 )
 
1. Ajit Ku Swain
Rajklishorepada,Angul
...........Complainant(s)
Versus
1. BM,National Insurance Co Ltd & Others
Dhenkanal
2. Divisional Manager, National Insurance Co. Ltd
Angul Distribution Office, At-Hanuman bazar,NH-55,PO/PS/Dist-Angul
Angul
Odisha
3. TATA MOTORS FINANCE LIMITED
Angul Branch,Angul
4. TATA MOTORS FINANCE LIMITED
2nd floor,LOdha 1, Think Techno Campus Off,Pokharan road, 2 Thane-400607
............Opp.Party(s)
 
BEFORE: 
 HON'BLE MR. Durga Charan Mishra PRESIDENT
 HON'BLE MRS. Sunanda Mallick MEMBER
 HON'BLE MR. Kalyan Kishore Mohanty MEMBER
 
For the Complainant:
For the Opp. Party:
Dated : 27 Aug 2019
Final Order / Judgement

OFFICE OF THE DISTRICT CONSUMER DISPUTES REDRESSAL FORUM, ANGUL

 

       PRESENT:- SRI  DURGA CHARAN MISHRA.                          

                                       PRESIDENT

                                                             A N D

                                   Smt.Sunanda Mallick &Sri K.K.Mohanty,

                                       MEMBER .

                              Consumer Complaint No. 06 of 2014

 

                                         Date  of  Filling : - 15.01.2014.

                                                 Date  of  Order  :-  27.08.2019.

 

 Sri Ajit Kumar Swain ,S/O.Sri Ashok  Swain,At-

Rajkishorepada,Hemsurapada,P.O/P.S/Dist.Angul.

                                                   ____________________________________________Complainant.

                   Vrs.

 

  1. Branch Manager ,National Insruance Company Ltd,

Dhenkanal Branch Office,At- Kunjakanta,South

       Madhuban, P.O/P.S/Dist.-Dhenkanal

 

  1. Divisional  Manager ,National Insruance Company Ltd,

Angul Division Office,At- Hanuman Bazar,N.H.55,

         P.O/P.S/Dist.-Angul

 

  1. TATA MOTORS  Finance Ltd,Represented through its

   Branch Manager,AngulBranch,Angul,P.O/P.S/Dist.Angul.

 

       4.  TATA MOTORS  Finance Ltd,Acompany incorporated

           under the provisions of the Indian Companies Act,1956,

   having itsoffice at Building A,2nd Floor,Lodha 1,Think

  Techno Campus Off,Pokharam Road,2,Thane(West),400607.

                                                             ____________________________________________Opp. parties.

 

For the complainant                 :-  Sri D.K.Pani & associates(Advs.).

For the opp.party Nos.1 & 2    :-  Sri J.N.Mishra & associates(Advs.).

For the opp.party Nos.3 & 4     :-  Sri K.P.Sahu & associates(Advs.).

 

: J U D G E M E N T   :

Smt.S.Mallick, Member.

          The  complainant  has filed this  case with prayer to direct the opp.party No.1 & 2 to pay Rs. 2,50,401.00  along with interest @24% per annum  towards  his  insurance  claim settlement  for  accidental damage of his Tata Indica Car  bearing Regd. No. OR-19H- 5977.

2.       The short  case of the  complainant is that, he is the owner of  Tata Indica car bearing  Regd. NBo. OR-19-H-5977. This  insurance  policy was valid  from 27.11.2010 to 26.11.2011 midnight bearing  policy No.163801/31/10/6300003131. Unfortunately the above  vehicle of the  complainant overturned  and   got completely   damaged .The  incident  was  reported   to  police  station, Cuttack  vide F.I.R No. 140(8) dtd. 07.08.2011 and  investigated  into  the  case. That, as the  incident  took  place within the  valid  period  of the insurance, the  complainant  submitted the  claim application  before the opp.parties  for settlement .The Opp.parties  deputed the surveyor  who surveyed the  vehicle on different occasions. After  getting the  claim application, the opp.parties  demanded  the  valid  driving license (PSV badge), which   the  complainant   complied but in vain. The  complainant   pleaded  that he  sustained  heavy  loss and  suffered mental agony  for not  getting the insurance  claim in time. Therefore he  filed the  present  case.

3.       The opp.party Nos.1 & 2  and  opp.party Nos. 3 & 4 entered appearance and   submitted  their  separate  written version. All the opp.parties pleaded that the  case is  not  maintainable nor  there is  any  cause of  action. It is the  case of the opp.party Nos.1 & 2 (Insurance Company )  that  after receiving  information  from the  complainant, they engaged  the   surveyor   who  assessed the  loss at Rs. 1,35,000.00  and  accordingly  the  insurance  company  after  getting the  final  surveyor  report and  re-inspection   report assessed the  claim at Rs. 1,05,000.00 . It  is  stated that the  insurance  company  was  bound  to  close the  claim  as  no valid  driving  license was  produced  before  them  in time. They  stated that they cannot  disobey  the rules  and regulations  and  conditions   of the  policy. Accordingly, Insurance  company  along with opp.party Nos.3 & 4 have  prayed  to dismiss the case of the  complainant.

4.       On  the   basis of the  aforesaid  pleadings of the parties  the  following  issues  are settled for  determination.

Issues:-

  1. Whether  the  case  is  maintainable and    there  is  any  cause  of  action to file the  case or  not ?
  2. Whether  the  complainant  is a consumer  under the  opp.parties within the  meaning  of C.P Act, 1986 ?
  3. Whether  the   opp.parties have  committed  any  deficiency  in  service  by closing  the insurance  claim  of the  complainant  and  whether  the  report of the  surveyor engaged  for  assessing  the  claim of the  complainant is   genuine  and acceptable  ?
  4. Whether  the  complainant  is entitled  to reliefs claimed ?

: F I N D I N G S :

Issue No.:(i) & (ii):-The  complainant has insured  his  vehicle under the  opp.parties (insurance  company )  and  during  the valid  insurance  period  the  vehicle met  with  an accident  and  became completely damaged. So there is  cause of  action and the  case is  maintainable. As  the  complainant had insured  the  vehicle  by   paying the  due  premium  there is  a consumer  and  service  provider  relationship  between  them within the  meaning of C.P.Act, 1986.

Issue No.(iii):-        The opp.party No.1 & 2 admitted  the  incident dt.7.8.2011 regarding  the damage of the  complainant’s  insured  vehicle  which is within  the  valid period of the  insurance  policy .It  is stated that the  insurance  company is  to  work  within the  rules and  regulations and the  conditions of  insurance  policy and  they  cannot  wait  for   a long  time  to settle the  claim of the  insured  as  the valid D.L of P.S.V badge was  not  submitted   by   him  in time but complainant  has submitted  the  above  documents ,for  which the  process could  have  been reopened. However , the  surveyor engaged  by the  insurance  company  had assessed  at Rs. 1,35,000.00   by  deducting  the  salvage  value  and  policy  excess with  a remark that  :-  

                     “the captioned  vehicle  may be Re-inspected  after  completion of  repairing  works in all respect  with   proper scrutiny of  all the  salvages  and also  that  fitted  new”. (6.3,Page-11). 

                            The  insurance  company Re-inspected  the  vehicle  on 14.11.2011.It  reveals  from  the re-inspection report that, some parts of the vehicle  wore not  fitted  and the  salvages of  some  parts are  not  shown  to the  surveyor .However, after  getting the  final  survey report and  Re-inspection report the   insurance  company has assessed    Rs. 1,05,000.00  towards  the  net loss  as  some  bills are not  submitted  before the opp.parties,  after deducting  the  policy  excess, salvage and  depreciation of some parts  as  per the  conditions  of the  policy. The  assessment is made  by the opp.party (insurance  company )  for  Rs.1,05,000/-after  adjustment of  salvage  value and  policy excess  towards  full and  final  settlement  of the  claim. There is no reason as to why, the  aforesaid  reports of the  surveyors  have to  be  thrown on the ground.

                        We  have  already  observed that there is  no reasons  to discard the  aforesaid  reports of  two surveyors. However, keeping  in view  the  facts and  circumstances of the case, we observe  that  natural  justice  should be  rendered to the  complainant as because  he had submitted his  L.M.V driving  license .As the above  mentioned  Tata Indica car comes under l.M.V category  , there is  no need to  submit  special PSV badge, driving  license. Both the  parties  have filed  written argument  with  number of  citations. Out of  which the  most suitable and  important  one is :-  In{ (2017)  68 OCR (SC)-292, Mukund Dewangene Vrs. Oriental Insurance Co. Ltd }, the Hon’ble Apex Court  have  held that-                                                        

                     “ A driver having a license to drive ‘Light Motor Vehicle” and is driving a “transport vehicle” of that class is not required to obtain separate endorsement to drive transport vehicle and he can drive transport vehicle of such class without any endorsement to that effect”.

Issue No.(iv):-        In view  of the  aforesaid  discussion the  petitioner is entitled to get Rs. 1,05,000.00 only towards the  insured  damaged  vehicle (Tata Indica  Car) bearing Regd. No. OR-19H-5977 from the  opp.party No.1 & 2.

  1. Hence the order :-​

: O R D E R :                         

                               The C.C Case is  disposed  of  on contest against the opp.party Nos.1 &2.

                             The opp.party Nos.1 &2 are directed  to pay Rs.1,05,000.00  only  to the  complainant with  5%  yearly  compoundable  interest  from the date of filing of  this  case i.e  from 15.01.2014  and  Rs. 5,000.00  (Rupees Five Thousand)  towards cost of  litigation to the  complainant  within  45 days  of  getting  this order. In case of  any deviation of  this order  the  awarded  amount  will  carry 12%  early  compoundable  interest   from 46th day of  this  order  besides  other penalty .

                                                                                                                                      Order delivered in the open forum                                                                                                                                                                       today the  27th   August, 2019 with                                                                                                                                                                     hand   and seal of this Forum.

Typed to my dictation                              

and corrected by me                                                                                                      Sd/-

                                                                                                                                      (Sri D. C. Mishra)   

  Sd/-                                                                                                                                    President.       

  ( Smt.S.Mallick)                                                       

         Member.                                                                                                            Sd/-

                                                                                                                                    (Sri K.K.Mohanty),                                               

                                                                                                                                              Member.

 

 
 
[HON'BLE MR. Durga Charan Mishra]
PRESIDENT
 
[HON'BLE MRS. Sunanda Mallick]
MEMBER
 
[HON'BLE MR. Kalyan Kishore Mohanty]
MEMBER

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