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View 32452 Cases Against Life Insurance
Sri Manoj Kumar Patra filed a consumer case on 15 Oct 2018 against The Branch Manager, Birla sUL Life Insurance in the Rayagada Consumer Court. The case no is CC/321/2016 and the judgment uploaded on 27 Dec 2018.
DISTRICT CONSUMER DISPUTES REDRESSAL FORUM, RAYAGADA,
STATE: ODISHA.
C.C. Case No. 321 / 2016. Date. 15 . 10 . 2018
P R E S E N T .
Dr. Aswini Kumar Mohapatra, Preident.
Sri Gadadhara Sahu, Member.
Smt. Padmalaya Mishra, Member.
Sri Manoj Kuamar Patra, S/O: Bipinbihari Patra, At/Po:Tikiri,
DIST: Rayagada, State: Odisha, phone No. 9438285691 .…..Complainant.
Versus.
1.The Branch Manager, Birla Sun life Insurance company Ltd, New Colony, Po/ Dist: Rayagada, State :Odisha.
2. Sri Gajanana Sahu, Agent, Birla Sun life Insurance company Ltd., At/Po:Tikiri, Dist: Rayagada, State :Odisha.
3.The Manager, Birla Sun life Insurance company Ltd., Mumbai- 400 013. .…..Opp.Parties
Counsel for the parties:
For the complainant: - Self.
For the O.Ps 1 & 3.:- Sri J. K. Mohapatra, Advocate, Rayagada.
For the O.P. No.. 2:- Set exparte.
. JUDGEMENT
The curx of the case is that the above named complainant alleging deficiency in service against afore mentioned O.Ps for non refund of deposited 1 number premium a sum of Rs.1,45,555/- for which the complainant sought for redressal of the grievances raised by the complainant.
On being noticed the O.Ps 1 & 3 appeared through their learned counsel and filed written version refuting allegation made against them. The O.Ps 1 & 3 taking one and another pleas in the written version sought to dismiss the complaint as it is not maintainable under the C.P. Act, 1986. The facts which are not specifically admitted may be treated as denial of the O.Ps 1 & 3 . Hence the O.Ps 1 & 3 prays the forum to dismiss the case against them to meet the ends of justice.
On being noticed the O.P No.2 neither entering in to appear before the forum nor filed their written version inspite of more than 16 adjournments has been given to them. Complainant consequently filed his memo and prayer to set exparte of the O.P No.2. Observing lapses of around 2 years for which the objectives of the legislature of the C.P. Act going to be destroyed to the prejudice of the interest of the complainant. Hence after hearing from the complainant set the case exparte against the O.P No.2. The action of the O.P No. 2 is against the principles of natural justice as envisaged under section 13(2) (b)(ii) of the Act. Hence the O.P. No. 2 was set exparte as the statutory period for filing of written version was over to close the case with in the time frame permitted by the C.P. Act.
Heard arguments from the learned counsel for the O.Ps. Perused the record, documents, written version filed by the parties.
During the course of hearing the complainant was absent on call.
This forum examined the entire material on record and given a thoughtful consideration to the arguments advanced before us by the parties touching the points both on the facts as well as on law.
FINDINGS.
On perusal of the record it is revealed that there is no dispute that the complainant was policy holder under the O.P BSLI visition plan bearing policy No. 006073941 Dtd. 18.4.2013 for a sum assured of Rs. 32,95,000/- which was issued in favour of the complainant with annual premium amount a sum of Rs.1,45,000/-. The aforesaid policy was issued to the complainant in his address on Dt. 18.4.2013 basing on duly signed application form by the complainant Dt. 31.3.2013 being a premium paying term of 25 years and policy term of 25 years. Copies of the application dtd. 31.3.2013, General amendment form, sales illustration form & policy contract annexed collectively is in the file marked as Annexure-I.
The O.Ps in their written version clearly mentioned that the application contained a clause of free look period vesting a right on the policy holder to cancel and obtain a refund of premium paid by giving a notice duly signed by the proposer and directly received by the company within 15 days from the date of receipt of the policy. In the present case the complainant has not availed the above free look period in due time.
The O.Ps in their written version contended that the O.Ps did not received any information from the complainant towards non-receipt of policy document. The complainant also did not make any notice for cancellation of the policy within free look period and return the premium.
The O.Ps in their written version contended that the premium payment notices dtd. 28.5.2014 was duly sent to the complainant to deposit the premium but the complainant did not deposit the premium within the grace period for which the above policy was lapsed. Copies of such notice are in the file marked as Annexure-2 . The complainant inspite of such notices did not pay the premium for which the policy lapsed being auto surrendered.
The O.Ps in their written version contended that the complainant has not make any application for revival of the policy rather filed the present case with false and afterthought pleas.
The O.Ps in their written version contended that the present case is filed much after the period of limitation of two years on the date of alleged cause of action i.e. Dt.18.4.2014 on which date the policy lapsed, and the complaint having been filed on Dt. 05.10.2016 was filed more than two years after accrual of the cause of action and therefore, is liable to be dismissed on this ground alone. Section-24 A of the C.P.Act,1986 which prescribes the period of limitation for admitting a complaint, reads as under.
We perused the complaint petition and written version filed by both the parties and on perusal of documents it reveals that the cause of action arose in the present case on Dt. 18.4.2014 but the complainant has filed the above case before the forum Dt.05.10.2016 after two years which is a time barred complaint and this forum can not adjudicate this complaint.
“Section 24 A Limitation period of the Consumer Protection Act :
(l) The District Forum, shall not admit a complaint unless it is filed within two years from the date on which the cause of action has arisen.
(2) Notwithstanding anything contained in sub-section (1), a complaint may be entertained after the period specified in sub-section (l), if the complainant satisfies the District Forum, the State Commission or the National Commission, as the case may be, that he had sufficient cause for not filing the complaint within such period:
Provided that no such complaint shall be entertained unless the National Commission, the State Commission or the District Forum, as the case may be, records its reasons for condoning such delay.”
It is held and reported in 2005(iv) CPJ-1 (S.C) in the case of Haryana Urban Development Authority Vrs. B.K.Sood where in the Hon’ble Supreme Court, referring to the provisions of Section-24A of the C.:P.Act,1986 inter-alia observed as under in para-11
“The Section debars any Fourm set up under the Act, admitting a complaint unless the complaint is filed within two years from the date of which the cause of action has arisen”.
Again it is held and reported in 2009(II) CPJ-29 SC in the case of State Bank of India Vrs. B.S.Agricultural Industries where in the Hon’ble Supreme Court, considering the provision of Section 24-A of the C.P.Act, 1986 inter-alia observed and held as under in para -8
“It would be seen from the aforesaid provision that is peremptory in nature and requires Consumer forum to see before it admits the complaint that it has been filed within two years from the date of accrual of cause of action. The Consumer forum, however, for the reason to be recorded in writing may condone the delay in filing the complaint if sufficient cause is shown. The expression, ‘shall not admit a complaint’ occurring in Section-24A is sort of a legislative command to be Consumer Forum to examine on its own whether the complaint has been filed with in limitation period prescribed thereunder. As a matter of law, the Consumer Forum must deal with the complaint on merits only if the complaint has been filed within two years from the date of accrual of cause of action and if beyond the said period, the sufficient cause has been shown and delay condoned for the reasons recorded in writing. In other words, it is the duty of the Consumer Forum to take notice of Section -24A and give effect to it. If the complaint is barred by time and yet, the Consumer Forum decides the complaint on merits, the Forum would be committing an illegality and, therefore, the aggrieved party would be entitled to have such order set aside”.
Further it is held reported in 2010(iv) CPJ-27 in the case of V.N.Shrikhande(Dr.) Vrs. Anita Sena Fernandes, where in the Hon’ble Supreme Court reiterated that Section 24 A (1) contains a negative legislative mandate against admission of a complaint which has been filed after two years from the date of accrual of cause of action. It was further observed that the Consumer Forum do not have the jurisdiction to entertain a complaint if the same is not filed within two years from the date on which the cause of action has arisen. The Apex Court held that if the complaint is per se barred by time and the complainant does not seek condonation of delay under Sub-Section – 24 A (2), the consumer forums will have no option but to dismiss the same”.
The provision of Section -24 A of the Act being mandatory and rather peremptory in nature, this forum has no jurisdiction to entertain a complaint after expiry of the prescribed period of limitation, unless the complainant filed an appropriate application under Sub-Section (2) of the said section and satisfies it that he/she had sufficient cause for not filing the complaint within the prescribed period of two years from the date on which the cause of action had arisen.
However, despite the O.Ps having taken a specific preliminary objection that the complaint was barred by limitation, the complainants did not choose to file an application under section (2) of Section 24 A seeking condo nation of delay in filing the complaint. Further the complainant has not been able to give any cogent and convincing reason for not filing the complaint within the period of limitation.
Hence, in view of the Section-24 A of the C.P.Act,1986 the complaint petition filed by the complainant is dismissed. This forum do not think proper to go into merit of this case.
The O.Ps. 1 & 3 has relied citations which are mentioned here:-
The O.P. 1 & 3 has relied judgement it is held in R.P. No. 2870/2012 in the case of Mohan Lal Benal Vrs. ICICI prudential life insurance Co. Ltd. decided on 16.10.2012 and Harish Kumar Chadha Vrs. Bajaj Allianz life insurance Co. Ltd(Decided on 7.10.2013 in R.P. No. 3271 of 2013 where in the hon’ble National Commissioner observed “That if the insured/complainant is not satisfied with the policy taken, then he/she should avail the option of returning the policy within 15 days of receipt i.e. within “the Free-look period”. The said proposition has also been clearly laid down in the case of Shrikant Murlidhar Apte Vrs. Life Insurance Corporation of India in R.P. No. 634 of 2012, decided on 2.5.2013. Further the National commission concurred with the findings of Maharashtra State C.D.R.Commission,Mumbai that “Once 15 days ‘cooling off’ period is over, policy documents become binding on both the parties and the contents therein are also binding on both of them”. Thus in concurrence with the proposition settled in the catena of cases, the present complaint deserves to be dismissed on this ground.
Again It is held and reported in CPJ 2008(4) page No.156 the hon’ble National Commission where in observed at para-5 “The premium is given by an insured, to cover the risk for a given period, and the insurer covers the risk for the period for which the premium has been paid. it is not the case of the complainant that the risk was not covered for the period for which the premium was given. If after the policy lapsed, under no provision of terms of policy or law, could any for a direct for refund of any premium for the simple reason, as already stated, that the risk stood covered for the period for which premium had been paid”.
Further the O.P.1 & 3 relied citation in their written version. It is held and reported in CPJ 2006 (Iv) 239 in the case of Prema & ors vrs. Life insurance Corporation of India the Hon’ble National Commission, New Delhi where in observed “The O.Ps do not authorize the agents to source policies based on any allurements or false assurances and the O.Ps have acted as per the terms and conditions of the policy. It is further submitted that the IRDA has administrative control over the agents and that the O.Ps do not authorize the agents to source policies based on any allurements of false assurances. Any act of the agent can not be fastened on the O.Ps and they can not be held liable for the act and omissions of the agent”.
Again the O.P.1 & 3 relied citation in their written version, it is held and reported in CPJ 2003(1) 393 in the case of United India Insurance Co. Ltd., Vrs. Harchand Rai Chandanial and in the case of Vikram Greentech(I) Ltd. & Anr. Vrs. New India Assurance Co. Ltd-II 2009(2) CPJ-34 where in the Hon’ble Supreme Court observed “ An insurance policy is to be construed strictly as per the terms and conditions of the policy document which is a binding contract between the parties and nothing can be added or subtracted giving a different meaning to the words mentioned therein”.
This forum completely agreed with views taken in written version inter alia the documents
filed by the O.Ps in the present case. Hence this forum feel the complainant is not entitled any
relief from this forum and liable to be dismissed.
To meet the ends of justice the following order is passed.
ORDER.
In resultant the complaint petition stands dismissed. In the circumstances there is no order as to costs. Accordingly the case is disposed of.
Dictated and corrected by me Pronounced on this 15 th. Day of October, 2018.
Member. Member. President
F
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