Archive for April, 2009

Shobha Ram v ICICI Lombard

Thursday, April 30th, 2009

Before  the District Consumer Disputes Redressal   Forum,  Mandi,  H.P.

Complaint Case No.269 /2008

Date of Institution 16-9-2008

Date of Decision    30-4-2009

Shobha Ram son of Sh. Kaul Singh  resident of village Nehra , Post Office Pandoh, Tehsil Sadar, District Mandi, H.P.

…Complainant

V/S

ICICI Lombard, Mandi, Town ,  District  Mandi, H.P.  through its  Branch Manager.

…..Opposite party

For the complainant         Sh.  Noor Ahmad, , Advocate

For the opposite party     Sh. Sandeep Bhardwaj, Advocate

Complaint under Section 12 of the

Consumer   Protection  Act, 1986.

ORDER.

This order shall dispose of a complaint under Section 12 of the Consumer Protection Act, 1986(   hereinafter referred to as the “Act”) instituted   by the complainant against the opposite party .The case of the complainant is  that  he purchased a jersey cow  in the month of February 2008  in the sum of Rs.10,000/-. The said  cow was insured   with the  opposite party under master cattle  insurance policy vide cover note  No.0058212 valid  w.e.f.  1-2-2008  to 6-2-2011. Tag No. 58512 was allotted to the  insured  cattle .   On 21-5-2008 due to some unknown disease   the cow died  and post mortem  of the said cow was conducted on 23-5-2008 by the Veterinary  Doctor at 11.30 AM. Death of the cow was duly intimated to the opposite party . The complainant submitted   all  the documents to the opposite party including the ear tag which was allotted to the cow by the opposite party for early settlement of the claim. It had been alleged that the opposite party had repudiated the claim of the complainant   illegally and  value of the  cow  has also been reduced by the opposite party without application of mind  as well without any rhyme and reason. The complainant had suffered mentally  due to the act of the opposite party. On these   facts , the complainant  has sought a direction to the opposite party to pay Rs.10,000/- , the   assured sum of the cattle  with interest at the rate of 12% PA from the date of death and also to pay Rs.10,000/- as  compensation , and  also to pay costs of  complaint  at  Rs.5,000/-.

2.                The  opposite party   has resisted the complaint  and raised  preliminary objections  that  there  is  no deficiency in service on its part , that the complaint is not maintainable  that the  opposite party has  insured the cattle  subject to certain limitations , exceptions  and conditions  and  if these  terms and conditions  are not complied with  ,the insured is not entitled for any compensation, that negligence is one of the  exceptions  and the  same is not covered  under the policy of insurance,  that the  cattle died  due to  negligence  on the part of the complainant as no treatment was given to the  cattle  under insurance . The disease which was diagnosed by the  doctor is not an  incurable disease  and it is not such a disease  which  did not   give time  for the treatment . It has been averred that   if the cattle had been treated  in time  it could have  survived  as  the cattle  fell ill on 16-5-2008 and died on 21-5-2008. No treatment was given to the cattle   as per the  post mortem report  which shows  negligence of the owner , that the complainant is guilty of  suppression of material facts , that the complainant has misrepresented the facts  and played fraud  upon the  opposite party  simply to extract  money from it  and that the complaint is not maintainable as its contents are contradictory. On merits , the opposite party  had denied the insurance of the  cattle with it  . The opposite party has denied the  contents of  para No.1 to 5 of the complaint in totality. The opposite party had prayed for dismissal of the complaint.

4.                The complainant had filed rejoinder reiterating the contents   of the complaint and denying  those   contrary to the complaint.

5.                We have heard   the ld.  counsel for the  parties and have carefully gone through the record of the case . It is admitted case of the  opposite party that  the animal in question was insured with it and it died during the currency of the insurance policy. The identity of the animal is also not in dispute . However , the claim of the complainant has been repudiated only on the ground  that the animal  died  due to the  negligence on the part  of  its owner  as no  treatment  was  given  to the animal .

6                 Now  the question  which arises for consideration  before this forum is as  to whether the opposite party was   justified  in repudiating  the   claim  only  on this ground . The onus  was upon the  opposite party to prove that  the animal

died due to negligence on the part of  its owner .  The opposite party had  placed reliance  on the  photocopies  of  treatment certificate  issued by   Veterinary Doctor  Annexure  R-2 as well as post mortem report  Annexure R-4 to prove its case  wherein it has been recorded  “no treatment was given to the   animal. However,  in our opinion these    documents   are not sufficient to  establish  negligence on the part of the owner of the animal. It  was incumbent  upon the opposite  party to place on record   the original treatment certificate  as well as  post mortem report  and also the affidavits  of the concerned veterinary Doctors  who had issued the said certificates  to  establish that no treatment  was given  to the animal  during the period  of illness  but  the same had  not seen the light of the day. There is  no concrete material on record   on the basis of which it can be concluded that the  complainant was  negligent  in not giving  treatment to the animal  during the period of illness  .In the absence of   any  satisfactory evidence  with respect to  negligence on the part of the   complainant, we have  no hesitation to conclude that the   complainant   has  proved that the opposite party  had been deficient in providing service. As per the   cover note  Annexure C-1,the  cattle was insured in the sum of Rs.10,000/- on  7-2-2008 with the opposite party.   Hence   the complainant is  held entitled to Rs.10,000 /- on account of death of the insured cattle.

7                                    In the light of above discussion, the complaint  is allowed and  the opposite  party is directed to pay Rs.10,000/- to the complainant  with interest  at the  rate of  9%  p.a. from the date of  filing of the complaint  till realization. Apart from this   the opposite party is also directed to pay to the complainant  Rs.2000 /- on  account of  compensation for harassment  suffered  by him  and also to pay a sum  of Rs.1,500/- as costs of litigation.

8                             Copy of this order be supplied to the parties free of cost as per Rules.

9                File, after  due completion be consigned to the Record Room.

Announced

30-4-2009                                 (Sushil Kukreja ) President

DKM

( Lal Singh )  ( Alkananda