Karnataka

Gadag

CC/94/2019

Chandrakanth. M. Chigari and Another - Complainant(s)

Versus

The Person-In-Charge, Universal Sompo General Insurance Company Ltd and Others - Opp.Party(s)

P.S.Dharmayath

24 Feb 2021

ORDER

DISTRICT CONSUMER DISPUTES REDRESSAL COMMISSION, GADAG
DISTRICT CONSUMER DISPUTES REDRESSAL COMMISSIONBehind Tahsildar Office, Basaveshwar Nagar, GADAG
 
Complaint Case No. CC/94/2019
( Date of Filing : 08 May 2019 )
 
1. Chandrakanth. M. Chigari and Another
R/o Hulkoti village, Tq, Gadag
Gadag
Karnataka
...........Complainant(s)
Versus
1. The Person-In-Charge, Universal Sompo General Insurance Company Ltd and Others
#rd floor, K.V.V Smart 217/A 3rd main out ring road, Kasturi Nagar Bangalore.
Bangalore
Karnataka
2. The State Of Karnataka Rep by DC, Gadag
DC Office, Gadag
Gadag
Karnataka
3. The Joint Director, Agriculture Dept, Gadag
Agriculture Dept, Gadag
Gadag
Karnataka
4. The Manager, Syndicate Bank
Syndicate Bank, Hulkoti-582205
Gadag
Karnataka
............Opp.Party(s)
 
BEFORE: 
 HON'BLE MRS. JUSTICE Smt C.H. Samiunnisa Abrar PRESIDENT
 HON'BLE MR. Mr. B.S.Keri MEMBER
 
PRESENT:
 
Dated : 24 Feb 2021
Final Order / Judgement

BEFORE THE DISTRICT CONSUMER

DISPUTES REDRESSAL FORUM, GADAG.

 

 

COMPLAINT NO.94/2019


Date: 24th day of February-2021

 

                                      P r e s e n t:                  

Smt.C.H.Samiunnisa Abrar, B.A., LLB   :  President 

Sri.B.S.Keri, B.A., LLB (Spl)                   :   Member

 

Complainant/s:                      1. Chandrakanth S/o Mallikarjunappa Chigari, Age:23 Years, Occ: Agriculture, R/o Hulkoti, Taluk & District: Gadag.

 

                                                2.Mallikarjunappa S/o Hanumanthappa Chigari, Age: 53 Years, Occ: Agriculture, R/o Hulkoti, Taluk & District: Gadag.

                                               

(By Sri.P.S. Dharmayat, Advocate)

 

                                                      V/s           

 

Respondent/s:                        1.  The Person in-charge,

Universal Sompo General Insurance Co.Ltd., III Floor, KVV Samrat, 217/A, III Main, Outer Ring Road, Kasturi Nagar, Bangalore-43.

 

                                                2.  The State of Karnataka,

Represented by the Deputy Commissioner, Gadag.

 

3.  The Joint Director,

Agriculture Department,

Gadag.

 

4.       The Manager,

Syndicate Bank, Hulkoti,

Gadag.

 

(By Shri/Smt. Sri. M.A. Moulvi, Advocate for       OP No.1, DGP for OP No.2 and 3 and Smt. Vijaya Angadi, Advocate for OP No.4)

 

 

 

 

 

-::O R D E R::-

 

BY: SMT.C.H.SAMIUNNISA ABRAR, PRESIDENT.

 

1.      The complainants have filed this complaint claiming direction to the OPs to pay the crop insurance amount of Rs.1,72,809.20/- along with interest at the rate of 18% p.a, Rs.1,00,000/- compensation towards mental agony, loss, damage with cost and such other relief.

 

-::Brief facts of the case are as under::-

2.      The case of the complainants is that, the complainants are the permanent residents of Hulkoti village, Taluk and District Gadag, who are the loanee farmers have insured their Onion and Red Chilli crops which were grown in their lands with OP No.1 under FASAL BHEEMA YOJANA for 2016-17 Khariff season.    They have sowed Onion and Red Chilli crop in 2016-17 in their lands bearing sy. No.315/1+2+3+4+5/E, measuring 2-23 Acres, sy. No.315/1+2+3+4+5/E, measuring 2-23 Acres, sy.No.315/6, measuring 4-00 Acres and sy.No.315/6, measuring 4-00 Acres situated at Hulkoti village of and insured with Universal Sompo General Insurance Co. Ltd., for the yield and paid the total premium amount of Rs.8,640-36 in 2016-17 under PMFBY for a sum assured amount of Rs.1,72,809.20-00.  The said crops were good and healthy and the complainant hoped that they would get good yield from the above said crops for the said year.  It is further submitted that, the crop failed completely due to shortfall of rain. The complainants are the loanee farmers.  The complainants approached the OPs and requested to release the crop insurance, but it went in vain, which shows the deficiency in service.  The above said scheme encouraged the farmers to get compensation for such damages.  The main aim of the said scheme is that to meet out the problems of the farmers under such circumstances.  The complainants perceived that none of the OPs have come to aid with this matter.       The complainants lost their crops due to lack of rain and lost their hard earned money in investing the faulty scheme of the OPs. Therefore, the complainants got issued legal notice to the OPs on 15.03.2019 calling upon them to pay the compensation, but the OPs failed to give reply the notice.  The cause of action for this complaint arose on 15.03.2019 when the complainants issued notice to the OPs.   Hence there is a deficiency in service and prayed to order the OPs to pay the total loss and damages of the crop under the scheme with interest @ 18% p.m, Rs.1,00,000/- towards compensation for mental agony, loss and damages with costs of the proceedings and such other reliefs.

3.      Registered the complaint and notice was ordered as such OPs present before the Forum and filed their written version. 

Written Version of the OP No.1

  1. OP No.1 stated that the above complaint is not maintainable both in law and also on facts as there is no deficiency of service on their part.  The Pradhan Mantri Fasal Bima Yojana is being implemented in the country under the orders of Government of India with an objective to provide insurance coverage and financial support to the farmers in the event of failure of any of the notified crop as a result of natural calamities.  The time lines for coverage, submission of yield data, price data etc., shall be decided by the SLCCI strictly keeping in mind the onset of monsoon, sowing period, crop cycle as per the operational guidelines of Pradhan Mantri Fasal Bheema Yojana, Department of Agriculture, Cooperation and Farmers welfare book mentioned.  Once the yield data is received from the State/UT Government as per the prescribed cut-off dates, claims will be processed, approved and settled by IA.  If the Actual Yield per hectare of the insured crop for the defined (on the basis of requisite number of crop cutting experiments (CCEs)) in the insured season, falls short of the specified that crop in the defined area deemed to have suffered shortfall in their yield. 

            Claim shall be calculated as per the following formula:

            Claim pay-outs= (Shortfall in Yield X Sum insured of the farmer

     Threshold Yield)

 

It is further submitted that, threshold yield and actual yield is to be entered by State Government in SAMRAKSHANE portal and this OP has only access to download the same and based on the entry in thesaidportalifaclaimhasbeenregisteredin that case it would be treated as admissible or inadmissible. The CCE yield is higher than the threshold yield, hence there is no crop loss of the farmer and hence, no claim is reflected in the portal.The final claim is calculated as per the term sheet and the same is mentioned in the SAMRAKSHANE Portal which is maintained by the State Government.The claims are settled as per the norms of PMFBY/WBCISoperationalguidelinesofCentralGovernmentforwhichall insurance companies are adhere to the policy and no further claims are admissible after the settlement.The complainants has not produced any documents before this Forum that, the concerned authorities have declared the above said area is hit by drought and not produced any documents to show that, he has suffered heavy loss due to improper yielding of crops in his lands.As per the data, there is no shortfall in the area claimed by the complainants and claims that the complainants are hiding the material facts and fraudulently claiming the undue amount and prays to dismiss the complaint.

Written Version of the OP No.2 and 3

  1. The OP No.1 contended that Complaint of complainants is not maintainable both in law and also on facts and the same is liable to be dismissed in limine. 
  2. It is further submitted that, the contents of para 2 and 3 are false and the same is to be proved by the complainants.
  3. The contents of para 4 are and the same is to be proved by the complainants to show that, they have grown the onion and red chilli crop under rain fed and paid the premium for the same. 
  4. The complainants are not the consumers of these OPs and there is no contract of agreement between the complainants and these OPs that of seller and the buyer.  These OPs has made a party unnecessarily and therefore, there is no deficiency of service on the part of these OPs and hence, prayed to dismiss the complaint. 

Written Version of the OP No.4

  1. The OP No.4 contended that Complaint of complainants is not maintainable both in law and also on facts, the same is imaginary, false and the same is barred by limitation, the same is liable to be dismissed in limine. 
  2. It is submitted that, the complainants have paid the crop insurance premium amount for Onion and Red Chilli crops for the 2016-17 Khariff season under loanee farmer and the same has been sent to OP No.1 within time limit i.e., on 30.07.2016 through this OP and the same is informed to the complainants.    
  3. It is further submitted that, this OP No.4 is only an agent between the farmers and the Insurance company and the scope of this OP is very limited one. 
  4. It is further submitted that, the duty of this OP is to collect the applications/proposal forms and to collect the required premium as per the guidelines of the GIC and forward the same to Insurance company.  There is a separate machinery to assess the percentage of failure of the respective crop and fixing of the percentage and quantum of compensation to be payable to the respective farmers.  This OP is neither concerned to the facts of fixing the premium and assessing the loss nor fixing of the compensation to be payable to the farmers.  Therefore, the question of deficiency of service on the part of this OP does not arise and hence, the complaint filed by the complaints deserves to be dismissed.  

4.  The complainant No.2 has filed his affidavit evidence with 33   documents behalf of complainants, the Executive of OP No.1 and the Manager of OP No.4 filed their respective affidavit evidence with 03 documents which are as follows:

COMPLAINANTS FILED DOCUMENTS AS follows

 
  •  
  •  

Particulars of Documents

Date of Document

C-1

Legal Notice

  1.  

C-2 &n 3

Postal Acknowledgements

 

C-4 to 6

R of Rs

 

C-7 & 8

View Proposals

  1.  

C-9 & 10

Legal Notices

  1.  

C-11 to 18

Postal Receipts

  1.  

C-19 to 33

Letter with CCE reports

  1.  

 

          OPs FILED DOCUMENTS AS follows

  •  
  •  

Particulars of Documents

Date of Document

  1.  

Letter of Authorization

 

  1.  

Statement of Accounts

01.01.2015 to 09.07.2019

  1.  

Statement of Accounts

01.01.2016 to 21.12.2016

5.      On pursuance of the materials, placed by the complainants and OPs, the following points arises for our consideration:-

  1. Whether the complainants have proved the deficiency in service

on the part of the OPs as averred in the complaint?

 

  1. Whether the complainants are entitled to any relief?
  2. What Order?

6.   Our findings to the above points are:-

      Point No. 1:  Affirmative

      Point No. 2:  Partially Affirmative

      Point No. 3:  As per the final Order

R E A S O N S

             7.  POINT NO.1 AND 2:  Both the points are inter-linked and identical. Hence we proceed both the points together.

 8.        The Complainants filed this Complaint against the OPs for claiming crop insurance 2016-17 on failure of weather.

 9.        The Complainant/s submits that they have insured their crops with OP’s in the year 2016-17 for the Onion and Red Chilli crops which were grown in their lands with OP No.1 under FASAL BHEEMA YOJANA for 2016-17 Khariff season.    They have sowed Onion and Red Chilli crop in 2016-17 in their lands bearing sy. No.315/1+2+3+4+5/E, measuring 2-23 Acres, sy. No.315/1+2+3+4+5/E, measuring 2-23 Acres, sy.No.315/6, measuring 4-00 Acres and sy.No.315/6, measuring 4-00 Acres situated at Hulkoti village of and insured with Universal Sompo General Insurance Co. Ltd., for the yield and paid the total premium amount of Rs.8,640-36 in 2016-17 under PMFBY for a sum assured amount of Rs.1,72,809.20-00.  In this year, Complainant/s experienced less rain and suffered loss, but OPs failed to deposit the insurance amount in the Complainant/s account.  Meantime, the Complainant/s approached OPs, but OPs failed to deposit the claim amount.  Hence, Complainant/s submits that they have not got the claim amount from the OPs. On the other hand, OP No.1 submits that as per the Scheme Conditions, the calculation is on the formula of threshold yield i.e., mainly based on the CCE and submits that, this complainant is not entitled for the claim as reflected in the SAMRAKSHANA Portal that the CCE yield is higher than the threshold yield and in Khariff 2016-2017 PMFBY and WBCIS is governed by the term sheet designed by the State Government which has triggers of deficit rainfall, dry days and excess rainfall etc.

10. OP No.2 and 3 submits that, complainants are not the consumers and there is no contract of agreement between the complainants and these OPs that of seller and the buyer.  These OPs have made a parties unnecessarily and therefore, there is no deficiency of service on their part.

11. OP No.24submits that, they have acted as a mediator between the OP No.1 and complainants and after receiving the premium amount, entire total premium amount had been transferred to OP No.1. 

12.       On-going through the records on file, it is an undisputed fact that complainant/s has insured his crops with OP No.1 and it is also undisputed fact that they have received the premium amount from the complainant/s as well as the Government that means OP No.1 received entire premium amount from the complainant/s. The disputed fact is that OPs are not paid the sum assured amount in spite of loss occurred to the complainant as per the complaint.    We have to discuss clearly about the scheme to conclude the case as per the pleadings of the complaint and OPs as stated supra.  

13.       Anyhow, complainant also failed to produce the document stating that, the entire crop is vanished and it is also a bounded duty of the complainant also to produce the document is said that they sow the particular crop during 2016-17(Crop Yielding Certificate) from the concerned authority and in the RTC produced by the complainant there is no such crop is mentioned in the RTC.  While arguing the matter, the learned counsel for complainant submits that, the Revenue Department were not changed the crop after informing the same to the concerned authority and they leave the column of the crop as it is what it is in previous years.  Hence, the RTC is not at all changed.    Anyhow,   the   Forum   comes to the conclusion that, the claim of the complainant is to be settled in a nonstandard basis.  Hence, we answer Point No.1 in Affirmative and Point No.2 in partly Affirmative. 

             14.  POINT NO. 3: In view of our findings on the above points, the complaints filed by the complainants are partially allowed. In the result, we pass the following: 

//O R D E R//

           1.  The above Complaint is partially allowed against OP No.1 & 2.

           2.   The OP No.1 is directed to pay 75% of the Sum Assured to Complainant/s within one month, failing which OP No.1 is liable to pay 18% interest from the date of filing this complaint till realization.

3.  OP No.2 is liable to pay Rs.5,000/- to the complainant/s towards compensation.  Further, OP No.1 is directed to pay litigation charges of Rs.1,000/- to the complainant/s.

4.  Complaint against OP No.3 and 4 is dismissed.

           5.  Send the copies of this order to the parties free of cost.

            (Dictated to the Stenographer, transcribed by him, corrected and then pronounced by me in the Open Court 24th day of February-2021)

 

 

 

(Shri B.S.Keri)                                   (Smt.C.H.Samiunnisa Arbrar)

    MEMBER                                                     PRESIDENT

 

 

 

 

 
 
[HON'BLE MRS. JUSTICE Smt C.H. Samiunnisa Abrar]
PRESIDENT
 
 
[HON'BLE MR. Mr. B.S.Keri]
MEMBER
 

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