Dt. of filing- 06/06/2018
Dt. of Judgement- 08/02/2019
Mrs. Sashi Kala Basu, Hon’ble President.
This consumer complaint is filed under Section 12 of the Consumer Protection Act by Smt. Gitasree Dhara against the Opposite Parties namely (1) M/s. Guiness Insurance Broker Services Pvt. Ltd. (2) The Manager, Bharti Axa Life Insurance Company Ltd. and (3) Bharti Axa Life Insurance Company Ltd. alleging deficiency and unfair trade practice on their part.
Complainant’s case in brief is that OP No.1 is an Insurance Broker Agent and being represented by a person namely Shri Suman Roy who approached the husband of the complainant, induced and allured her to take a Policy stating she would get the benefit as a monthly pension for herself and her husband will be the Nominee on payment of single premium Rs. 35,000/-. So complainant being induced by the OP No.1 issued a cheque in favour of OP No.3 of Rs. 35,000/- drawn on Allahabad Bank which was subsequently encashed by the OP No.3. OP No.1 also assured the complainant that if any authorised person from the OP No.3 calls than she should give answer is affirmative to their all queries. Thereafter, complainant received the policy in the month of June, 2017 but she and her husband were shocked to see that the policy was Bharti Axa Life Elite Advantage Plan policy and not as represented to her that it was a monthly pension policy. As per the said Bharti Axa Life Elite Advantage Plan policy she was required to pay Rs. 35,000/- for 12 consecutive years as regular annual premium. They also found that the signature therein in some papers were forged. So ultimately, complainant and her husband tried to call the OP No.1 but could not contact him as the phone was switched off . Complainant also informed the OP No.3 about the fraud committed upon her but they paid no heed. She also alleged the complaint through her husband before Domjur Police Station on 22.08.2017 and thereafter also sent the Advocate’s letter on 12.02.2018 to the OPs . But all in vain. There has been a gross deficiency in service and the OPs have practised fraud upon the complainant by doing unfair trade practice and thus the instant complaint has been filed by the complainant praying for directing the OPs to return the sum of Rs. 35,000/- including the interest and to pay sum of Rs. 3,00,000/- towards the compensation, Rs. 1,00,000/- for mental agony and Rs. 15,000/- litigation cost.
Complainant has annexed with the complaint petition, copy of the policy along with the Form, letter dated 05.03.2018 sent by the OP through their Ld. Advocate, copy of the cheque and the notice sent by the complainant through her Ld. Advocate and also copy of the complaint lodged by the husband of the complainant before the Domjur Police Station.
On perusal of the record it appears notices were sent to the OP Nos. 1,2 an 3 but inspite of its service, no step was taken and so vide order dated 14.09.2018 and vide order dated 01.10.2018 the case was directed to be proceeded exparte against the OPs.
So, the point requires determination is whether the complainant is entitled to the relief as prayed for ?
Decision with reasons :
Complainant’s claim is that the agent of OP No.1 namely Suman Roy approached the husband of the complainant and induced her to buy the policy on the belief she would get benefit of monthly pension on payment of single premium of Rs.35,000/-. So she made the payment of RS. 35,000/- by way of cheque but actually when the policy was received, it was actually a life insurance policy namely Bharati Axa life Elite Advantage Plan Policy and she had to pay Rs. 35,000/- in twelve consecutive years as regular premium. So according to her, agent of the OP no.1, practised fraud upon her and her husband.
So far as, Suman Roy being an agent of OP No.1, there is no contrary material in the record. However, a letter dated 05.03.2018 is filed by the complainant which is sent by OP company in reply to the notice sent by the complainant through her Ld. Advocate and it appears that OP company namely M/s. Bharati Axa Life insurance Ltd. has nowhere denied about purchase of policy ( which according to complainant was a pension policy) through said Suman Roy an agent. Said letter also reveals that complainant had complained the matter on 27.08.2017. So complainant received the policy in June 2017 and raised objection within two months. Even though same was not done within free look period but one cannot ignore the fact that it is but natural that on receiving of the policy, complainant and her husband tried to contact the agent but when they failed to contact they had complained the matter also at the Police Station. Copy of the complaint dated 22.08.2017 lodged by the complainant before Domjur Police Station is filed by complainant in this case.
Complainant in this case is 60 year old lady and her husband is a nominee in the alleged policy. Considering the age of the complainant, it does substantiate her claim that she was misrepresented that it was a pension policy and thus creates a doubt that she had purchased the policy knowing fully well that it will continue for 12 years on paying yearly premium of Rs. 35,000/-.
It is true that within 15 days of the policy or within free look period, complainant did not opt for cancellation but question is, can a person be forced to continue with the policy, if she has not asked for cancellation within the said free look period. She may not be entitled to the benefits attached with the policy, but there is no specific mention that the premium paid would be forfeited by company.
In the absence of any contrary evidence, we find that this is a case of mis-selling of the policy which the complainant never proposed and thus she is entitled to refund of amount of Rs.35,000/- as there has been unfair trade practice on the part of the OPs. However, no compensation in the given facts and situation of this case is awarded.
Hence,
Ordered
CC/332/2018 is allowed ex-parte against Opposite Parties. Opposite Parties are hereby directed to refund Rs. 35,000/- to the complainant and pay Rs.5,000/- towards litigation cost within two months from this date in default the amount shall carry interest @ 8% p.a. till realisation.