Gurmel Singh v. Branch Manager, National Insurance Co. Ltd.
M. R. SHAH, J.
1. Feeling aggrieved and dissatisfied with the impugned final
judgment and orderdated 03.08.2021 passed by the National Consumer
Disputes Redressal Commission at New Delhi in Revision Petition No.
2898/2015, by which, the appellant is denied the relief of settli ng the
claim under the insurance policy, the original complainant – appellant
herein has preferred the present appeal.
2. That the appellant herein – original complainant was th e
registered owner of the Truck bearing No. CG-04-JC-4984. The sa id
vehicle was insured with the respondent herein – insurance com pany
for the period from 22.08.2012 to 21.08.2013. The appellant also paid a
sum of Rs. 28,880/- to the respondent towards premi um. On 23-
24.03.2013 in the midnight, the saidvehiclewas stolen. A FIR was
immediately lodged in the Police Station Kumhari, which was registered
as FIR No. 57/13. On the same day, the complainant also informed the
insurance company as well as the Regional Transport Office
(RTO)regarding the theft of the Truck. That after giving infor mation
regarding theft, the appellant submitted all the documents sought by the
insurance company, but the insurance company failed to settle the claim.
That being aggrieved by the delay in settling the claim, the appellant filed
the consumer complaint No.200/2013 before the District Consumer
Disputes Redressal Commission, Durg, Chhattisgarh. The District
Consumer Disputes Redressal Commission disposed of the said complaint
vide order dated 03.12.2013 with the direction that the appellant herein
would furnish duplicate certified copy of the certificate of registration of
Truck to the insurance company within a month and that the insurance
GURMEL SINGH v. BRANCH MANAGER, NATIONAL
INSURANCE CO. LTD.
company within a month after receiving the same would settle the claim
as per the terms and conditions of the insurance policy. It is the case on
behalf of the appellant that in compliance of the order passe d by the
District Consumer Disputes Redressal Commission, th e appellant
submitted an application before the RTO for obtaining duplicate certified
copy of the certificate of registration of the Truck in question. However,
RTO denied to issue duplicate certified copy of the certificate of
registration on the ground that due to the report of the theft of the Truck,
the details regarding registration certificate on the comput er has been
locked. Therefore, the RTO refused to issue the duplicate certified copy
of the certificate of registration of the Truck. Thereafter, the appellant –
original complainant submitted an application before the insurance
company along with photocopy of the certificate of registr ation and
registration particulars, as provided by the RTO.Despite the above, the
claim was not settled and therefore, the appellant filed a fresh consumer
complaint bearing No. 179/2014 before the District Consumer Disputes
Redressal Commission, Durg, Chhattisgarh. That the sa id District
Commission vide order dated 23.01.2015 dismissed the said complaint
by observing thatas the appellant had not filed the relevant documents
for settlement of claim therefore, the non-settlement of the claim cannot
be said to be deficiency in service. The order passed by the Di strict
Commission has been confirmed by the State Commission and thereafter,
by the National Consumer Disputes Redressal Commission by the
impugned judgment and order.
3. We have heard Shri Anand Shankar Jha, learned coun sel
appearing on behalf of the appellant and Mrs. Hetu Arora Sethi, learned
counsel appearing on behalf of the respondent – insurance company.
4. It is not in dispute that the vehicle belonging to the ap pellant
was insured with the respondent – insurance company. It is also not in
dispute that the same was valid for the period between 22.08.201 2 to
21.08.2013. It is also not in dispute that the appellant herein paid a sum
of Rs. 28,880/- to the respondent towards premium. It is al so not in
dispute that the insured vehicle was stolen for which a FIR has been
registered in the Police Station Kumharion the very day on which the
vehicle was stolen. Immediately on the very same day, the appe llant
informed the insurance company as well as RTO regarding the theft of
the Truck. The appellant also produced the photocopy of the certificate
of registration and the registration particularsas provided by the RTO.
567
However, the appellant could not produce either the original certificate
of registration or the duplicate certified copy of certificate of registration
of the Truck. When the appellant applied for the duplicate certified copy
of the certificate of registration, the RTO denied to issue the duplicate
certified copy on the ground that in view of inform ation/
reportregardingtheft of the vehicle, which has been registered with the
RTO, the details regarding registration certificate on the computer has
been locked. The insurance claim has not been settled mainly on the
ground that the appellant has not produced either the original certificate
of registration or even the duplicate certified copy of ce rtificate of
registration issued by the RTO. However, the appellant did p roduce
photocopy of certificate of registration and other registration particulars
as provided by the RTO. Even, at the time of taking the insurance policy
and getting the insurance, the insurance company must have re ceived
the copy of the certificate of registration. Therefore, the appellant had
tried his best to get the duplicate certified copy of certificate of registration
of the Truck. However, because of the report of theft of the Truck, the
details of registration on the computerhave been locked and t he RTO
has refused to issue the duplicate certified copy of registration. Therefore,
in the facts and circumstance of the case, when the a ppellant had
produced the photocopy of certificate of registration and the registration
particulars as provided by the RTO, solely on the groundthat the original
certificate of registration (which has been stolen) is not produced, non-
settlementof claimcan be said to be deficiency in service. Therefore, the
appellant has been wrongly denied the insurance claim.
4.1 In the present case, the insurance company has become too
technical while settling the claim and has acted arbitrarily. The appellant
has been asked to furnish the documents which were beyond the control
of the appellant to procure and furnish. Once, there was a valid insurance
on payment of huge sum by way of premium and the Truck was stolen,
the insurance company ought not to have become too technical and
ought not to have refused to settle the claim on non-submission of t he
duplicate certified copy of certificate of registration, which the appellant
could not produce due to the circumstances beyond his control. In many
cases, it is found that the insurance companiesare refusing the claim on
flimsy grounds and/or technical grounds. While settling the claims, the
insurance company should not be too technical and ask for the documents,
which the insured is not in a position to produce due to circumstances
beyond his control.
GURMEL SINGH v. BRANCH MANAGER, NATIONAL
INSURANCE CO. LTD. [M. R. SHAH, J.]
5. In view of the above and for the reasons stated above, the
order passed by the District Consumer Disputes Redressal Commission,
Durg, Chhattisgarh, dismissing the complaint filed by the appellant and
the orders passed by the State Commission and National Consum er
Disputes Redressal Commission, confirming the same deserve to be set
aside and are hereby set aside. The original complaint being Consumer
Complaint No. 179/2014 filed before the District Consumer Dis putes
Redressal Commission, Durg, Chhattisgarh, is hereby allowe d. The
appellant is entitled to the insurance amount of Rs. 12 lakhs alongwith
interest @ 7 per cent from the date of submitting the claim. The respondent
– insurance company is also saddled with the liability to pay the litigation
cost, which is quantified at Rs. 25,000/- to be paid to the appellant herein.
The aforesaid amount is to be paid by the insurance company to the
appellant within a period of four weeks from today. The present appeal
is accordingly allowed.
Bibhuti Bhushan Bose Appeal allowed.