Kerala

StateCommission

A/08/164

THE BRANCH MANAGER,NATIONAL INSURANCE CO.LTD. - Complainant(s)

Versus

GREGARIOUS - Opp.Party(s)

RAJAN KALLIYATH

24 Jul 2010

ORDER

First Appeal No. A/08/164
(Arisen out of Order Dated 10/06/2008 in Case No. CC 62/2007 of District Idukki)
1. THE BRANCH MANAGER,NATIONAL INSURANCE CO.LTD.M.M.JUNCTION KOLENCHERY ERANAKULAMKerala ...........Appellant(s)

Versus
1. GREGARIOUSS/O VARGEES 100,VATTAVAYIL HOUSE SAHYADRI POST MARAYOOR VILLAGE IDUKKIIDUKKIKerala ...........Respondent(s)

BEFORE :
HONARABLE MR. JUSTICE SHRI.K.R.UDAYABHANU PRESIDENT
PRESENT :

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ORDER

KERALA STATE CONSUMER DISPUTES REDRESSAL COMMISSION

VAZHUTHACAD, THIRUVANANTHAPURAM

 

FIRST APPEAL 164/08

JUDGMENT DATED: 24.7.2010

 

PRESENT

JUSTICE SRI.K.R.UDAYABHANU                   : PRESIDENT

SRI.S.CHANDRAMOHAN NAIR             : MEMBER

 

The Branch Manager,                               : APPELLANT

National Insurance Company Ltd.,

M.M.Junction, Kolenchery,

Ernakulam District.

 

(By Adv.Rajan.P.Kaliyath)

 

          Vs.

 

Gregorious,                                               : RESPONDENT

S/o Varghese, 100,

Vattavayalil House,

Sahyagiri Post, Marayoor Village,

Idukki District.

(By Adv.P.Rahim)

JUDGMENT

 

JUSTICE SRI.K.R.UDAYABHANU         : PRESIDENT

 

          The appellant is the opposite party/Insurance Company in CC.62/07 in the file of CDRF, Idukki.  The appellant is under orders to pay a sum of Rs.32,320/- to the petitioner with interest at 12%.

          2. The case of the complainant is that he is the owner-cum driver of the Bajaj autorikshaw and that during the period of  policy coverage there was an accident on 11.3.06 and he sustained serious injuries  ie, fracture on the right tibia. He was inpatient on 25 days and spent a sum of Rs.80,000/- for treatment.  He could not drive the autorikshaw for 5 months after the accident.

          3. In the version filed by the opposite party the case is that personal accident cover is restricted to certain eventualities named in the conditions of the policy ie  death, loss of 2 limbs or one sight of two eyes or loss of one limb and sight of one eye, or permanent total disablement from other injuries other than  named above.

          4. The evidence adduced consisted of the testimony of PW1; Exts.P1 to P5 and R1.

          5. The Forum   has allowed the complaint on the ground that the terms and conditions of the policy was not given to the petitioner at the time of paying the premium.          We find that as per the terms of the policy the complainant is not entitled for any amount as a personal accident cover is confined to the specified injuries mentioned therein. Injuries sustained by the complainant although serious in nature does not  fall in  any one of the above category.  It is not mentioned in the complaint that the conditions of the policy was not issue to him.  We find that the appellant is only bound by the terms of the contract and hence as the injuries sustained by the complainant do not attract the injuries specified in the policy conditions the complainant will not be entitled for any compensation. Hence the order of the Forum  is set aside.  The appeal is allowed.

          Office will forward the LCR along with the copy of this order to the Forum urgently.

 

 

          JUSTICE SRI.K.R.UDAYABHANU                   : PRESIDENT

 

 

          SRI.S.CHANDRAMOHAN NAIR             : MEMBER

 

 

ps

 

PRONOUNCED :
Dated : 24 July 2010

[HONARABLE MR. JUSTICE SHRI.K.R.UDAYABHANU]PRESIDENT