View 46125 Cases Against General Insurance
Sri.H.Harinatha Reddy filed a consumer case on 29 Sep 2018 against The Manager, Sompo General Insurance Company in the Kolar Consumer Court. The case no is CC/23/2018 and the judgment uploaded on 09 Oct 2018.
Date of Filing: 23/03/2018
Date of Order: 29/09/2018
BEFORE THE KOLAR DISTRICT CONSUMER DISPUTES REDRESSAL FORUM, D.C. OFFICE PREMISES, KOLAR.
Dated: 29th DAY OF SEPTEMBER 2018
SRI. K.N. LAKSHMINARAYANA, B.Sc., LLB., PRESIDENT
SMT. A.C. LALITHA, BAL, LLB., …… LADY MEMBER
CONSUMER COMPLAINT NO. 23 OF 2018
Sri. H. Harinatha Reddy,
S/o. T. Anjaneya Reddy,
Aged About 52 Years,
Karadaguru Village,
Kaysambally Hobli,
Bangarpet Taluk-563 121. …. COMPLAINANT.
(In-person)
- V/s -
1) The Manager,
Universal Sompo General Insurance
Company, K.V. Samrat Building,
Kasthuri Nagara, Bangalore.
(Rep. by Sri. B. Kumar, Advocate)
2) The Deputy Director,
Horticulture Department,
D.C. Office Premises,
Kolar.
(Rep. by Sri M. Lokesh Murthy, Advocate)
3) The Manager,
Pragathi Krishna Gramina Bank,
Kyasambahalli Branch,
KGF Taluk,
Kolar District.
(Rep. by Sri. N.G. Vasudev Moorthy, Advocate) …. OPPOSITE PARTIES.
-: ORDER:-
BY SRI. K.N. LAKSHMINARAYANA, PRESIDENT,
01. The complainant in-person has filed this complaint Under Section 12 of the Consumer Protection Act, 1986 for issuance of directions to Ops to pay claim amount of Rs.54,845.00 with interest @ 18% per annum and compensation of Rs.30,000/- and for his health problem he suffered Rs.10,000/- and cost of Rs.5,000/-.
02. The brief facts of the complainant case is that, he being an agriculturist under the reference of OP No.2 he had availed crop insurance under “Pradana Mantri Fasal Bhima Yojane” for the Mango crop grown in his land bearing Sy. No.40/P9, 28/2, 28/3, situated at Majarareddyhally Village, land measuring to an extent of 06.01 acres during 2016-2017 premium amount of Rs.9,224/- towards the said insurance was paid at Pragathi Krishna Gramina Bank (PKGB).
(b) During the said period there was no rain in Kolar District and he lossed the crops. The complainant approached Ops for several times for insurance claim, since they did not reply he along with other farmers approached Deputy Commissioner of Kolar District, Kolar, the same is goes in vain. The complainant has come up with this complaint by seeking the above set-out reliefs.
03. In response to the notice issued by this Forum, Ops have put in their appearance and submitted their written version.
(a) The contention of OP No.1 is that, there is no cause of action to file this complaint since the complainant has not issued or given any notice to this OP and further mainly contended that, the bank branch account details are not updated in Samrakshane portal and unless and until the bank branch account details are entered in the portal, this OP is unable to pay any amount and if the banks had failed to perform its role in accordance with scheme norms, the complainant at best can proceed against banks and not against this OP-insurance company. There is no deficiency of service on their part and prayed for dismissal of the complaint with costs.
(b) The contention of OP No.2 is that, as per the Karnataka Government order vide No.ThoEe/38/KruUE/2014, Bengaluru dated: 15.05.2018 this OP has issued the paper advertisement dated: 30.06.2016 to inform the farmers to avail the insurance through their respective bank accounts and apart from this there is no any other part of this OP and prayed for dismissal of the complaint.
(c) The contention of OP No.3 admitted the receipt of premium amount from the complainant and it contends that, immediately after receiving the premium amount they remitted to the OP No.1. The OP No.3 had not received any claim amount from the OP No.1 pertaining to the complainant’s premium of insurance. This OP No.3 is not a necessary part to this proceeding. In view of the same there is no deficiency in service on their part. This OP prayed for dismissal of the complaint.
04. The complainant has submitted his affidavit evidence by way of examination-in-chief and also submitted below mentioned documents:-
(i) Copy of View Proposal pertaining to crop insurance
(ii) Copy of Aadhar card
(iii) Three Copies of RTC Extracts pertaining to Sy. Nos. 40/P9, 28/2 & 28/3.
(iv) Copy of Bank Pass-Book
(v) Three Copies of Samrakshane NIC Digital India pertaining to Sy Nos.28/*/3, 40/*/P9 & 28/*/2
(vi) Copy of letter issued to DC, Kolar.
05. One Sri. Vinay Kumar.M, Executive of OP No.1 has sworn the affidavit evidence on behalf of OP No.1 by way of examination-in-chief and no documents were filed.
06. OP No.2 has filed a Memo dated: 25.07.2018 praying to adopt their version as its evidence and written arguments. No documents were filed.
07. Heard arguments of complainant and the learned counsel appearing for Ops.
08. Now the points that do arise for our consideration are:-
POINT NO.1:- Is there cause of action to file this complaint?
POINT NO.2:- If so, is there deficiency in service on the part of Ops in complying the complainant’s claim of crop insurance?
POINT NO.3:- If so, whether the complainant is entitled for the compensation?
POINT NO.4:- What order?
09. Our findings on the above stated points are:-
POINT (1):- In the Affirmative
POINT (2):- In the Affirmative as against OP No.1
And in the Negative as against OP Nos.2 & 3.
POINT (3):- In the Affirmative as against OP No.1
only.
POINT (4):- As per the final order
for the following:-
REASONS
POINTS (1) to (3):-
10. These points are taken up together for discussion to avoid repetition of facts and reasonings. We have perused the complaint, version and affidavit evidence submitted by both the parties so also the documents produced by the complainant.
(a) The OP No.1 has contended that, there is no cause of action to file this complaint because the complainant has not issued any notice to this OP No.1. On perusal of pleadings of complainant this complainant has clearly pleaded as, he approached Ops on several times by requesting Ops to settle the claim, when these Ops have not responded he along with other farmers approached Deputy Commissioner, Kolar and there also he did not get any positive response and he approached this Forum.
(b) On perusal of the records, this complainant is an illiterate farmer. Therefore we hold the pleadings of complainant is sustainable because we cannot except any documentary evidence for his visit to Ops because of his illiteracy. Moreover consumer Forum mainly follows principles of natural justice. The documents produced by the complainant are admitted by the Ops. Therefore from the above discussion we come to conclusion that, the said contention of OP No.1 that, there is no cause of action for the complaint is not sustainable and it goes in vain and there is a cause of action to file this complaint.
(c) The counsel for OP No.1 has vehemently addressed his arguments with respect to documents produced by them and taking shelter under Class XVII (1) & (2) of Operational guidelines of Pradhana Mantri Fasal Bima Yojana and other documents. The said documents are applicable depending upon facts and circumstances of each case, but here in this case on hand the said documents and the provision as stated above are not attracted to the facts and circumstances of the case on hand. As herein this case OP No.3 has remitted the premium to OP No.1 as per the document produced by OP No.3. Hence the said arguments of OP No.1 is also goes in vain and OP No.1 cannot escape from the liability.
(d) On perusal of entire records of the case it is clear that, the complainant has paid premium from PKGB i.e., OP No.3 of his SB Account No.10717100004897 and OP No.3 remitted the said premium for the year 2016-2017 to OP No.1 i.e., insurance company. On perusal of documents submitted by complainant i.e., Samrakshane Check status it is very clear that, on 02.09.2016 the application was acknowledged by the insurance company and on 21.02.2016 approved by the bank and forwarded to insurance company and the claim was approved towards application No.56982 of the complainant, the claim amount Rs.19,347.75 paisa has been approved with respect to Sy. No.28/*/3, Rs.7,499.25 paisa has been approved with respect to Sy. No.28/*/2 and Rs.27,999.00 paisa has been approved pertaining to Sy. No.40/*/P9 with respect to Mango Crops. In all the total amount is Rs.54,846/- and all the details clearly updated during 2016-2017 itself, then how come the OP No.1 contended as, the details not updated in the said portal. It is bounded duty of OP No.1 to verify in the said portal, but OP No.1 has failed to do so. This shows the act of negligence in service on the part of OP No.1. Hence as discussed above, we hold OP No.1 has rendered deficiency in its service and liable to pay compensation and claim amount to the complainant with cost. OP No.2 is the formal party to this adjudication we hold no liability on the OP No.2 and so also no liability on OP No.3. Hence as discussed above we answer the above points accordingly.
POINT (4):-
11. In view of the above discussions on Point (1) to (3) we proceed to pass the following:-
ORDER
01. The complaint is allowed with cost of Rs.500/- against OP No.1 and dismissed as against OP Nos.2 & 3. No costs.
02. OP No.1 is hereby directed to pay claim amount of Rs.54,846/- towards crop insurance application No.56982 to the complainant with compensation of Rs.5,000/- within 30 days from the date of communication of this order.
03. Send a copy of this order to both parties free of cost.
(Dictated to the Stenographer, transcribed by him, corrected and then pronounced by us on this 29th DAY OF SEPTEMBER 2018)
LADY MEMBER PRESIDENT
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