SULAKSHNA vs. ORIENTAL INSURANCE CO. LTD. AND ANOTHER

Case Type: Civil Appeal

Date of Judgment: 23-09-2022

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Full Judgment Text

NON­REPORTABLE IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION CIVIL APPEAL NO.  6731 OF 2022 Smt. Sulakshna             ...Appellant(s) Versus Oriental Insurance Co. Ltd. & Anr.    …Respondent(s) J U D G M E N T M.R. SHAH, J. 1. Feeling   aggrieved   and   dissatisfied   with   the   impugned judgment   and   order   dated   04.02.2016   passed   by   the National Consumer Disputes Redressal Commission, New Delhi (hereinafter referred to as the National Commission) in   Revision   Petition   No.   2675   of   2015,   the   original complainant has preferred the present appeal.     2. There was an agreement between respondent No. 1 and respondent No. 2 herein regarding issuance of insurance cover. It was a group insurance. That a sum of Rs. 4,000/­ was deposited with respondent No. 2 towards premium on Signature Not Verified 31.12.2006. Respondent No. 2 issued a cover note on the Digitally signed by SNEHA Date: 2022.09.23 16:26:00 IST Reason: very   day   i.e.,   31.12.2006.   The   husband   of   original 1 complainant   died   on   17.02.2007   in   a   road   accident. However, it  appears that respondent No. 1 –  insurance company issued policies for the period from 09.03.2007 to 08.02.2008 on the ground that respondent No. 2 credited the   amount   of   premium   on   09.03.2007.     Therefore, respondent No. 1 – insurance company refused to pay the amount   and   refused   to   settle   the   claim.   Therefore,   the complainant filed Complaint Case No. 132/10 before the District   Consumer   Disputes   Redressal   Forum,   Rohtak (hereinafter referred to as the District Forum). In the said complaint, a statement was made on behalf of the counsel appearing for respondent No. 1 – insurance company that they will settle the claim of complainant within time period of   one   month   if   the   complainant   submits   required document to the company. Accordingly, the District Forum disposed   of   the   said   complaint   vide   order   dated 14.10.2010. However, thereafter, the claim was not settled and therefore, the appellant herein – original complainant again approached the District Forum being Complaint No. 278.   By   order   dated   13.01.2015,   the   District   Forum allowed the said complaint and directed respondent No. 1 2 to   pay   the   sum   insured   in   the   respective   policies amounting   to   Rs.   2,50,000/­   and   Rs.   2,00,000/­   along with interest @ 9% per annum.  2.1 Feeling aggrieved and dissatisfied with the order passed by the District Forum allowing the complaint, respondent No. 1 – insurance company preferred the appeal before the State   Consumer   Disputes   Redressal   Commission (hereinafter   referred   to   as   the   State   Commission)   being First   Appeal   No.   169   of   2015.   The   State   Commission dismissed the said appeal. Thereafter, respondent No. 1 preferred revision petition before the National Consumer Disputes   Redressal   Commission.   By   the   impugned judgment and order, the National Commission has allowed the said revision petition preferred by respondent No. 1 herein and set aside the order(s) passed by the District Forum and State Commission, which has given rise to the present appeal at the instance of the original complainant. 3. Having heard learned counsel appearing on behalf of the respective parties at length and having gone through the judgment and order(s) passed by the District Forum, State Commission and National Commission and  the relevant 3 material on record and the certificate dated 01.12.2005 issued   by   the   Divisional   Manager,   it   can   be   seen   that respondent   No.   2   herein   was   authorised   to   accept   the premium   for   and   on   behalf   of   respondent   No.   1   – insurance company. Thereafter, it was for respondent No. 2 to recover the amount of premium for and on behalf of respondent No. 1 – insurance company and was required to   remit   the   same   to   respondent   No.   1   –   insurance company and the policy was required to be issued by the insurance   company.   It   is   the   case   on   behalf   of   the complainant that the deceased husband paid the amount of   premium   of   Rs.   4,000/­   with   respondent   No.   2   on 31.12.2006   and   therefore   the   insurance   cover   would commence from the completion of the fifteen (15) days of payment of premium. It may be true that respondent No. 2 might   have   remitted   the   premium   with   the   insurance company belatedly. However, for the same insured cannot be made to suffer. Under the circumstances, the insured shall be entitled to the amount insured under the policies for which the amount of premium was already paid prior to the death of the insured. Under the circumstances, the 4 National Commission has committed a very serious error in   allowing   the   revision   petition   and   setting   aside   the orders passed by the District Forum as well as the State Commission. The impugned judgment and order passed by the National Commission is unsustainable.  4. In view of the above and for the reasons stated above, the present   appeal   succeeds.   The   impugned   judgment   and order   passed   by   the   National   Consumer   Disputes Redressal   Commission   in   Revision   Petition   No.   2675   of 2015 is hereby quashed and set aside. The order passed by the District Forum confirmed by the State Commission is hereby restored. The appellant shall be entitled to the claim amount under the policies along with the interest as ordered by the District Forum to be deposited within a period of eight weeks from today. The present appeal is accordingly allowed. No costs.      ………………………………….J. [M.R. SHAH] NEW DELHI; ………………………………….J. SEPTEMBER 23, 2022 [KRISHNA MURARI] 5