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Sukhwinder Singh v. Cholamandalam - Ms General Insurance Company Ltd.

National Consumer Disputes Redressal Commission
Aug 30, 2013
Smart Summary (Beta)

Factual and Procedural Background

The respondent/complainant insured his car (no. HR-05R-8713) with the petitioner/insurance company for the period 10 March 2009 to 9 March 2010 for Rs. 2,25,000/-. On 15 March 2009, the driver of the complainant's vehicle stopped roadside to answer nature’s call, leaving the ignition key in the vehicle. Upon return, the vehicle was found missing and a theft FIR was lodged on 16 September 2009. The insurance company was informed on 17 September 2009 and subsequently repudiated the claim by letter dated 19 January 2010, citing violation of insurance policy conditions, particularly that the driver did not take reasonable care to safeguard the vehicle and there was a delay in reporting the theft.

The complainant filed a consumer complaint before the District Consumer Forum, Karnal, seeking settlement of the claim and compensation for mental agony. The District Forum allowed the complaint, finding deficiency in service by the insurer and directed payment of Rs. 2,25,000/- with interest.

The insurance company appealed to the State Commission Haryana, which condoned the delay in filing the appeal and set aside the District Forum’s order, dismissing the complaint on the ground that the claim was rightly repudiated for breach of policy condition no. 5.

The present revision petition challenges the State Commission’s order dated 3 October 2012.

Legal Issues Presented

  1. Whether leaving the ignition key in the vehicle while the driver temporarily left the vehicle amounts to a violation of condition no. 5 of the insurance policy, which requires the insured to take reasonable steps to safeguard the vehicle from loss or damage.
  2. Whether the State Commission was justified in condoning the delay in filing the appeal without providing the petitioner an opportunity to respond.
  3. Whether the repudiation of the insurance claim on the ground of breach of policy conditions was legally sustainable.

Arguments of the Parties

Petitioner’s Arguments

  • The State Commission violated the principles of natural justice by condoning delay in the appeal without giving the petitioner an opportunity to file a reply or present case law.
  • The petitioner was not supplied with the appeal paper-book and was denied a fair hearing before the delay was condoned and the appeal allowed.
  • On merits, the repudiation was based on incorrect appreciation of facts and law; it is established that a driver is not expected to carry the keys when leaving the vehicle briefly to answer nature’s call.
  • Breach of policy conditions has no bearing on the claim when the vehicle is stolen under such circumstances.
  • Relied on Supreme Court judgments in Amalendu Sahoo v. Oriental Insurance Co. Ltd. and National Insurance Co. v. Nitin Khandelwal, as well as National Commission and High Court judgments supporting the position that brief absence of the driver with keys left in the ignition does not amount to breach.

Respondent’s Arguments

  • The State Commission rightly dismissed the claim based on violation of insurance policy conditions requiring the insured to take reasonable care to protect the vehicle.
  • The repudiation was justified as the driver left the vehicle unattended with keys in the ignition, constituting breach of condition no. 5.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Amalendu Sahoo v. Oriental Insurance Co. Ltd. II (2010) CPJ 9 (SC) Driver not expected to carry keys when leaving vehicle briefly; breach of policy condition does not apply in such theft cases. Supported petitioner’s argument that leaving keys in ignition while driver briefly left vehicle does not constitute breach.
National Insurance Co. Ltd. v. Nitin Khandelwal IV (2008) CPJ 1 (SC) Similar principle regarding reasonable care and breach of policy conditions in theft cases. Reinforced the view that brief absence of driver with keys left does not amount to breach.
National Insurance Company Ltd. v. Kamal Singhal IV (2010) CPJ 297 (NC) Reasonable care requirement and repudiation invalid if driver not expected to carry keys when leaving vehicle briefly. Commission’s previous ruling cited to support petitioner’s claim against repudiation.
Khem Chand Sapra v. Oriental Insurance Co. Ltd. III (2002) CPJ 126 (NC) Addressed breach of insurance policy conditions and claim repudiation principles. Referenced in support of petitioner’s position on breach and repudiation.
Bajaj Allianz General Insurance Company Ltd. v. M/s Sagar Tour and Travels & Anr. 2011 (164) P.L.R. 290 (Punjab & Haryana HC) Clarified that leaving keys in ignition briefly does not amount to wilful breach of condition no. 5. Adopted by the court to reject the insurance company’s repudiation based on breach of condition no. 5.
Yeti Packers Pvt. Ltd. v. United Insurance Co. Ltd. (1997) CPJ 417 Related to loss of money left unattended without locking; not applicable to vehicle theft with keys in ignition. Distinguished and held not applicable to the facts of the present case.

Court's Reasoning and Analysis

The court first addressed the procedural objection regarding denial of opportunity in condoning the delay. It found no merit in this contention because the State Commission’s order records that arguments were heard in presence of counsel, and the petitioner was not present on the relevant date. The petitioner’s allegations lacked adequate affidavit support.

On merits, the court analyzed whether leaving the ignition key in the vehicle while the driver briefly left it amounted to breach of condition no. 5, which requires reasonable steps to safeguard the vehicle. The court held that such a lapse was not a wilful breach of the policy condition. It emphasized that whether a breach occurred depends on the facts; here, the driver’s act was a momentary lapse in urgency and did not amount to neglect sufficient to deny the claim.

The court relied on established precedents from the Supreme Court, National Commission, and High Court of Punjab and Haryana, which support the proposition that a driver is not expected to carry the keys when leaving the vehicle briefly. It distinguished the present case from others involving unattended loss of money or different facts.

Consequently, the court found the State Commission erred in upholding the repudiation on the basis of breach of condition no. 5 and restored the order of the District Forum allowing the complaint.

Holding and Implications

The revision petition is accepted, the impugned order of the State Commission is set aside, and the order of the District Consumer Forum is restored.

The direct effect is that the insurance company is directed to pay the claim amount with interest as originally ordered by the District Forum. No order as to costs was made. The decision clarifies that brief absence of the driver with keys left in the ignition does not constitute a wilful breach of insurance policy conditions sufficient to deny a theft claim. No new precedent was established beyond applying existing authoritative decisions.

Show all summary ...

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION

NEW DELHI

REVISION PETITION NO. 375 OF 2013

(Against the Order dated 03/10/2012 in Appeal No. 987/2012 of the State Commission Haryana)

WITH

IA/644/2013

1. SUKHWINDER SINGH

S/O SH.DARSHAN SINGH, R/O HOUSE NO-30-D, MODEL

TOWN

KARNAL

HARYANA ...........Petitioner(s) Versus

1. CHOLAMANDALAM GENERAL INSURANCE CO.

LTD. & ANR.

THROUGH ITS REGIONAL MANAGER, DARE HOUSE,

2ND FLOOR, NSC BOSE ROAD,

CHENNAI - 600001

TAMIL NADU

2. CHOLAMANDALAM-MS, GENERAL INSURENCE CO

LTD.

THROUGH ITS DIVISIONAL MANAGER, SCO-36, 2ND FLOOR, ,SECTOR-12, URBAN ESTATE

KARNAL

HARYANA - 132001 ...........Respondent(s)

BEFORE:

HON'BLE MR. JUSTICE AJIT BHARIHOKE, PRESIDING MEMBER HON'BLE MR. SURESH CHANDRA, MEMBER

For the Petitioner : MR. ANKUR BANSAL For the Respondent : MR. S.M. TRIPATHI Dated : 30 Aug 2013

ORDER

JUSTICE AJIT BHARIHOKE, PRESIDING MEMBER

This revision is directed against the order of the State Commission Haryana, Panchkula dated 03rdOctober, 2012, whereby the State Commission accepted the appeal of the opposite party / insurance company against the order of the District Forum reproduced below in dismissing the complaint:

In our opinion only from the fact that ignition key was left by the driver in the car in question, it could not be said that there was any violation of the condition no. 1 and 5 of the insurance policy. In our view legally the claim of the complainant

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could not be repudiated vide repudiation letter Ex. C10. We hold that there was deficiency in service on the part of the vehicle. Therefore, we direct the OP to make the payment of Rs.2,25,000/- to the complainant alongwith interest @ 9% per annum from the date of issuance of the repudiation letter i.e. 19.01.2010 till its actual utilization. The present complaint is accepted accordingly. The parties concerned be communicated of the order accordingly. File be consigned to record room.

2. Briefly put, facts relevant for the disposal of this revision petition are that the respondent / complainant had insured his car no. HR-05R-8713 with the petitioner / insurance company for the period 10thMarch 2009 to 09thMarch 2010 for Rs.2,25,000/-. On 15.03.2009, Joginder Singh, driver of the complainant while returning from Delhi to Karnal stopped the car at the road side at Pepsi Chowk, G.T.Karnal Road, Panipat, in order to answer the call of the nature and went to ease himself. He however, left the keys of the vehicle in the ignition switch. On return, Joginder Singh found the car missing. FIR regarding theft of car was lodged at PS Sadar, Panipat on 16.09.2009. The petitioner / opposite party was also informed on 17.09.2009. The petitioner / company deputed a surveyor for investigation and on the basis of the report of the Surveyor, the claim of the opposite party was repudiated vide letter dated 19.01.2010 on the ground that there was violation of terms and conditions of the insurance policy inasmuch as the complainant's driver did not take reasonable care to protect the interest of the opposite party and left the car unattended with keys in the ignition switch and also that there was delay of two days in informing the petitioner about the theft. Claiming this to be deficiency in service, the petitioner / complainant filed consumer complaint in District Consumer Forum Karnal seeking direction to the opposite party to settle the claim for Rs.2,25,000/- and also to pay compensation of Rs.50,000/- because of mental agony and trauma caused.

3. The insurance company contested the complaint and took the stand that claim was rightly repudiated because of violation of condition no. 1 & 5 of the insurance policy by the complainant.

4. On perusal of the pleadings of the parties and the evidence adduced on record, the District Forum allowed the complaint and issued above noted directions.

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5. Feeling aggrieved by the order of the District Forum, the opposite party preferred an appeal before the State Commission. The appeal, however, was filed after the expiry of period of limitation with a delay of 53 days. Thus application for condonation of delay was also moved. The State Commission condoned the delay and agreeing with the opposite party concluded that the claim was rightly repudiated in view of violation of condition no. 5 of the insurance policy which casts an obligation on the insured to take all reasonable steps to safeguard the insured vehicle from loss or damage. The State Commission thus accepted the appeal and set aside the order of the District Forum and dismissed the complaint.

6. Shri Ankur Bansal, learned counsel for the complainant / petitioner has contended that the impugned order is violative of principle of natural justice because the State Commission condoned the delay in filing of appeal without giving an opportunity to the petitioner to file reply to the application for condonation of delay. It is contended that the State Commission ignored the fact the petitioner was not supplied with the copy of the appeal paper-book and proceeded to allow the application for condonation of delay as also the appeal without giving an opportunity to the petitioner even to cite the case law. Learned counsel for the petitioner, however, contended that even on merits, the impugned order is based on wrong appreciation of the facts and law. It is contended that it is no longer res-integra that the driver of the vehicle is not expected to carry the keys of the vehicle with him while getting down from the vehicle to answer the call of nature. Learned counsel submitted that in the case of theft of vehicle, issue of breach of policy condition has no bearing on the insurance claim of the insured. In support of his contention, learned counsel for the petitioner has relied upon the judgement of the Supreme Court in the matter of Amalendu Sahoo Vs. Oriental Insurance Co. Ltd. II (2010) CPJ 9 (SC) & National Insurance Company Vs. Nitin Khandelwal IV (2008) CPJ 1 (SC) as also the judgment of National Commission in the matter of National Insurance Company Ltd. Vs. Kamal Singhal IV (2010) CPJ 297 (NC) and Khem Chand Sapra Vs. Oriental Insurance Co.Ltd. III (2002) CPJ 126 (NC) and judgment of the Hon'ble High Court of Punjab and Haryana High Court in the matter of Bajaj Allianz General Insurance Company Ltd. Vs. M/s Sagar Tour and Travels & Anr. 2011 (164) Pun

L.R. 290.

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7. Shri S.M.Tripathi, Advocate, learned counsel for the respondent on the contrary has argued in support of the impugned order and contended that learned State Commission has rightly dismissed the claim of the petitioner in view of the violation of the conditions of the insurance policy which casts an obligation on the insured to take due and reasonable car to protect the insured vehicle from any loss or damage.

8. We have considered the rival submissions and perused the record. As regards the first contention of the petitioner that the State Commission has decided the application for condonation of delay as also the revision petition without giving him proper opportunity to present his case, we find no merit in the contention for the reason that on perusal of the impugned order, we find that the order was passed in presence of counsel for the parties and it records that arguments were heard. However, on perusal of record, we find that above allegation is not supported by the affidavit of the counsel who represented the petitioner before the State Commission and a cryptic affidavit in support of the allegations in the revision petition has been filed by the petitioner. From the impugned order, it is clear that petitioner was not present in the State Commission on the relevant date i.e. 03rdOctober, 2012. Therefore, he could not have first hand knowledge of the fact whether or not his counsel sought any adjournment for arguments or he was not given proper hearing.

9. Coming to the merits of the case. It is undisputed that the vehicle in question was stolen while the driver of the vehicle had gone to ease himself after parking the car on the road side and leaving the keys in the ignition. The question for determination is whether or not aforesaid act of the driver of the car amounts to violation of condition no.5 of the insurance policy?. In order to find answer to this question, it is necessary to have a look on the aforesaid condition which is reproduced thus:

"The insured shall take all reasonable steps to safeguard the vehicle from loss of damage and to maintain it in efficient condition and the company shall have at all times free and full access to examine the vehicle or any part thereof or any driver or employee of the insured. In the event of any accident or breakdown, the vehicle shall not be left unattended without proper precautions being taken to prevent

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further damage or loss and if the vehicle be driven before the necessary repairs are effected any extension of the damage or any further damage to the vehicle shall be entirely at the insured's own risk".

10. This condition in our considered view requires insured to take reasonable steps for protection of the insured vehicle from any loss or damage. The leaving of the key in the ignition of the car on all occasions cannot be termed as so serious breach so as to disentitle the insured from seeking claim under the insurance policy. Whether or not there is breach of condition will always depend upon the facts of the case. The car is said to have been stolen when the driver parked the vehicle at road side and went to ease himself, forgetting to remove the keys from ignition. This lapse on the part of the driver cannot be treated as wilful breach of condition no.5 on the part of the driver. If in the hurry to answer the call of nature the driver forgot to remove keys from the ignition switch he cannot be said to have committed wilful breach violation of the terms of the above condition no.5. In our aforesaid view we are supported by judgment of Punjab & Haryana High Court in the matter of Bajaj Allianz General Insurance Company Ltd. Vs. M/s Sagar Tour & Travels & Anr. P.L.R. Vol. CLX IV - (2011-4)

11. Similar question came up before the coordinate Bench of this Commission in the matter of

National Insurance Co. Ltd. Vs. Kamal Singhal IV (2010) CPJ 297 (NC) wherein National Commission while dealing with the issue of breach of condition for not taking reasonable car of not safeguarding the insured vehicle observed thus:

"True it is that, had there been such evidence, the discrepant statement made by passengers of the insured as quantum of hire and reward was not a significant issue. Repudiation of claim made by Insurance Company was also found to be invalid for the reason that since driver was not expected to carry key of the vehicle with him while getting down from the vehicle to answer nature's call, particularly, when the vehicle was within his sight".

12. In view of the discussion above, we find that the State Commission has fallen in error in upholding the repudiation of the claim by the insurance company in view of violation of condition no. 5 of the insurance policy. The impugned order of the State Commission is based upon the judgment of its Commission in the matter of Yeti Packers Pvt. Ltd. Vs. United Insurance Co.

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Ltd.1 (1997) CPJ 417. Aforesaid judgment is not applicable to the facts of the case because aforesaid case relate to loss of money which was left unattended by the claimant in van without locking the same whereas this is a case in which the driver left the vehicle for a short while in order to ease himself but forgot to remove the keys from the ignition.

13. The result of the above discussion is that impugned order cannot be sustained. Revision petition is, therefore, accepted. Impugned order is set aside and order of District Forum is restored. No order as to costs.

......................J

AJIT BHARIHOKE

PRESIDING MEMBER

......................

SURESH CHANDRA

MEMBER

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