Tribunals and Commissions

ORIENTAL INSURANCE COMPANY LTD vs Kedar Nath Singh

National Consumer Disputes Redressal Commission · Decided on 24 January 1996 · Citation: 1996 2 CPJ 317

HON’BLE JUDGES
A.K.Bhattacharjee , Sunil Kanti Kar , S.Dutta J.
RESULT
Appeal dismissed with costs
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Judgment

6 paragraphs · 1,017 words
1.

THAT the order dated 23.12.93 passed by the learned District Forum, Purulia has been assailed by this instant appeal.

2.

BY the said impugned order, the learned District Forum, Purulia award a sum of Rs. 7,000/- being the cost of the cattle which was insured under the policy and also awarded a sum of Rs. 1,000/- as compensation and cost of Rs. 250/-payableby the appellant within 15 days from the date of order. The complainant/respondent took out an insurance policy being No. MIS/1380/90/ Cattle dated 6.12.90 valid for one year against payment of premium of Rs. 840/-.

During subsistence of the said insurance policy, cross breading cow fell ill on 18.12.90 and died on 21.12.90 at Talkalpara, Purulia. The insured submitted its claim form on 23.12.90 and the same has been annexed as Ext. 2. The Insurance Company appointed a Surveyor who submitted its report certifying that the claim of the complainant/respondent is to be genuine, that the said report has been marked as Ext. 3 before the learned District Forum, Purulia. The post mortem report and the certificate by Veterinary Surgeon have been marked as Exts. 4 and 5 respectively. From all the documents it has been established that the cow insured by the captioned policy died due to chronic hepatic fascioliasis, has been duly established by the complainant/respondent, the market value of the cow was Rs. 7,000/-.

3.

THE learned District Forum, Purulia considering the pros and cons of the matter awarded the aforesaid reliefs in favour of the complainant/respondent. THE appellant/Insurance Company in its ground of appeal has challenged the said order of the learned District Forum, Purulia on the grounds inter a lia that the District Forum has misconceived the facts and circumstances of this case and the learned District Forum has failed to appreciate that the claim form submitted by the complainant/respondent represent various relevant facts and that the learned District Forum appreciated that the claim form submitted by the complainant/respondent bears untrue statement with regard to relevant facts and the learned District Forum failed to appreciate that the attendance, treatment and examination of the insured cow in question by the Veterinary Surgeon were most important with regard to claim in question and that the District Forum failed to appreciate the fact that neither any cash memo nor any prescription-nor any certificate was submitted in support of the contention of the complainant/respondent that the cow in question was treated, attended and examined on 17th, 20th and 21st December, 1990 by any Veterinary Surgeon as alleged that the District Forum, failed to appreciate that the prescription dated 17.12.90 relied on by the respondent does not bear any relevancy with regard to the alleged illness of the insured cow and that the learned District Forum failed to appreciate that nowhere in the certificate issued by veterinary surgeon it was mentioned the date, visit, treatment and examination and attendance of the cow and that the learned Forum failed to appreciate that the certificate issued by the Veterinary Surgeon does not bear cause of death for which it should be presumed that the Veterinary Surgeon did not examine the cow in question and that the learned District Forum failed to appreciate that the cow was suffering from chronic disease and by suppressing the fact, it disentitled respondent to any insurance benefit and that the Forum to appreciate that no prescription was disclosed by the opposite parties in support of the purported attendance, visits, examination and treatment of the cow in question by the Veterinary Surgeon and that the District Forum should dismiss the claim application of the opposite party, in view of the misrepresentation of the fact and stating untrue statement in the claim form and prayed for dismissal of the judgment dated 23.12.93 passed by the learned District Forum, Purulia. From the grounds of appeal, it appears that the appellant/Insurance Company had deviated from its original stand and mainly concentrated its pleadings and arguments in the appeal upon the misrepresentation and suppression of facts. The said allegations as alleged in the grounds of appeal are all baseless and without any reason. More so, that all the allegations and/ or contention of the appellant/Insurance Company have been elaborately dealt with by the District Forum, Purulia and passed an order with proper reasoning corroborated with all cogent documents which have been marked as Exts. 1 to 5 therein and no contrary is proved by cogent documents by the appellant in support of its new plea taken in appeal and the same can be taken in appeal as per law.

4.

WE are constrained to note the attitude and the stand taken by the appellant/Insurance Company to pay such small amount to a poor insured and it seems to us somewhat unworthy of the social responsibility of a nationalised Corporation in view that neither the language of the policy nor any principle seems to support the avoidance of the liability by the insurer. Even the Surveyor appointed by the insurer itself certified the genuineness of the claim. Inspite of the said fact to drag the litigation by filing an appeal without valid ground to avoid its liability arising out of the insurance policy is to harass and to torture the complainant/respondent. However, we not only affirm the judgment of the District Forum, Purulia but we also award interest at the rate of 12% p.a. on the claim amount of Rs. 7,000/- effective from July, 1991 until payment of the same due to unreasonable delay to settle the claim which is serious deficiency on the part of the appellant. The appellant/Insurance Company would pay Rs. 7,000/ together with interest at the rate of 12% p.a. effective from July, 1991 until payment alongwith compensation of Rs. 1,000/- and cost of Rs. 200/- as awarded by the District Forum, Purulia and such payment will be made within 15 days from the date of communication of this order.

5.

WE dispose of the appeal with aforesaid modification and award a cost of Rs. 500/- to the complainant/respondent payable by the appellant/Insurance Company within the said stipulated period. Appeal dismissed with costs.