Kerala

Kannur

CC/268/2022

Mathew.T.V - Complainant(s)

Versus

Manager,New India Insurance Company Ltd., - Opp.Party(s)

07 Nov 2024

ORDER

IN THE CONSUMER DISPUTES REDRESSAL FORUM
KANNUR
 
Complaint Case No. CC/268/2022
( Date of Filing : 03 Nov 2022 )
 
1. Mathew.T.V
S/o Varkky,Tharayil Veedu,Mundayam Paramba.P.O,Payam,Iritty-670704.
...........Complainant(s)
Versus
1. Manager,New India Insurance Company Ltd.,
Divisional Office,Kannur.
............Opp.Party(s)
 
BEFORE: 
 HON'BLE MRS. RAVI SUSHA PRESIDENT
 HON'BLE MRS. Moly Kutty Mathew MEMBER
 HON'BLE MR. Sajeesh. K.P MEMBER
 
PRESENT:
 
Dated : 07 Nov 2024
Final Order / Judgement

SMT. RAVI SUSHA  : PRESIDENT

     Complainant filed  this complaint  U/S 35 of the  Consumer Protection Act 2019 for getting  an order directing opposite party to pay Rs.69028/- with interest.  Together with  compensation of Rs.25,000/- and cost of the proceedings of this complaint.

        The case of the complainant is that  he is the RC owner of the car KL58X950 and he insured the vehicle to OP by a bumper to bumper policy. On 8/2/2021  his  vehicle was met with accident and it informed to OP,  thereafter the car brought to KVR Tata motors service centre for repairing the vehicle, the total estimate assessed by the  KVR is  Rs.3,26,519/-  that was verified  by the surveyor.  So that the vehicle cannot be repaired as per the total loss scheme either to accept the insured amount of Rs.3,80,000/- or  to repair the vehicle to  any  other workshop as per the instruction given by the OP.  Thereafter the complainant brought the vehicle to Automech,Karivellur and the OP advanced an amount of Rs.1,00,000/- to the  complainant .  Complainant’s vehicle repaired and received after 4 months , the repair charges Rs.2,84,100/-.  The OP sanctioned  only Rs.2,07,500/- as repair charges.  The complainant contacted OP, the OP told that the labour charges mentioned in the bill is very high and only Rs.30,000/- can be allowed.  Thereafter the complainant filed a complaint before the Grievance cell and  Insurance Ombudsman.  After that the complainant received an amount of Rs.7582/- from  Insurance grievance cell . The complainant has spend Rs.2,84,100/- for repairing  his vehicle.  Whereas from OP the complainant received only Rs.2,15,082/-.  The OP bound to pay  Rs.68,928/- along with interest and compensation  to the complainant.  Hence this complaint.

     After receiving notice OP entered appearance  and filed written version stating that the on receipt of the claim intimation and the claim form  along with an estimated cost for repairing then vehicle issued by KVR Dream  Vehicle  for a sum of Rs.3,26,519/-.  It was found that the repair value was estimated be more than 75% of the  sum insured and hence  the claim  could have been settled on total loss basis.  But the complainant was not willing to  settle the claim on total loss basis and hence he removed the vehicle for repair to Auto Mech Multi Brand car services and he has consented to  settle the claim  on the repair loss basis.   The OP deputed the licensed surveyor and loss assessor to make report  showing the assessment of  loss due to the damage caused to the car on repair  loss basis is Rs.2,07,500/- .  The surveyor has moved before the insurance grievance with a complainant for allowing Rs.76410/- towards the labour charges.  The OP  sought a second opinion of the  other surveyor  whose  report  has assessed an additional amount of Rs.7,000/- towards labour charges.  Accordingly the OP has allowed Rs.2,15,082/-  to the complainant and  the same was received without any protest.  Even though the insurance policy is a nil depreciation one ,certain  deductions as per the policy conditions are compulsory.  Though towing charges for Rs.2000/-  is submitted by the complainant, only Rs.1500/- is allowable.  Rs.1000/- is deductible compulsorily under the  policy excess, salvage value is assessed as Rs.2391/-, Rs.5879/- is deducted against the cost of battery purchase bill, since the same is not estimated  or allowed in the initial estimate.  Hence a sum of  Rs.11,270/- is deducted from the estimated amount of the surveyor.  Therefore the claim of the complainant for Rs.69028/- towards the balance of the labour charge and the claim for 2,50,000/-  towards compensations are not maintainable because the OP has already paid the amount assessed by the surveyor.  There is no deficiency in service on the part of  OP.  Hence prayed for the dismissal of the complaint.

     At the evidence stage, complainant  filed his proof affidavit and documents.  He was examined as PW1 and marked documents  Exts.A1 to A7.  On the side of  complainant one more witness, the Proprietor of Automac work shop from where the accidental vehicle in dispute was repaired, was examined as PW2.  Both witness were cross-examined by the OP.  On behalf of OP, Assistant  Manager of OP filed his chief affidavit and was examined as DW1 . The award passed by Insurance Ombudsman is marked as  Ext.B1. After that the learned counsel of complainant  filed  written argument note.

       It is not disputed that the  complainant is the registered owner of car TATATIAGO having Reg.No.KL58X9520.  It is also not disputed that complainant has taken private car package policy from OP to the car.  The policy period is from 20/3/2020 to 19/3/2021.  Further the insured vehicle met with an accident on 8/2/2021 and  damage was caused to the car.  Now the question to be decided is what amount should have been awarded  to OP.

   Complainant’s claim is that he paid an amount of Rs.2,84,100/-, the surveyor assessed  amount.  According to complainant since the policy is nil depreciation policy, he is entitled to get the entire repair amount of the car without  any depreciation.

   OP contended that on getting intimation about accident OP deputed an IRDAI licensed surveyor Mr.Pramod for survey and loss assessment.  The surveyor assessed Rs.2,07,500/- as net loss.  OP made interim payment of Rs.1,00,000/- as per the request of insured.

   Complainant submitted estimate from the workshop Auto Mec tax invoice from Focuz Parts Mart Pvt.Ltd(Ext.A5) to  corroborate its claim.  On perusal of evidence of DW1, DW1 agreed about the total repair charge as Rs.2,84,010/-.  According to OP in Bumper to Bumper  policy, OP company is not liable to pay expense  for the replacement of battery charge and also will deduct policy excess and salvage value.  OP submits that on the basis of said calculation , surveyor assessed not less and the complainant is entitled to get total Rs.215082/- towards settlement of claim.

   Here  the complainant submitted  estimate given by Auto Mec workshop(Ext.A4) in which repair charge is Rs.73500/-.  Also submits towing charge received by workshop Rs.3500/-.  OP admitted that the  complainant has taken bumper to bumper policy  but the expense incurred to the complainant for replacing the tyre of the vehicle, salvage value and policy excess were deducted.  But the OP has not submitted survey report and examined the surveyor to establish its contention.  On the other hand the complainant submitted estimate and repair bill etc.  Moreover DW1 admitted that the complainant has given Rs.2,84,010/- towards total repair expenses and value of parts.  It is an admitted fact that the OP has given Rs.215082/- to the complainant.  OP does not have a case that the complainant had repaired or replaced the parts of the vehicle which were not damaged in the accident.  So the complainant is entitled to get the balance amount Rs.69028/-.

                In the result, complaint is allowed in part.  Opposite party is  directed to  pay Rs. Rs.69028/-to the complainant.  Opposite party is also directed to pay Rs.20,000/- towards compensation and Rs.10,000/- towards cost of the proceedings of this complaint.  Opposite party  shall comply the awarded amount within one month from the date of receipt of  certified copy of this order.  Failing which Rs.69028/-  will carry interest@7% per annum from the date of order till realization.  Complainant can execute the  order  as per the provision in Consumer Protection Act 2019.

Exts:

A1- Copy of RC

A2-Insurance certificate

A3-Estimate copy of Automac workshop,Karivellur

A5-Repair bills

A6-complaint given to OP

A7- complaint given to grievance cell at Ernakulam

B1-policy

PW1-Mathew T.V-complainant

DW1-Kishor kumar.V- witness of OP.

  Sd/                                                 Sd/                                                     Sd/

PRESIDENT                                             MEMBER                                               MEMBER

Ravi Susha                                       Molykutty Mathew                                    Sajeesh K.P

eva                                                                              /Forwarded by Order/

 

                                                                               ASSISTANT REGISTRAR

 
 
[HON'BLE MRS. RAVI SUSHA]
PRESIDENT
 
 
[HON'BLE MRS. Moly Kutty Mathew]
MEMBER
 
 
[HON'BLE MR. Sajeesh. K.P]
MEMBER
 

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