Andhra Pradesh

StateCommission

FA/896/2012

M/s. Oriental Insurance Company limited, Regd. & Head Office, A-25/27, Asaf Ali Road, - Complainant(s)

Versus

Thuniki Anand Raju, s/o. Dr. T. Narsimha Raju, Age 30 Years, Occ: Private Employee, - Opp.Party(s)

M/s.Bhaskar Poluri

10 Oct 2013

ORDER

 
First Appeal No. FA/896/2012
(Arisen out of Order Dated 09/06/2012 in Case No. CC/131/2011 of District Karimnagar)
 
1. M/s. Oriental Insurance Company limited, Regd. & Head Office, A-25/27, Asaf Ali Road,
New Delhi. Represented by Athorised Signatory.
2. 2. M/s. Oriental Insurance Company Limited,
Divisional Manger, Opp. Collectorate Complex, P.B. No.5, Karimnagar.
...........Appellant(s)
Versus
1. Thuniki Anand Raju, s/o. Dr. T. Narsimha Raju, Age 30 Years, Occ: Private Employee,
Resident of H.No. 4-69/54/6, Road No.2, Vidyaranayapadu, Opp. Appollo Reach Hospital, Near Railway Station, Karimnagar.
...........Respondent(s)
 
BEFORE: 
 HON'ABLE MS. M.SHREESHA PRESIDING MEMBER
 HON'ABLE MR. S. BHUJANGA RAO MEMBER
 
PRESENT:
 
ORDER

BEFORE THE A.P STATE CONSUMER DISPUTES REDRESSAL COMMISSION AT  HYDERABAD.

 

FA  896 of 2012  against CC  131/2011, Dist. Forum, Karimnagar

 

 

Between:

1)  Oriental Insurance Company Ltd.

Regd. & Head Office :

A-25/27, Asaf Ali Road

New Delhi

Rep. by its Authorised Signatory

 

2)  Oriental Insurance Company Ltd.

Divisional Office, 

Opp. Collectorate Complex

P.B. No. 5, Karimnagar

Rep. by its Divisional Manager.                  ***                         Appellants/

                                                                                                O.Ps

                                                                   And

Thuniki Anand Raju

S/o. Dr. T. Narasimha Raju

R/o. 4-69/54/6

Road No. 2, Vidyaranyapuru

Opp.  Appollo Reach Hospital

Near Railway Station

Karimnagar.                                                ***                         Respondent/

Complainant

 

Counsel for the  Appellant :                        M/s. Bhaskar Poluri

Counsel for the  Respondent:                      M/s. Indus Law Firm

                                                                                                         

 

CORAM:

                              SMT. M. SHREESHA, PRESIDING MEMBER

&

                              SRI  S. BHUJANGA RAO, MEMBER


THURSDAY, THE TENTH DAY OF OCTOBER TWO THOUSAND THIRTEEN

 

ORAL ORDER:  (Per Smt. M. Shreesha, Member)

 

***

 

1)                Aggrieved by the order in CC No. 131/2011 on the file of the Dist. Forum,  Karimnagar, the  opposite parties preferred this appeal.

 

2)                The brief facts as stated in the complaint are that the complainant got his HYUDAI   car insured with the  appellant/opposite party insurance company  covering the period from  21.12.2010 to 20.12.2011.  While so,  on 28.2.2011  it met with an accident  on  the National Highway  No. 22 between  Nirmal and Khanapur in which the vehicle was extensively damaged.    On a complaint  the Police at Nirmal  visited the scene of offence  and conducted Panchanama.   Immediately, the complainant  informed  the insurance company about the  accident which in turn  appointed a spot  surveyor Mr. Nagesh.    On his advice the vehicle was  shifted to authorized service centre  of  HYUNDAI  at Karimangar for necessary repairs.   They estimated  the damage at  Rs. 1,04,547/-.   The complainant alleges that when the claim was made, the insurance company sent a cheque  for Rs. 48,000/- which was accepted by him under protest.    Immediately on 30.6.2011  he sent a letter requesting the opposite parties to pay balance of amount, however, the insurance company did not oblige his request.    Hence this complaint seeking for a direction to  the opposite parties to pay balance of Rs. 56,547/-  with interest @ 24% together with compensation and costs. 

 

3)                The appellants/opposite parties filed counter  denying the allegations made by the complainant.   They contended that  on receipt of intimation about the accident on 28.2.2011 they deputed an IRDA surveyor on 2.3.2011  who assessed the loss  at Rs. 48,000/- and the same was paid to the complainant  towards full and final settlement  of claim for which  the complainant voluntarily executed the  discharge voucher dt. 20.4.2011 acknowledging  the receipt of  said amount.    The opposite parties sent reply to the notice issued by the complainant dt.  18.5.2011 stating that  the loss was assessed in accordance with prevailing norms and the estimates submitted to the company by the surveyor and a copy of the  survey report  was also furnished.   There is no deficiency of service  on their behalf and therefore prayed for dismissal of the complaint with costs. 

 

4)                The Dist. Forum based on the evidence adduced i.e., Exs. A1  to A10 and Exs. B1 to B3  and the pleadings put forward allowed  the complaint directing the  opposite parties  jointly and severally to pay Rs. 56,547/-  with interest @ 9% p.a., from the date of complaint i.e., from  1.8.2011 till the date of payment together with costs of Rs. 1,000/-.  

 

 

5)                Aggrieved by the said order, the  opposite parties preferred this appeal.

 

6)                The learned counsel for the appellants filed  written arguments. 

 

 

7)                The point that falls for our consideration is whether the order of the Dist. Forum is vitiated by mis-appreciation of fact or law?

 

8)                It is the contention of the appellants/opposite parties that once the  complainant has tendered discharge voucher  towards full and final settlement of the claim the question of re-opening the case  will not arise.   The insurance company rightly settled the claim at Rs. 48,000/- based on the report of surveyor and the estimates submitted by the complainant.    On the other hand, the complainant alleges that  he accepted the said amount  with  protest and they obtained the discharge voucher under duress and coercion.   Immediately he addressed a letter  under Ex. A6 dt. 30.5.2011 claiming balance of amount  for which the  opposite parties gave reply under Ex. A7 refusing  to  re-open the matter.   In the circumstances it cannot be said that  it is an afterthought  of  the complainant  for  making unlawful gain. 

 

9)                It is pertinent to note that  despite the fact that the Dist. Forum  made an observation that the appellants/opposite parties  did not file the report of the surveyor   to find out as to how  the assessment was made  and what are the observations and recommendations  of the surveyor  and the quantum of loss  assessed by the surveyor after taking into consideration depreciation, policy excess, they did not choose to file  the said report even before this Commission.  Therefore an adverse inference could be drawn for not filing the surveyor report.  In the absence of  the surveyor report, the contention of appellants/opposite parties cannot be countenanced. 

 

 

 

10)              Admittedly, the complainant got his vehicle  repaired through an authorised service centre evidenced under  Exs. A1 to A5 and paid an amount of Rs. 1,05,547/- towards the repairs. 

 

11)              Coming to the contention of  appellants/opposite parties that  the complainant had executed the discharge voucher  for Rs. 48,000/- towards full and final settlement of the claim  and therefore they are not liable to pay any more amount.    When it was obtained under duress and coercion and that too without filing the surveyor report it cannot be construed that he has agreed for the said amount towards full satisfaction.  In this context, we rely on the   following judgements of  Hon’ble Supreme Court and the National Commission. 

 

The law on  this subject has clearly been laid down by Hon'ble Supreme Court of India in “United India  Insurance Company Vs. Ajmer Singh Cotton & General Mills, (1999) 6 S890CC 400”. It was held that discharge voucher though signed as ‘full and final’ may not be treated as final if the consumer can satisfy the Court that it was obtained through undue influence fraud or misrepresentation. Hon'ble Court has observed;

“The mere execution of the discharge voucher would not always deprive the consumer from preferring claim with respect to the deficiency in service or consequential benefits arising out of the amount paid in default of the service rendered. Despite execution  of the discharge voucher, the consumer may be in a position to satisfy the Tribunal or the Commission under the Act that such discharge voucher or receipt had been obtained from him under the circumstances which can be termed as fraudulent or exercise of undue influence or by misrepresentation or the like. If in a given case the consumer satisfies the authority under  the Act that the discharge voucher was obtained by fraud, misrepresentation, undue influence or the like, coercive bargaining compelled by circumstances,  the authority before whom the complaint is made would be justified in granting appropriate relief.”

 

The National Commission in  New India  Assurance Company Ltd. Vs.  M/s. Polycap  Industries  reported in 2010(3) CPR 91 (NC)  wherein  it was held that “where the complainant  accepted  such a  small amount  against his claim for loss under insurance policy, it could be taken to have been  accepted under  duress and consumer complaint would be maintainable.”

 

12)              Keeping in view the aforementioned  reasons and judgement of the National Commission, we are of the considered opinion  that the Dist. Forum has rightly directed the appellants/opposite parties to pay balance of  Rs. 56,547/- with interest @ 9% p.a., from the date of complaint till the date of payment together with costs of Rs. 1,000/-.  We do not find any merits in the appeal.

 

13)              In the result this appeal is dismissed but without costs.   Time for compliance four weeks. 

 

 

1)      _______________________________

PRESIDING MEMBER 

 

 

 

2)      ________________________________

*pnr                                                                                MEMBER  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UP LOAD – O.K.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
[HON'ABLE MS. M.SHREESHA]
PRESIDING MEMBER
 
[HON'ABLE MR. S. BHUJANGA RAO]
MEMBER

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