Abhay Neelawarne
Petitioner
Versus
The New India Assurance Company Ltd.
& Anr.
Respondents
BEFORE :
HONBLE
MR. JUSTICE M.B. SHAH, PRESIDENT
For the
Petitioner : Mr. E.C. Vidyasagar & Mr. Vikas
Rojipura, Advocates
For the Respondent : Mr. K.L. Nandwani, Advocate
26.3.2008
M.B.SHAH, J. PRESIDENT
Being
aggrieved and dissatisfied by the judgement and order dated
Facts:
Facts
in brief are that the Appellant purchased a new Maruti Suzuki Baleno car on
29.8.2000. The vehicle met with an accident on 27.2.2001. On the basis of the Surveyors report, the
Branch Manager of the New India Assurance Company offered a sum of Rs.6.25 lakh
as full and final settlement of the claim by letter dated
Thereafter,
by letter dated
As
no reply was received, again Complainant wrote a letter on
Finally,
as the claim was not settled, Appellant preferred the complaint before the
State Commission. During the pendency
of the complaint, the State Commission directed that the Insurance Company
shall pay a sum of Rs.6.25 lakh which was previously offered by it. That amount was paid on 21.4.2003.
Thereafter,
on the basis of the valuation of the car and the policy cover, the State
Commission directed that the Complainant was entitled to recover the remaining
amount of Rs.1,17,000/- on the total loss basis, on return of salvage and
compensation of Rs.50,000/- and cost of Rs.3,000/-. It was also ordered that if there is failure to pay the
said amount within six weeks from the date of the order, the amount shall carry
interest @ 9% p.a.
Submissions:
Learned
Counsel for the Appellant submitted that the conduct of the officers of the
Insurance Company to compel the consumer to accept whatever amount was offered
should be received by the consumer without any protest, is reprehensible as it
takes away the right of the consumer to approach appropriate Court or Forum for
claiming adequate reimbursement.
Findings:
Coercive
bargaining:
In our view, the aforesaid submission is justified. An officer of the Insurance Company cannot harass the consumer by compelling him to sign a voucher and accept whatever amount of reimbursement is offered by the Insurance Company in full and final settlement of claim. Thereafter, the Insurance Companies, in most of the matters, contend that as the voucher for receiving the amount by way of full and final settlement is signed, complaint is not maintainable. In our view, this is nothing but taking undue advantage of unequal and weak status of contracting party who has lost either his vehicle or the goods or has lost his building or factory due to fire and the creditors of the consumers try to recover the amount of loan.
This
type of coercive method adopted by the Insurance Company requires to be curtailed or stopped. At the time of taking premium
agents move heaven and earth and see that the consumer pays the premium as
early as possible. Thereafter, when the
amount is required to be reimbursed all sorts of tactics are
adopted by the Insurance Company to deny the insured his legitimate claim.
In any case, by such practice/practices
the Insurance Company cannot be permitted to take away the legal right of the
insured, seeking redressal of his grievances, either before the
Further, such disputes are
raised despite the law being settled. As early as in 1986 the
Thereafter,
in the United India Insurance Company Ltd. Vs.
In the present case,
fortunately, the
Complainant resisted coercive demand
to sign the voucher stating
therein that he received the amount in full and final
settlement of his case and he did not
sign it. Therefore, the amount was not paid
by the Insurance Company. Only
few persons can resist such coercive demand when their property is damaged or
destroyed. Finally, the amount was paid only after
two orders were passed by the State
Commission.
In
this view of the matter and the settled law on the subject and
considering the facts of the case, admittedly, there was delay in
payment of Rs.6.25 lakh. The amount was
paid on 21.4.2003 on the basis of the direction issued by the State Commission,
which means the amount was withheld by the Insurance Company from
In the result, the Insurance Company is directed to pay interest @ 10% p.a. on the amount of Rs.6.25 lakh for the period from 9th April, 2001 to 21st April, 2003 and also interest @ 10% p.a. on the amount of Rs.1,17,000/- from 21st April 2001 till 28th February, 2005. However, the award passed by the State Commission directing the Insurance Company to pay compensation of Rs.50,000/- is set aside because the payment of interest would take care of compensation part. The Appeal is partly allowed to the aforesaid extent. Respondents shall pay Rs.10,000/- as cost of litigation.
The
Registry is directed to send copy of this order to Shri C.S. Rao, Chairman of
Insurance Regulatory Development Authority,
Sd/-
..
( M.B. SHAH)
PRESIDENT
Sd/-
.
.
(P.D. SHENOY)
MEMBER