Heard learned counsel for the parties.
2. This Complaint case is filed U/S-17 of erstwhile Consumer Protection Act,1986(herein-after called the Act) read with Section-12 of the Act.
3. The unfolded story of case of the complainant, is that the complainant for smooth and running of his business, had purchased a policy from the OP covering the period from 24.03.2010 to 23.03.2011 for sum assured of Rs.30,00,000/-. It is alleged inter-alia that on 30.03.2010 the complainant closed the medicine store and went home. Thereafter, at about 10.45 PM the medicine store caught fire and the medicine and other assets were damaged due to fire. Thereafter, the matter was informed to the police and the Fire Officer. The complainant stated to have alleged before the OP for settlement of the claim but it was not settled. Showing deficiency in service on the part of the OP, the complaint was filed.
4. The OP took the plea in their written version stating that the allegation with regard to purchase of the insurance policy is admitted. It is only averred that there is no any claim form filed or document filed by the complainant to settle the claim. Therefore, they have settled the claim as no claim. So, there is no deficiency in service on the part of the OP.
5. From the pleadings of both the parties, the following issues are to be decided.
1) Whether the complainant has proved the deficiency in service on the part of the OP.
2) Whether complainant is entitled to any compensation.
ISSUE NO.1
6. It is settled that the complainant has to prove his case and deficiency in service on the part of the OP. It is revealed from the evidence of the complainant and the documents that the complainant has insured his medicine shop for sum assured of Rs.30,00,000/- with the OP. It is also clear from the insurance policy adduced by the complainant that the policy was subject to fire and special perils and it was insurance for the stock. Annexure-2 shows that intimation for fire causing damages to the stocks of the medicines etc. have been given. It is submitted that the police has been informed immediately. He has also filed policy to prove that the properties have been insured. The complainant had incurred loan from the bank to his start this business. The correspondences between parties and the documents asked for have not been filed. The OP has filed the written version stating that they have got the claim but could not proceed because of non-filing of documents. So, they have no deficiency in service on their part. In the Court we have also passed order on dt.26.10.2022 directing the complainant to produce the documents to the insurer who will settle the matter within no time. But it appears from the documents filed that the complainant already submitted documents on dtd.05.11.2022 to insurer whereas the OP did not acknowledge documents. However, we are of the view that since the complainant has already informed to the insurer, it is OP’s duty is to visit the spot and assess the loss instead of sitting over the matter. Since, the insurer has only sent letter to comply same but failed to settle, it itself is deficiency in service on the part of the OP.
7. Learned counsel for the complainant submited that when the documents already conveyed in the meantime, it was for the OP to settle the claim. In view of the aforesaid discussion, we are of the view that there is deficiency in service on the part of the OP for sitting over the matter inspite of intervention of the Court. The above issue is answered accordingly.
ISSUE NO.2
8. As it appears from the submission of both the counsels when the complainant has stated to have submitted documents but the OP is subjected to have received the documents, we are concerned for settlement of the claim to protect the interest of the consumer. When the complainant is interested for settlement of the claim due to the deficiency in service, he is not entitled to any compensation but cost can be awarded. Issue no.2 is answered accordingly.
9. In view of the discussion, we hereby allow the complaint case with cost against the OP. It is hereby ordered that the OP would settle the claim of the complainant within 45 days on receipt of the copies of documents from the complainant, if any failing which the entire sum assured would be payable by the OP to the complainant with interest @ 10 % thereon. Further OP is directed to pay Rs.10,000/- towards cost to the complainant in the meantime.
The complaint case is disposed of accordingly.
Free copy of the order be supplied to the respective parties or they may download same from the confonet or webtsite of this Commission to treat same as copy of order received from this Commission.