View 32914 Cases Against Life Insurance
View 32914 Cases Against Life Insurance
N.Srinivasan filed a consumer case on 02 Sep 2022 against Brila Sun Life Insurance Company Ltd., in the South Chennai Consumer Court. The case no is CC/223/2014 and the judgment uploaded on 16 Feb 2023.
Date of Complaint Filed : 05.05.2014
Date of Reservation : 08.08.2022
Date of Order : 02.09.2022
DISTRICT CONSUMER DISPUTES REDRESSAL COMMISSION,
CHENNAI (SOUTH), CHENNAI-3.
PRESENT: TMT. B. JIJAA, M.L., : PRESIDENT
THIRU. T.R. SIVAKUMHAR, B.A., B.L., : MEMBER I
THIRU. S. NANDAGOPALAN., B.Sc., MBA., : MEMBER II
CONSUMER COMPLAINT No.223/2014
FRIDAY, THE 2nd DAY OF SEPTEMBER 2022
Mr.N.Srinivasan,
S/o.V.N.Neelakandan ,
"Indira Cottage"
Plot No. 2,Door No.3/621,
EVP Rajeswari Avenue,
Madanandapuram, Porur,
Chennai - 600 125. ... Complainant
..Vs..
1.Birla Sun Life Insurance Company Limited,
Represented by the Regional Manager,
85.II Floor, 1st Avenue,
Flat No.1-A Shifa Arcade,
Ashok Nagar,
Chennai-600087.
2.Mr.Prem Anand,
The Branch Manager ,
Birla Sun Life Insurance Company Limited,
85.II Floor, 1st Avenue,
Flat No.1-A Shifa Arcade,
Ashok Nagar,
Chennai-600087. ... Opposite Parties
******
Counsel for the Complainant : M/s. S.Muthuraman
Counsel for the Opposite Parties : M/s. Jayanthi K.Shankar
On perusal of records and after having heard the oral arguments of the Counsel for the Complainant, we delivered the following:
ORDER
Pronounced by the President Tmt. B. Jijaa, M.L.,
1. The Complainant has filed this complaint as against the Opposite Party under section 12 of the Consumer Protection Act, 1986 and prays to to reimburse the sum of Rs.4,50,000/- to the Complainant together with interest @24% p.a and to pay a sum of Rs.10,00,000/- towards compensation for the mental agony caused to the Complainant along with cost of this complaint.
2. The averments of Complaint in brief are as follows:-
The Complainant had availed Life Insurance Policies from the 1st Opposite Party through the 2nd Opposite Party, who assured that the policies on Pension scheme would regularly provide monthly payment after 3 years of payment on one time premium amount. Believing the 2nd Opposite Party the Complainant applied and paid premium amounts to the 1st Opposite Party for the 5 policies amounting to Rs.4,50,000/-. But even after a lapse of a reasonable period the Complainant had not issued the original policies as promised by the Opposite Parties. Further they have not given any monthly pension amount to the Complainant on maturity that is after 3 years of the payment of the premium amounts. The Complainant was made to run from pillar to post by the Opposite Parties. The entire money paid by the Complainant is misappropriated by the Opposite Parties. Hence the Complainant has lodged a complaint to the Grievance Cell of the Opposite Party on 18.07.2012 but there was no reply from their side. The Complainant had issued a legal notice dated 27.03.2014 to the Opposite Parties which were acknowledged by them but they have neither given reply nor paid back the claim of the Complaint. Hence the Complaint.
3. Written Version filed by the Opposite Party in brief is as follows:-
The Complainant had approached the 1st Opposite Party to avail some insurance Policies and after fully understanding the terms of various policies the Complainant had applied five different policies, the details of which are mentioned here below:-
Policy No | 003719585 | 003724930 | 003724929 | 003873600 | 003896346 |
Name of Policy Holder/life Assured | N.Srinivasan | N.Srinivasan | N.Srinivasan | N.Srinivasan | N.Srinivasan |
Policy Plan | Freedom 58 fund coverage | Freedom 58 Fund coverage | Freedom 58 Fund Coverage | Freedom 58 fund coverage | Freedom 58 Fund Coverage |
Application Number | A28714547 | A28714549 | A28714514 | A35961715 | A35961713 |
Application sign date | 30.12.2009 | 30.12.2009 | 30.12.2009 | 30.12.2009 | 30.12.2009 |
Date of issue of policy | 28.12.2009 | 28.12.2009 | 28.12.2009 | 18.02.2010 | 26.02.2010 |
Mode of dispatch of Policy documents | Not issued | Courier | Courier | Courier | Courier |
Gross Annual Premium | Rs.1,00,000/- | Rs.74,999.70/- | Rs.19,999.92/- | Rs.50,000/- | Rs.1,10,000/- |
Premium Mode | Annual | Monthly | Monthly | Quarterly | Quarterly |
Total premium Paid | 0.00 | Rs.1,50,000/- | Rs.40,000/- | Rs.50,000/- | Rs.1,10,000/- |
Total Sum assured | Rs.10,00,000/- | Rs.9,00,000/- | Rs.2,40,000/- | Rs.2,40,000/- | Rs.2,00,000/- |
Lapse date | - | 28.03.2012 | 28.03.2012 | 18.06.2012 | 26.06.2012 |
Policy Status | Not issued due to dishonour of cheque | Terminated | Terminated | Terminated | Terminated |
Out of the five policies issued in favour of the Complainant the premium amount paid via cheque No.003719585 could not be encashed as the cheque got dishonoured on presentation and hence the Policy No.003719585 was not issued to the Complainant. The other policy documents were duly delivered to the Complainant via courier. Further due to non payment of regular premiums, all the policies were terminated as per the terms of the contract. Hence on termination of the policies there was no amount due and payable to the Complainant under the said policies. There is no breach of trust, unfair trade practice and deficiency in service on the part of the Opposite Parties. The instant complaint is hopelessly barred by limitation. Hence the Opposite Parties prayed to dismiss the complaint.
4. The Complainant submitted his Proof Affidavit and Written Arguments. On the side of the Complainant, documents were marked as Ex.A-1 to Ex.A-9. The Opposite Parties submitted his Written Version and Proof Affidavit of Opposite Parties was closed and no document was marked.
Points for Consideration:-
1. Whether the complaint is barred by limitation?
2. Whether there is deficiency in service on the part of the Opposite Party?
3. Whether the Complainant is entitled for reliefs claimed?
4. To what other reliefs the Complainant is entitled to?
Point No.1:
The case of the Complainant was that the 2nd Opposite Party had approached the Complainant and canvassed for taking Life Insurance Policies on pension scheme which would regularly provide him monthly income after 3 years of payment of one time premium amounts. The Complainant had applied and paid premiums towards policies as detailed below:
The Opposite Parties had issued receipts bearing Receipts Nos.15879307, 15879308, 15879331, 15879766 and 15879805 for the above payments as found in Exs.A-1 to A-5. Except the payment of Rs.1,00,000/- towards Application No.A28714547 all other payments are accepted by the Opposite Parties. The contention of the Complainant was that the Opposite Parties had not issued the original policies and when demanded the 2nd Opposite Party stated that the original receipts issued would be treated as policies until the issuance of original policies. After 3 years, on maturity the Complainant had not received pension as assured by the Opposite Parties. Since the contention of the Complainant is that 3 years after the payment of one time premium in December 2009 and February 2010, the policy would mature and that the Opposite Party having failed to furnish the policy documents inspite of the requisition of the Complainant dated 18.07.2012, Ex.A-6 the Complaint is within the limitation. Accordingly, Point No.1 is answered.
Point No.2:-
The Opposite Parties has averred that subsequent to the five application corresponding Policy Nos. 003719585,003724930,003724929,003873600 and 003896346 were issued. However, the cheque issued for one policy bearing Policy Number 003719585 was dishonoured. Though the Opposite Parties contended that the dishonour of cheque was duly communicated to the Complainant vide letter dated 10.09.2012, the same is not produced by the Opposite Parties. The other four policy documents alleged to have sent to the Complainant by courier, is without any proof of delivery by the Opposite Parties to the Complainant. It is pertinent to note that the Complainant has filed C.M.P.NO.295 OF 2017 to produce the dishonoured cheque for Rs.1,00,000/- bearing Cheque No.588730 dated 30.12.2009 drawn on Indian Bank before this Commission. The said C.M.P was allowed on 21.08.2018. However, the Opposite Parties has not produced the said dishonoured cheque. The Opposite Parties have further averred that the Complainant had opted for Freedom 58 Plan, for getting benefits under the plan the Complainant was required to pay the premiums for a continuous period. However, the Complainant paid just one or two regular premiums corresponding to the issued policies and stopped paying premiums thereby leading to termination of four policies. The Opposite Party has not filed Proof Affidavit and documents to prove their case. Having admitted receipt of Rs.3,50,000/- towards the said policies, and though averred that the cheque issued for one policy bearing Policy Number 003719585 for Rs.1,00,000/- was dishonoured but having failed to produce the same before this Commission inspite of the Order passed by this Commission to produce the dishonoured cheque, this Commission holds that the Opposite Parties are liable to repay the entire paid up premium amounts of Rs.4,50,000/-. Moreover the Opposite Parties inspite of the receipt of the legal notice dated 27.03.2014 as per Exs.A-7 to 9, had not send reply to the Complainant about the return of cheque and the delivery of the policy documents. Hence, this Commission hold that the Opposite Parties had committed deficiency of service by not providing Policy documents inspite of receipt of the premium amounts from the Complainant. Accordingly, Point No.2 is answered.
Point Nos.3 and 4:
Considering the facts and circumstances of the case, and in view of the forgoing discussions, this Commission is of the considered view that the Opposite Parties had committed deficiency of service and are liable to reimburse the sum of Rs.4,50,000/- to the Complainant with interest at the rate of 9% from the date of complaint i.e., 02.05.2014 till date of realization and to pay a sum of Rs.10,000/- as compensation for the deficiency in service along with cost of Rs.3000/- to the Complainant. Accordingly, Point Nos. 3 and 4 are answered.
In the result the Complaint is allowed in part. The Opposite Parties 1 and are jointly and severally directed to reimburse the sum of Rs.4,50,000/- (Rupees Four Lakh and Fifty Thousand Only) to the Complainant with interest at the rate of 9% from the date of complaint i.e., 05.05.2014 till date of realization and to pay a sum of Rs.10,000/- (Rupees Ten Thousand Only) as compensation for the deficiency in service along with cost of Rs.3000/- (Rupees Three Thousand Only) to the Complainant, within 8 weeks from the date of receipt of this Order, failing which the above sums shall be payable with interest at the rate of 9% from the date of receipt of the Order till date of realization.
In the result the Complaint is allowed.
Dictated to Steno-Typist, transcribed and typed by her, corrected and pronounced by us in the Open Commission, on 2nd of September 2022..
S. NANDAGOPALAN T.R. SIVAKUMHAR B.JIJAA
MEMBER II MEMBER I PRESIDENT
List of documents filed on the side of the Complainant:-
Ex.A1 | 30.12.2009 | Receipt issued by the Opposite Parties Bearing No.15879307 for Rs.1 lac |
Ex.A2 | 30.12.2009 | Receipt issued by the Opposite Parties Bearing No.15879308 for Rs.1.50. lac |
Ex.A3 | 31.12.2009 | Receipt issued by the Opposite Parties bearing No.15879331 for Rs.40,000/- |
Ex.A4 | 15.02.2010 | Receipt issued by the Opposite Parties bearing No.15879766 for Rs.50,000/- |
Ex.A5 | 18.02.2010 | Receipt issued by the Opposite Parties bearing No.15879805 for Rs.1.10 lac |
Ex.A6 | 18.07.2012 | Complaint of the Complainant to the Grievance cell of Opposite Parties |
Ex.A7 | 27.03.2014 | Lawyer Notice |
Ex.A8 | 07.04.2014 | Acknowledgement of 1st Opposite Party |
Ex.A9 | 07.04.2014 | Acknowledgement of 2nd Opposite Party |
List of documents filed on the side of the Opposite Parties:-
NIL
S. NANDAGOPALAN T.R. SIVAKUMHAR B.JIJAA
MEMBER II MEMBER I PRESIDENT
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