Posts Tagged ‘Bajaj Allianz General Insurance’

Sanjeev Kumar v Bajaj Allianz General Insurance

Monday, December 28th, 2009

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

Complaint Case No.67/2009

Date of Institution  28-2-2009

Date of Decision   28-12-2009

Sanjeev Kumar son of Sh.Sher Singh resident of village  Jakher,  Post Office  Kalkhar, Sub Tehsil Baldwara, District Mandi, H.P.

…Complainant

Vs

Branch  Manager , Bajaj  Allianz General Insurance Company  Ltd  near Old  Bus stand , Mandi, H.P.

…..Opposite party

For the complainant               Sh.      R.K.Verma , Advocate

For the opposite party            Sh.       M.C.Sharma , 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  is   the registered  owner of    motor cycle  N0. HP-28-3294( Bajaj Pulsor -10CC) which was  insured with the opposite party  with effect from   3-8-2007 to  2-8-2008 .During the currency of the insurance policy i.e. on 3-7-2008 said   vehicle  was  stolen   by someone  when it was parked adjoining to the  house   of  his uncle  Sh. Tej  Singh . The complainant  came to know about the theft on  the next morning  i.e. on 4-7-2008 at  8.30 AM. The complainant lodged First Information report  No.194 of 2008  on 4-7-2008 at Police Station , Sarkakghat  under section 379 IPC. The opposite party   was also informed  about the accident . The police  investigated the case but could not  trace out the  stolen  motor cycle . The complainant    stated that he tried his best to locate the  motor cycle  but of no avail . The complainant  averred that  he  submitted  all the documents  for finalization of  insurance  claim  but the opposite party   had delayed the  matter  . The opposite  party  was served with legal notice   dated 23-9-2009 but of no avail. The complainant  alleged that non settlement of   the claim  of  his motor cycle  tentamounts to  deficiency in service . With these  averments , the complainant had sought a direction to the opposite party to  pay   full insurance amount of the stolen motor cycle  alongwith interest. Apart from this , damages  of Rs.10,000/- and  cost of proceedings  had  also been claimed.

2.                          The opposite party had  filed reply  wherein  it has been pleaded in  preliminary  objections that the complaint is not maintainable  as there  has been  breach of terms and conditions of the policy vide which the  owner   has to give the notice  to the insurer  regarding loss and damages and in the present case  no written  notice   has been  given by the complainant  of theft , that the complainant  has  not  kept  the vehicle  in question in safe custody but parked  it in the house of other person, that the complainant has no  cause of  action    and locus standi to file the present complaint , that the complaint is wrong , baseless and has been filed in order to harass and humiliate the  opposite party  and that  question  of   deficiency in service on its part  has been denied as  the insurer has no  opportunity to  process the claim  and the complaint is pre-mature . On merits ,  the contents of the complaint have been denied in toto. It has been averred that   the  complainant  had not informed  it  about the theft and  it came to know  when  it received notice from this Forum  and then it appointed  investigator to investigate the case and as  soon as the report of the  investigator is received  ,the case would be  settled   if  found genuine . The opposite party  had denied any deficiency in service on its  part and prayed for dismissal of the complaint.

3.                The complainant filed rejoinder reiterating the contents   of the complaint and   controverted   the allegations  made  in the  reply .

4.                        We have   heard   the   ld. counsel for the parties and have carefully gone through the record.  From the perusal of the record  it  is revealed that the  motor cycle  of the complainant  was insured with the opposite party with effect from 3-8-2007 to 2-8-2008 and during the currency  of the insurance  policy i.e. on 3-7-2008, the motor cycle  in question   was stolen  and in this respect , the complainant has also placed on record  copy of first information report  No. 194 of 2008 dated 4-7-2008 lodged at Police Station  Sarkaghat  under section 379 IPC. The complainant  has also  filed  final  report submitted by the police  under section 173 Cr.P.C. However, the claim of the complainant  has not been settled by the opposite party despite    information to the  opposite party  and submission of  various documents     . The complainant has also placed on record   letter dated  25th August 2008  sent to the opposite party for settlement of the insurance claim and  the postal receipt   has also been  attached alongwith letter . However, despite   issuance of the letter , the opposite party had failed to  settle the claim. In our considered opinion, non settlement of the claim within  a reasonable period   definitely amounts  to   deficiency in service on the part of the opposite party. As discussed earlier the  complainant   had    informed  the opposite party about the theft  of his motor cycle .  The police had also  filed  final report  under section 173 Cr.P.C. Therefore ,it was incumbent  upon the opposite party to have  taken a decision  about the settlement of the claim  of the complainant  and to have  the same  communicated to him   within a reasonable time   but  no decision   in this regard   has been  taken by the opposite party  till date  . Therefore,   non settlement of the claim within  the reasonable period  had caused  harassment  to the complainant for which  he has  to be   adequately compensated.

5                                     Now the next  question  which arises  for determination by this Forum   is that    to  what amount  the   complainant  is  entitled  on account   of the  theft  of  his motor cycle . As per the  certificate cum policy schedule ,  total sum insured  of the  vehicle   was Rs.56,003/-. The terms and conditions of the  policy provides that  where   the  age of the vehicle    exceeds six months  but does not exceed  one year the   insured declared value  has to be   fixed  by depreciating  15 %  of the amount  for the  purpose of total loss claim. As per the   copy of  registration certificate, the   motor cycle in question was  registered   on  10th August 2007. Therefore, at the time of theft   of the motor cycle  i.e. on   3-7-2008, its age   exceeded six months but  did not exceed one year.  Hence by deducting  15 %  of the amount from Rs.56,003/-, the complainant  is entitled to  a sum of  Rs.47600/-.

6                                     In the light of above discussion, the complaint  is partly  allowed and the opposite party  is directed to pay Rs.47600/-  to the complainant  on total loss  basis  alongwith  interest at the rate of 9% PA from the date of  filing of the complaint till  realization.  The opposite party is further   directed to pay Rs.2500/-  as compensation  on account of harassment and mental tension suffered by  the complainant at the hands of the opposite party and  also to pay Rs.1000/- as cost of complaint.

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

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

Announced                               (Sushil Kukreja) President

28-12-2009

DKM                           ( Lal Singh ) ( Alkananda ) Members