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Smart Summary

Structured Summary of the Opinion (C. Viswanath, Presiding Member)

Factual and Procedural Background

The Appellant/Complainant is a company engaged in hallmarking, testing and refining of gold jewellery. It had taken a Jeweller's Block Policy for Rs. 4,52,00,000/- from the Respondent Insurance Company, effective 04.05.2009 to 03.05.2010. On 01.12.2009 an employee of the Appellant, while returning from collecting jewellery from various jewellers, had a bag containing jewellery snatched by two unknown persons. A police complaint was lodged on the same day and, after an application under Section 156(3) Cr. P.C., the Posta Police Station was directed to register and investigate; the police submitted their final report on 18.01.2012.

The Appellant notified the Respondent insurer of the loss and filed an insurance claim (loss intimated by letter dated 02.12.2009). The Respondent appointed a surveyor; later the insurer repudiated the claim (repudiation communicated as having been made on 09.08.2012). Aggrieved by the repudiation, the Appellant filed a consumer complaint before the State Consumer Disputes Redressal Commission, West Bengal (CC/57/2013).

The State Commission, after hearing, allowed the complaint in part and directed the insurer to pay Rs. 18,57,112/- with interest at 12% p.a. from the date of filing the claim form (subject to payment terms and default interest). The Appellant filed the present First Appeal under Section 19 of the Consumer Protection Act, 1986 seeking enhancement of compensation and other reliefs (including treating Receipt No. 6689 as reliable evidence, award for mental agony and damages for loss of goodwill).

Legal Issues Presented

  1. Whether Receipt No. 6689 (relating to 397.550 gms of gold issued by Kanta Jewellers) should be treated as reliable evidence and included in the valuation of the claim.
  2. Whether compensation awarded should be enhanced by taking into account the current index/value of gold as opposed to valuation on the date of the accident (i.e., whether the award can be enhanced beyond the amount claimed in the insurance claim form).
  3. Whether the Appellant is entitled to additional compensation for mental agony, harassment and loss of goodwill.
  4. Whether the insurer validly repudiated the claim under Exclusion Clause 8 of the policy (which excludes loss "occasioned by theft or dishonesty" by certain categories of persons, including servants or persons entrusted with the property).

Arguments of the Parties

Appellant's (Complainant's) Arguments

  • The Appellant relied on Receipt No. 6689 (for 397.550 gms) as proved in the State Commission and contended that the date discrepancy on the receipt was an inadvertent typographical error and should not render the receipt unreliable.
  • The Appellant argued that the value of gold increases over time and therefore sought enhancement of the awarded compensation to reflect the current index/value of gold (prayer for Rs. 42,86,293/- was made).
  • The Appellant sought compensation for harassment and mental agony and costs of litigation which the State Commission did not award.
  • The Appellant contended that the reimbursed jewellery and documentary correspondence supported that 397.550 gms had been received, lost in transit, and subsequently reimbursed, establishing the claim in respect of that quantity.

Respondents' (Opposite Parties/Insurance Company) Arguments

  • The Respondents contended that the insurance claim had been rightly repudiated under Exclusion Clause 8 of the policy (cover ceasing due to policy terms and conditions relating to theft or dishonesty by certain persons).
  • They submitted that repudiation was based on the policy exclusion and that the surveyor's report justified repudiation (although the surveyor's report was not disclosed in the record).
  • Respondents asserted that the Appellant was not entitled to relief and characterised the petition as not maintainable, mala fide, baseless and frivolous.

Table of Precedents Cited

No precedents were cited in the provided opinion.

Court's Reasoning and Analysis

The court reviewed factual documents, the State Commission's findings and the parties' contentions. The principal strands of reasoning were:

  1. On the Exclusion Clause defense: The Respondents relied on Exclusion Clause 8 to repudiate the claim. The court noted that although a surveyor had been engaged and the police final report confirmed the theft occurred but indicated the case was undetected, the Respondents failed to adduce evidence to prove that the loss fell within any of the categories specified under Exclusion Clause 8 (for example, theft or dishonesty by an insured's servant or other specified persons). In particular, there was no evidence of fraud or mischief by the Appellant's employee. Consequently, the court concluded that the State Commission was right to dismiss the Respondent's contention that the claim fell under the exclusion.
  2. On Receipt No. 6689 and documentary proof: The Appellant produced Receipt No. 6689 and related correspondence (an Appellant letter dated 09.02.2010 and an acknowledgement from Kanta Jewellers) indicating that 397.550 gms had been issued for hallmarking on 01.12.2009, was lost in transit, and that equivalent quantity was reimbursed. The State Commission had treated the receipt as unreliable because of an apparent date discrepancy (expected delivery date recorded as 02.11.09). The court analysed the documents and found the date discrepancy to be an inadvertent typographical error and not a basis to disregard the receipt or the claim in respect of 397.550 gms. The Respondents had not challenged the veracity of the receipt specifically; their repudiation was on different grounds. Thus the court accepted the Appellant's contention regarding the receipt.
  3. On valuation and enhancement to current gold value: The Appellant sought enhancement to reflect current gold prices (claiming Rs. 42,86,293/-). The court observed that the compensation must be restricted to the amount claimed under the insurance policy. The insurance claim form showed that the Appellant had claimed Rs. 25,78,680/-. The court reasoned that permitting valuation as on the date of payment (rather than on the date of loss/claim) could allow insureds to obtain an undue windfall or motivate delay, describing such a change as potentially opening a "Pandora's box." Therefore, the court declined to enhance the award beyond the claimed amount of Rs. 25,78,680/-.
  4. On damages for mental agony, loss of goodwill and litigation costs: The Appellant sought these heads of relief, but the court did not accept grounds to award them beyond the compensation available under the insurance claim and as adjudicated. The court specifically found no reason to grant additional amounts for mental agony or loss of goodwill over and above the insured claim amount.
  5. Remedy and quantification: Having found that the exclusion defence was not established and that the 397.550 gms claim was supported by documentary evidence, the court concluded that the insurer was liable to pay the amount properly claimed under the policy. The court therefore set aside the State Commission's award to the extent it was inconsistent with its findings and directed payment in the quantified amount determined in the opinion.

Holding and Implications

Holding: The Appeal was partly allowed. The impugned order of the State Commission was set aside to the extent indicated, and the Respondent Insurance Company was directed to pay Rs. 25,78,680/- (the amount claimed in the insurance claim form) to the Complainant along with interest at 9% per annum from the date of repudiation of the claim until realisation, to be paid within eight weeks from the date of the order. There was no order as to costs.

Implications:

  • The immediate, direct effect is that the insurer must pay Rs. 25,78,680/- plus interest @ 9% p.a. from the date of repudiation until realisation, within eight weeks. This replaces the State Commission's earlier partial award.
  • The court refused to enhance compensation to reflect current gold prices beyond the amount actually claimed under the insurance policy, thereby limiting recoverability to the amount claimed in the insurer's claim form rather than post-loss market movements.
  • No award was made for additional damages such as mental agony, loss of goodwill or litigation costs beyond the insured claim amount; the opinion does not announce any broader legal principle beyond these determinations and does not set out any new precedent.

This summary is strictly confined to the content of the provided opinion and does not include information beyond that text.

    G.N. Hallmarking & Refinery Private Limited v. National Insurance Company Ltd.

    C. Viswanath, Presiding Member:— The present Appeal, under Section 19 of the Consumer Protection Act, 1986 has been filed by the Appellant-Complainant against the order dated 26.09.2014 of the State Consumer Disputes Redressal Commission, West Bengal (hereinafter referred to as “the State Commission) in CC/57/2013.

    2. The Appellant/Complainant is a company engaged in the business of Gold Jewellery Hallmarking and testing of jewellery, refinery and testing of gold. The Appellant took Jeweller's Block Policy for a sum of Rs. 4,52,00,000/- from the Respondents/Insurance Company. The Policy was valid from 04.05.2009 to 03.05.2010. The case of the Appellant/Complainant is that on 01.12.2009, while his employee Jogesh Todkar was returning to his shop after collecting jewellery from jewellers, two unknown persons snatched and fled away with the bag containing jewellery, at Hariram Goenka Street. Thereafter, a Complaint was lodged on the same day at Posta Police Station by the Director of the Appellant Company. Appellant filed an Application under Section 156(3) Cr. P.C. before the Additional Chief Metropolitan Magistrate, Kolkata who, vide order dated 11.12.2009, allowed the application with a direction to the Office-in-Charge of Posta Police Station to register a case and investigate into the matter. The Police submitted the final report on 18 January, 2012.

    3. During the course of investigation, the Appellant filed an Insurance Claim with the Respondents/Insurance Company. Loss incurred by the Appellant was intimated to the Respondents/Insurance Company, vide letter dated 02.12.2009. The Respondents appointed Sri Subroto Banerjee as Surveyor, who interrogated Mr. Jogesh Todkar and recorded his statement. The Respondents, however, did not settle the claim, despite several reminders. When the Director of the Appellant personally visited the office of the Respondent to enquire about the status of the insurance claim, he was informed that the claim of the Complainant had already been repudiated. The Appellant, vide letter dated 30.11.2012, requested the Opposite Party to officially communicate the repudiation letter. Appellant was informed that its claim had been repudiated on 09.08.2012. Aggrieved by the repudiation of the claim, the Appellant filed a Consumer Complaint before the State Commission with the following prayer:—

    “a) An order be made directing the opposite party to forthwith release an amount of Rs. 42,86,293/- (Rupees forty two lakhs eighty six thousand two hundred ninety three) only along with 18% interest towards the claim lodged by the complainants.

    b) An order be made directing the opposite party to pay a sum of Rs. 30,000/-(Rupees Thirty lakhs) only as damages of goodwill suffered by the complainants because of wrongful action of the opposite party.

    c) An order directing the opposite party to pay a sum of Rs. 20,00,000/- (Rupees twenty lakhs) as compensation towards harassment mental agony suffered by the complainant due to not release the insurance claim.

    d) For an order directing the opposite party to pay a sum of Rs. 1,00,000/-(Rupees one lakh) to your petitioner towards litigation cot.

    e) Such further and/or other orders as in these circumstances may deem fit and proper.”

    4. The Respondents/Opposite Parties contested the Complaint by stating that the Insurance Claim of the Appellant was rightfully repudiated, based on the conditions contained in the Insurance Policy, specifically Exclusion Clause 8. They further stated that the question of Surveyor's Report does not arise, as the repudiation of claim was made as per Exclusion Clause of the Policy. It was stated by the Respondents that the Appellant was not entitled to any relief and that the Petition was not maintainable in law and was mala fide, baseless and frivolous.

    5. After hearing Learned Counsels for the Parties and perusing the record, the State Commission allowed the Complaint in part with the directions:—

    “that the complaint be and the same is allowed in part. The OP insurance company is directed to pay a sum of Rs. 18,57,112/- to the complainant with interest @ 12% p.a. from the date of filing of the claim form till final realization. The entire amount shall be paid by the OP within 45 days from the date of this order, failing which interest @ 10% p.a. shall be payable on the above noted amount from the date of default i.e. from the 46 day from the date of this order till full realization. There shall be no order as to costs.”

    6. Not satisfied with the order of the State Commission, the Complainant filed the instant First Appeal for enhancement of compensation with the following prayer:—

    “a. Enhance the awarded compensation by taking into consideration the current index value of the insured gold and modify compensation amount which has been awarded taking into consideration the value of the gold as on the date of accident.

    b. To allow the claim of loss of gold 397.50 gms being annexure ‘C’ receipt no. 6689 by treating the same as reliable evidence at the current index rate of gold.

    c. To award compensation towards harassment and mental agony suffered by the Appellant.

    d. To allow damages for loss of goodwill of the appellant company.”

    7. Heard the Learned Counsels for the Parties and carefully perused the record. Brief facts of the case are that the Appellant is a company engaged in the business of Gold Jewellery Hallmarking. The Appellant took Jeweller's Block Policy for a sum of Rs. 4,52,00,000/- from the Respondents/Insurance Company. The Policy was valid from 04.05.2009 to 03.05.2010. On 01.12.2009, when an employee of the Complainant Jogesh Todkar was returning to the shop of the Complainant after collecting jewellery from M/s M.P. Jewellers & Company, M/s Mandanji Meghraj & Company and M/s Kanta Jewelleries Private Limited, two unknown persons snatched the bag containing jewellery, at Hariram Goenka Street and ran away. The said fact came to the knowledge of the aforementioned jewellers and they demanded for reimbursement. Accordingly, the Appellant reimbursed 397.550 gms of gold to M/s Kanta Jewelleries Private Limited and 97.09 gms of gold to M/s M.P. Jewellers. No reimbursement, however, was made to M/s Madanji Meghraj & Company in respect of 919.67 gms of gold. The Insurance Claim of the Appellant was, however, repudiated by the Respondents on the ground that the “Cover ceased due to policy terms and conditions (As per policy Exclusion Clause No. 8)”. Exclusion Clause 8 of the Policy reads as follows:

    “Loss or damage occasioned by theft or dishonesty or any attempt there at committed by or where such loss or damage has been expedited or in any way sustained or brought about by:

    (a) any of the insured family members.

    (b) any servant or traveller or messenger in the exclusive employment of the insured.

    (c) any customer or broker or there customer or angadias or cutters or goldsmiths in respect of the property hereby insured entrusted to them by the insured his or their servants or agents.”

    8. The Appellant/Complainant preferred the present appeal and impugned the order of the State Commission on the following grounds:

    1. That the State Commission erred in not considering receipt No. 6689 in favour of Kanta jewellers as a reliable piece of evidence while calculating the award of compensation.

    2. That the State Commission erred by not considering that the value of gold increases day by day and thereby refusing the prayer of Rs. 42,86,293 made by the Appellant.

    3. That the State Commission erred in not considering the prayer of the Appellant on account of mental agony and harassment as well as cost of litigation.

    9. Learned Counsel for the Respondents, on the other hand, contended that the claim of the Appellant was rightfully repudiated as the said claim fell under Exclusion Clause 8 of the Insurance Policy and that the State Commission had erred in not considering the same while passing the impugned order. Though a Surveyor was engaged by the Respondents/Insurance Company, the Report of the Surveyor had not been disclosed. From the Final Report of the Police, it was evident that the incident of theft took place but the case could not be detected. The Respondents failed to adduce any evidence in support of their contention that the alleged loss was caused by any of the reasons noted under Exclusion Clause 8 of the Insurance Policy, that there was any fraud/mischief on part of the employee of the Appellant, among others leading to the alleged loss. We, therefore, are of the view that the State Commission rightly dismissed the contention of the Respondents that the Appellant's claim fell under the Exclusion Clause 8 of the Policy.

    10. The Appellant relied on Receipt No. 6689 issued in respect of gold received from M/s Kanta Jewellers, since it had been proved in evidence before the State Commission. The Appellant stated that the mistake in the date on the receipt, based on which it was disregarded by the State Commission, was merely an inadvertent typographical error. State Commission merely stated in vague terms that “it appears that the jewelleries were receive on 01.12.09 at about 1.15 p.m., but the expected date of delivery (after hallmarking) was recorded as 02.11.09 which is but absurd and hence not treated as a reliable piece of evidence”. However, a perusal of the documents on record supports the contention of the Appellant. In the Appellant's letter dated 09.02.2010, addressed to Kanta Jewellers, it was stated that the Appellant was issued 397.550 gms of jewellery for hallmarking, vide Receipt Voucher No. GNHR/JRD/E/6689 dated 01.12.2009 and that the same was lost in transit and that the same quantity of jewellery in the same purity was being reimbursed. In response to the said letter, Kanta Jewellers acknowledged that they had received 22 ct. pure hallmarked jewellery weighing 397.550 gms as reimbursement as against the loss which occurred on the jewellery received, vide receipt voucher dated GNHR/JRD/E/6689 dated 01.12.2009. In the light of clear proof that 397.550 gms of gold was in fact received by the Appellant, that the said quantity of gold was lost in transit and thereafter the said quantity of gold was reimbursed, I accept the contention of the Appellant that the discrepancy noted by the State Commission with regards to the date, is unfounded and there is no basis to disregard the claim of the Appellant in respect of 397.550 gms. of gold. In any case, the Respondents/Opposite Parties had not raised any dispute/objection with regard to the veracity of the said receipt and the claim of the Appellant was rejected on a different ground, i.e. based on a clause in the Insurance Policy.

    11. The Appellant submitted that the value of gold increases day by day and therefore, the State Commission erred in law by disregarding the prayer of the Appellant for a sum of Rs. 42,86,293/-. I am unable to accept the contention of the Appellant in this regard, since the award of compensation must be restricted to the amount that had been claimed by the Appellant under the Insurance Policy. A perusal of the Insurance Claim form shows that the Appellant had only claimed Rs. 25,78,680/- from the Insurance Company. If valuation of the lost gold is determined as on date when reimbursement is made, it would open a Pandora's box where the beneficiaries of such Policies may seek undue benefit by deliberately delaying reimbursements. The State Commission had in fact considered the Claim Form submitted by the Appellant while awarding compensation to the Appellant. I, therefore, find no reason to enhance the claim of the Appellant beyond Rs. 25,78,680/-.

    12. For the foregoing reasons, the instant Appeal is partly allowed and the impugned order of the State Commission is set aside. The Respondent Insurance Company is directed to pay a sum of Rs. 25,78,680/- towards the claim of the Complainant alongwith interest @ 9% p.a. from the date of repudiation of the claim till realisation, within 8 weeks from the date of passing of this order. There shall be no order as to costs.

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    G.N. Hallmarking & Refinery Private Limited v. National Insurance Company Ltd.
    (Aug 23, 2021)