Case: Ajmer Singh Cotton and General Mills Vs. Branch Manager, United India Insurance Company Limited

The State Commission accepted the plea of the insurance companies and relying upon the order passed by this Commission in (Jiyajeerao Cotton Mills Ltd. v. New India Assurance Co. Ltd.) (1992) I. C. P. J. 292 (N. C.), declined to exercise its jurisdiction and dismissed the complaint with the observation that whatever has been said in the order would not come in the way of the complainant in subsequent proceedings which the complainant might be advised to initiate against the insurers and it would not adversely or prejudicially affect them. ( 5 ) AGGRIEVED against the dismissal of its complaint by the State Commission, the firm has come before this Commission in an appeal.( 6 ) IT was urged on behalf of the opposite parties that the amounts for which receipts admittedly have been signed by the complainant have been received by them in full and final discharge of their claims and, therefore, this appeal is liable to be dismissed on that very ground. As noticed earlier, that ground prevailed with the State Commission and reliance was placed upon the aforementioned order of this Commission. Before we proceed further, we may mention here that in Jiyajeeraos case, (1992)I C. P. J. 292 (N. C.), the complainant had challenged certain deductions made by the insurance company while settling his claim and according to the claimant of that case, those deductions were illegal. The receipt passed by the insured to the insurance company in full and final settlement of his claim did not indicate that the payment was received by the claimant under protest. There was no allegation that the claim was settled after delay. Upon those facts this Commission observed in the order passed in that case:"the records disclose that the insurance company had settled the claim long ago and that the dispute now is as to whether the deduction of certain amounts by the insurance company while settling the claim was proper in law. This is a matter in respect of which the petitioner should seek his redress before a Civil Court inasmuch as there has been no deficiency in service on the part of the insurance company. The receipt passed to insurance company by the petitioner does not indicate that the payment was received by the petitioner under protest. It is, however, alleged by the petitioner that the amount was received by the company under protest. This is a matter which the petitioner company may agitate before the Civil Court for a proper adjudication after taking evidence. "it is to be noticed that in the present case the claimant is not making any grievance about the amount paid under the claims lodged under the policies. It is also not its case that the receipts were got executed by fraud or undue influence. Its grievance is that the insurance companies have been negligent in the rendering of services. ( 7 ) IT is not disputed that the service of insurance falls within the ambit of the Act. Deficiency in the rendering of service has been defined under the Act in section 2 (1) (g) as follows :" `deficieny means any fault, imperfection, shortcoming or inadequacy in the quality, nature and manner of performance which is required to be maintained by or under any law for the time being in force or has been undertaken to be performed by a person in pursuance of a contract or otherwise in relation to any service. "therefore, if the insurance companies in question committed deficiency in the rendering of service, then they certainly fall under the purview of the Act.( 8 ) WE are of the opinion that after the report of surveyor had been received, the insurance companies should not have taken such a long time in ascertaining if the policies had been ante-dated or in scrutinising the materials. The insurance companies should have realised that the firm carries on its business after borrowing money from the bank and has to pay interest on such borrowings and that the bank fixes a limit while allowing the credit facilities. In the present case, as noticed earlier, the complainant is enjoying the credit facility of Rs. 12,00,000/- while the loss due to fire was more than Rs. 15,00,000/ -. Therefore, when the insurance companies have taken so much time in making payments after the receipt of the surveyors report, it will amount to deficiency in service. It is further to be noted that one of the opposite parties made the payment on 22nd March, 1991, while the other opposite party made the payment on 6th June, 1991. Two months time can be taken as reasonable time even for the scrutinising of the report of the surveyor. It is not the case of the insurance companies that after the surveyor had submitted its report, any of the insurance companies required any further information from the insured. ( 9 ) AS noticed earlier, the claimant has, of course, given full and final discharge receipts of the claims. The discharge can only be considered under the polices but the present claim does not arise under the insurance policies and, therefore, it is difficult to hold that the full and final discharge receipts issued by the complainant would cover the present claim under the Act also. ( 10 ) IT is also to be noted that in the present case no question of fact requires determination as none is disputed. The claim is based solely on the question of delay in the settlement of the claims under the policies. The dates of payments made under the claims after the receipt of the surveyors report are also not in dispute. Hence it will be unnecessary to ask the firm to go to Civil Court for the settlement of its claim. It is also doubtful if the claim of the present nature can be entertained by the Civil Court. The remedy about compensation for negligence in the rendering of service towards the hirer of services has been provided under the Act.

Decision (1 = appeal accepted, 0 = rejected): 1

Explanation:
1[ds]( 8 ) WE are of the opinion that after the report of surveyor had been received, the insurance companies should not have taken such a long time in ascertaining if the policies had beenor in scrutinising the materials. The insurance companies should have realised that the firm carries on its business after borrowing money from the bank and has to pay interest on such borrowings and that the bank fixes a limit while allowing the credit facilities. In the present case, as noticed earlier, the complainant is enjoying the credit facility of Rs. 12,00,000/while the loss due to fire was more than Rs.. Therefore, when the insurance companies have taken so much time in making payments after the receipt of the surveyors report, it will amount to deficiency in service. It is further to be noted that one of the opposite parties made the payment on 22nd March, 1991, while the other opposite party made the payment on 6th June, 1991. Two months time can be taken as reasonable time even for the scrutinising of the report of the surveyor. It is not the case of the insurance companies that after the surveyor had submitted its report, any of the insurance companies required any further information from the9 ) AS noticed earlier, the claimant has, of course, given full and final discharge receipts of the claims. The discharge can only be considered under the polices but the present claim does not arise under the insurance policies and, therefore, it is difficult to hold that the full and final discharge receipts issued by the complainant would cover the present claim under the Act10 ) IT is also to be noted that in the present case no question of fact requires determination as none is disputed. The claim is based solely on the question of delay in the settlement of the claims under the policies. The dates of payments made under the claims after the receipt of the surveyors report are also not in dispute. Hence it will be unnecessary to ask the firm to go to Civil Court for the settlement of its claim. It is also doubtful if the claim of the present nature can be entertained by the Civil Court. The remedy about compensation for negligence in the rendering of service towards the hirer of services has been provided under the Act.