ORDER | ORDER
SH. RAKESH KAPOOR, PRESIDENT
The complainant along with his wife had obtained a policy of life insurance in the sum of Rs. 7,50,000/- from the OP. The premium of the policy was payable through ECS. It is alleged by the complainant that the premium was regularly deposited from the bank account of the complainant maintained with respondent no. 2. It is also alleged that he had been maintaining sufficient balance in his account so that the premium is paid in time. It is further alleged by the complainant that for some unknown reasons OP1 failed to obtain the premium through ECS for the month of June 2012. It is alleged that OP1 failed to approach OP2 for payment through ECS and that since there was sufficient balance in the account of the complainant there was no occasion for the non-receipt of the premium through ECS. The wife of the complainant had expired on 30.6.2012 whereafter the complainant had lodged a claim. OP1, however, had rejected the claim on the ground that the policy had lapsed on 26.6.2012. The complainant has alleged that the policy had lapsed due to the fault on the part of the OP in not collecting the amount of the premium from his banker as was agreed to between the parties. He has, therefore, approached this forum for redressal of his grievances.
The Op has contested the complaint and has filed a written statement. It has denied any deficiency in service. Preliminary objections no. 1 to 3 are relevant and are reproduced as under:
1. That the complaint under reply does not disclose any deficiency in service, on the part of the respondents and the same is liable to be dismissed in the absence of any cause of action in favor of the complainant. "it is submitted here that the respondent / O.P have repudiated the claim of the complainant in the policy no.125691576, for relevant reason mentioned in the repudiation letter dated 18.02.2013 on the ground that the premium due on May 2012 was not paid and the insured died after one month and twenty-two days of FUP .i.e policy lapsed condition at the time of death . That the claimed has been repudiated by the O.P only after applying its mind and as such there is no deficiency in the service as alleged by the complainant.
2. That the policy stand lapsed because the premium was not paid for the month of May 2012 through ECS.
3. That the deceased has the availed the services of Punjab National Bank for payment of the premium through ECS and the deceased filed up ECS Form and it is clearly mentioned in that form " If any transaction is delayed or not effected at all for the reason of incomplete or incorrect information or non-availability of funds or closure of account etc. I would not hold LIC or the user institution responsible.
The Op has contested the complaint on merits. But has admitted that it had issued a policy of life insurance in respect of the complainant and his wife for a sum of Rs. 7,50,000/-. It has, however, reiterated its stand that the policy had lapsed before the death of the wife of the complainant on account of nonpayment of the premium for the month of May 2012. It has not denied that the premium was not deducted through ECS but has not denied that it had defaulted and had failed to seek ECS from the bank of the complainant. It has prayed that the complaint be dismissed.
We have heard arguments advanced at the bar and have perused the record.
Some of the facts are not in dispute. It is the admitted case of the parties that the complainant and his wife had obtained life insurance policy for a sum of Rs. 7,50,000/-. It is also not disputed that the wife of the complainant had expired on 30.6.2012. It is further not denied that there was an arrangement between the complainant and the OP whereby the premium of the policy was being collected through ECS from the account of the complainant maintained with Punjab National Bank, Chandni Chowk, Delhi. The bone of contention is that the policy had lapsed on account of non-payment of the premium. The complainant has alleged that there was a default on the part of OP as it had failed to collect the premium from PNB, Chandni Chowk, Delhi as was the arrangement. It is not denied that the complainant had maintained sufficient balance in his account and, therefore, the premium due could have been collected easily. On his part, the complainant has produced a certificate from PNB, Chandni Chowk, Delhi which inter-alia reads as under:
“It is certified that ECS for Rs. 3062 (Three Thousand Sixty Two Rupees) favoring LIC not presented / debited in the month of May , 2012 and June 2012 in the account of M/s Mohan Textiles bearing account no. 0113002100200596.”
We had specifically asked the learned counsel for the OP to clarify to us if it had asked the bank for paying of the premium through ECS. The learned counsel has failed to place on record any document to show that the OP did ask the bank for the amount of the premium but was denied the same. We are, therefore, of the considered opinion that it was the OP who was at fault in not collecting the amount of the premium from the bank through ECS as was agreed to between the parties. The learned counsel for the OP has, however, taken refuge behind the following clause of the agreement between the parties.
“IF any transaction is delayed or nor affected at all for the reasons of incomplete and incorrect information or non-availability of funds or closure of accounts etc I would not hold LIC or the user institution responsibility. “
Clearly, the aforesaid clause does not help the cause of the OP as the transaction was not delayed or was not affected for the reasons stated in the aforesaid clause. Indeed, the OP had failed to collect the payment of the premium through ECS and had, therefore, illegally allowed the policy to lapse. We, therefore, hold the OP guilty of deficiency in service and direct it as under:
1. Pay to the complainant a sum of Rs. 7,50,000/- along with interest @ 10 % p.a. from the date of institution of this complaint i.e. 9.1.2014 till payment.
2. Pay to the complainant a sum of Rs. 25,000/- as compensation for pain
3. Pay to the complainant a sum of Rs 5,000/ as cost of litigation.
The OP shall pay this amount within a period of 30 days from the date of this order failing which they shall be liable to pay interest on the entire awarded amount @ 10% per annum. IF the OP fails to comply with this order, the complainant may approach this Forum for execution of the order under Section 25/27 of the Consumer Protection Act.
Copy of the order be made available to the parties as per rule.
Files be consigned to record room.
Announced in open sitting of the Forum on..................... | |