OM PRAKASH versus RELIANCE GENERAL INSURANCE AND ANR.
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[2017] ll S.C.R. 893 OM PRAKASH v. RELIANCE GENERAL INSURANCE AND ANR. (Civil Appeal No. 15611 of2017) OCTOBER 04, 2017 ยท [R.K. AGRAWAL AND S. ABDUL NAZEER, JJ.] A B Consumer Protection - Insurance claim - Delay in - Appellant insured his truck with respondent-company - The vehicle was stolen - Appellant along with the truck driver, went with the C police officials for their assistance to search the vehicle - Thereafter, appellant reached his village and lodged insurance claim with the ยท respondent-company - Pursuant thereto, Investigator appointed by respon-dent-company, who, after verification, confirmed the factum of theft - Consequently, the Corporate Claims Manager approved an amount towards the said claim of the appellant - Thereafter, the D appellant made several requests and demands to the respondent- company, inter alia, seeking speedy processing and disposal of his insurance claim - However, the respondent-company repudiated the insurance claim of the appellant citing breach of condition, i.e. immediate information about the loss/theft of the vehicle - On the E ground that Claim was filed after a delay of 8 days from the occurrence of theft - Held: Rejection of claims on purely technical grounds in a mechanical manner will result in loss of confidence of policy holders in the insurance industry - If the reason for delay in making a claim is satisfactorily explained, such a claim cannot be rejected on the ground of delay-- In instant case, the appellant has F given cogent reasons for delay of 8 days in informing the respondent about the incident - Appellant was busy with the police in searching the vehicle - It would not be fair and reasonable to reject genuine claims which had already been verified and found to be correct by the investigator - The condition regarding the delay shall not be a G shelter to repudiate the insurance claims which have been otherwise proved to be genuine - Consumer Protection Act aims at providing better protection of the interest of consumers - It is a beneficial . legislation that desen,es liberal construction - Penal Code, 1860 - s.379. 893 H 894 SUPREME COURT REPORTS [2017] I 1 S.C.R. A Allowing the appeal, the Court B c HELD: 1. It is common knowledge that a person who lost his vehicle may not straightaway go to the Insurance Company to claim compensation. At first, he will make efforts to trace the vehicle. It is true that the owner has to intimate the insurer immediately after the theft of the vehicle. However, this condition should not bar settlement of genuine claims particularly when the delay in intimation or submission of documents is due to unavoidable circumstances. The decision of the insurer to reject the claim has to be based on valid grounds. Rejection of the claims on purely technical grounds in a mechanical manner will result in loss of confidence of policy-holders in the insurance industry. If the reason for delay in making a claim is satisfactorily explained, such a claim cannot be rejected on the ground of delay. The police had asked truck-driver and the owner to stay with them in order to help them for tracing out the truck. The police D had also asked them to collect necessary documents in relation to the said truck. They were, consequently, busy with the Rajasthan Police in searching the vehicle. They visited many places in Rajasthan. The police had compelled the appellant to accompany them while searching the truck. It is only thereafter, E F the appellant went back and reached his village. Also, it would not be fair and reasonable to reject genuine claims which had already been verified and found to be correct by the Investigator. The condition regarding the delay shall not be a shelter to repudiate the insurance claims which have been otherwise proved to be genuine. Consumer Protection Act aims at providing better protection of the interest of consumers. It is a beneficial legislation that deserves liberal construction. This laudable object should not be forgotten while considering the claims made under the Act. [Paras 10, 11] [897-G-H; 898-A-B] 2. In the instant case, the appellant has given cogent G reasons for the delay of 8 days in informing the respondent about the incident. The Investigator had verified the theft to be genuine and the payment towards the claim was approved by the Corporate Claims Manager, which is just and proper. [Para 12] [898-C-D] H OM PRA
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