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  • Section 35 of the Consumer Protection Act, 2019 (for short Act). 1
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  • Section 35 of the Consumer Protection Act, 2019 (for short Act). 1
Smart Summary

Summary of Opinion — District Consumer Disputes Redressal Commission, Yamuna Nagar (Complaint No. 262 of 2020)

Factual and Procedural Background

This complaint, instituted on 02.11.2020 and decided on 20.12.2022, was filed by Farman Khan (the complainant), the registered owner of a Royal Enfield motorcycle bearing registration No. HR71G-8872. The motorcycle was insured by The Cholamandalam MS General Insurance Co. Ltd. (opponent Nos. 2 and 3) under policy Ex.C2 for the period 10 September 2020 to 09 September 2021. Falcon Automobile, Royal Enfield Showroom (opponent No.1) acted as an agent for the insurer at the relevant time.

The complainant alleged that on 01.10.2020 the motorcycle met with an accident involving an unknown Swift car and sustained damage. A surveyor deputed by the insurer produced a report dated 30.10.2020 (Ex.R4) assessing net loss at Rs.26,362.52. The showroom (opponent No.1) repaired the motorcycle and issued an invoice (Ex.C6) dated 19.10.2020 for Rs.29,797/-, which the complainant paid from his own funds.

The insurer repudiated the claim by letter dated 08.11.2020 (Ex.R5), asserting that pre-inspection and final-survey photographs indicated the damaged vehicle was not the insured vehicle and alleging misrepresentation. The complainant filed the present complaint under Section 35 of the Consumer Protection Act, 2019, alleging negligence, deficiency in service and unfair trade practices.

Procedurally, the Commission dealt with preliminary applications (including an application dated 02.11.2020), directed provisional release of the motorcycle subject to payment of the repair bill, and recorded evidence from both sides. The complainant obtained delivery of the motorcycle on 18.03.2021 (gate pass Ex.R1) after paying the repair bill. The matter proceeded to final adjudication.

Legal Issues Presented

  1. Whether the opponents (specifically opponent Nos. 2 and 3, the insurer) committed any act of negligence, deficiency in service or unfair trade practice in repudiating the insurance claim.
  2. Whether the showroom (opponent No.1) committed any act of negligence, deficiency in service or unfair trade practice in relation to the repair and release of the motorcycle.
  3. If liability is established against the insurer, whether the complainant is entitled to payment of the surveyor-assessed loss and punitive damages, and on what terms (amount, interest, period for payment).

Arguments of the Parties

Complainant's Arguments

  • The complainant alleged that the insurer repudiated a genuine claim without justification, amounting to negligence, deficiency in service and unfair trade practices.
  • He relied on the surveyor's report (Ex.R4) assessing loss and on documents including the insurance policy (Ex.C2), repair invoice (Ex.C6) and other evidence placed on record. His counsel reiterated the factual case and the documentary evidence during arguments.

Opponent No.1 (Falcon Automobile) — Arguments

  • Opponent No.1 supported the complainant's factual position in material respects and maintained that it committed no negligence or deficiency in service.
  • It contended that the motorcycle was repaired and handed over to the complainant after payment; the complainant provided a written acknowledgement (Ex.R2) and took delivery on 18.03.2021 as reflected by gate pass Ex.R1.
  • Opponent No.1 also justified withholding delivery prior to payment from either the complainant or the insurer given the dispute over the insurance claim.

Opponents No.2 and 3 (The Cholamandalam MS General Insurance Co. Ltd.) — Arguments

  • Opponents No.2 and 3 admitted the basic factual matrix but denied negligence or deficiency in service and defended the repudiation of the claim.
  • The insurer relied on the proposition that the damaged motorcycle was different from the insured vehicle, pointing to pre-inspection and final-survey photographs (Ex.R6 to Ex.R14) and an affidavit by an insurance official (Ex.R1) asserting misrepresentation by the complainant.
  • They justified repudiation on the ground that the insured vehicle and the damaged vehicle were not the same, and thus the claim was not payable.

Table of Precedents Cited

No precedents were cited in the provided opinion.

Court's Reasoning and Analysis

The Commission examined the documentary record and oral submissions and proceeded by reference to the evidence on file:

  1. Identity and surveyor's report: The insurer's surveyor report (Ex.R4) — produced by the insurer's own surveyor — assessed the loss at Rs.26,362.52 and did not express any doubt about the identity of the insured motorcycle. The Commission treated the surveyor's report as material and observed that it "nowhere expressed any doubt of any kind" regarding identity.
  2. Conduct of opponent No.1 (showroom): The Commission found that opponent No.1 repaired the motorcycle, issued invoice Ex.C6, refused to hand over the motorcycle without payment in the face of an unresolved insurance dispute (a position initially accepted by the Commission subject to a direction), and ultimately delivered the motorcycle after receipt of payment. On these facts, the Commission held that opponent No.1 committed no negligence, deficiency in service or unfair trade practice; the complaint against opponent No.1 was dismissed.
  3. Insurance-cover continuity and insurer's duty of verification: The Commission noted that the earlier policy (Ex.C3) issued by a different company (Liberty General Insurance) covered the period 28.02.2019 to 27.02.2020 and that the subsequent policy Ex.C2 (Cholamandalam) for 10.09.2020–09.09.2021 was not a continuous renewal. The opinion states that where a subsequent policy is not in continuation of an earlier policy, the insurer (or its agent) is required to physically verify the vehicle (taking photographs, noting engine and chassis numbers with assistance of glaze paper) before issuing the new policy. The Commission found no evidence that such reasonable care and caution were exercised by the insurer's agent when issuing Ex.C2.
  4. Weight of insurer's affidavit (Ex.R1) versus surveyor report: The insurer relied on an affidavit (Ex.R1) by an Assistant Manager asserting misrepresentation. The Commission characterized the affidavit as an "afterthought story" and held it could not be accepted to contradict the insurer's own surveyor report (Ex.R4), which had not cast doubt on identity. The Commission concluded that the insurer could not avoid liability by reliance on an internal affidavit when its surveyor's report did not support the asserted doubt.
  5. Legal conclusion on repudiation and remedies: Having found that the insurer failed to establish the asserted misidentification or misrepresentation and had not shown that due diligence was exercised at the time of issuance of the policy, the Commission held that the insurer unjustifiably repudiated the claim despite receipt of premium. Consequently, the insurer was liable for the claim amount assessed by its surveyor and for punitive damages for causing mental agony, harassment and economic loss to the complainant.

Holding and Implications

Holding:

The complaint is accepted against Opponents No.2 and No.3 (The Cholamandalam MS General Insurance Co. Ltd.). The complaint is dismissed against Opponent No.1 (Falcon Automobile).

Direct consequences and orders:

  • Opponents No.2 and No.3 (jointly and severally) are directed to pay the complainant Rs.26,362/- (Rupees Twenty Six Thousand Three Hundred Sixty Two) as the insurance claim assessed by their surveyor.
  • Opponents No.2 and No.3 are further directed to pay punitive/compensatory damages of Rs.15,000/- (Rupees Fifteen Thousand only) to the complainant to cover mental agony, harassment, litigation cost and related loss.
  • Payment by the insurer(s) is to be made within one month from the date of the order (date of decision: 20.12.2022). In default, the total amount shall carry simple interest at 8% per annum from the date of the order until actual payment.
  • The complaint as against Opponent No.1 is dismissed (no relief awarded against the showroom).

Broader implications: The opinion does not purport to lay down a novel legal principle; it applies established expectations of an insurer/agent to exercise reasonable care in vehicle identification before issuing a non-continuous renewal and rejects after-the-fact internal assertions that conflict with the insurer's own surveyor report. The decision's immediate effect is the monetary relief and interest/punitive award described above; the opinion does not state that it creates binding precedent beyond the parties.

Other Procedural Observations Noted by the Commission

The Commission expressly recorded delay in deciding the complaint beyond prescribed timelines and attributed the delay to multiple factors mentioned on the record: initial delay by the complainant (application dated 02.11.2020), delays in concluding evidence by the opponents (adjournments and other causes), disruption due to COVID‑19 pandemic resulting in heavy pendency, shortage of clerical/steno manpower and infrastructure at the Commission, and suspensions of work by the District Bar Association. The file was ordered consigned to record after pronouncement of the order dated 20.12.2022.

End of summary — based exclusively on the text of the provided opinion (Dated: 20.12.2022).

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    Farman Khan s/o Sh.Mustak Ali v. Falcon Automobiles

    BEFORE THE DISTRICT CONSUMER DISPUTES REDRESSAL

    COMMISSION, YAMUNA NAGAR AT JAGADHRI.

    Complaint No.: 262 of 2020. Date of institution: 02.11.2020. Date of decision: 20.12.2022. Farman Khan, aged 25 years, S/o Sh. Mustak Ali, R/o Village Baroli Majra, Tehsil Chhachhrauli, Distt. Yamuna Nagar.

    …Complainant.

    Versus

    1. Falcon Automobile, Royal Enfield Showroom (Unit of Eicher) Commercial Belt, SCO No.175, Ground Floor, Sector 17, HUDA, Jagadhri, Near Usha Rathi Hospital, Jagadhri, Distt. Yamuna Nagar through its Manager.

    2. The Cholamandalam MS General Insurance Co. Ltd., Near Aggarsen Chowk, Ambala Road, Jagadhri, Distt. Yamuna Nagar printed at Falcon Automobiles, Royal Enfield Showroom (Unit of Eicher) Commercial Belt, SCO No.175, Ground Floor, Sector 17, HUDA, Jagadhri, Near Usha Rathi Hospital, Jagadhri, Distt. Yamuna Nagar.

    3. The Head Office of Managing Director/ Manager, The Cholamandalam MS General Insurance Co. Ltd. 7thFloor, Town-A No.5, DLF Phase-III, DLF, Cyber City, Gurugram-122002, Haryana.

    ...Respondents.

    CORAM: GULAB SINGH, PRESIDENT.

    DR. BARHM PARKASH YADAV, MEMBER.

    GEETA PARKASH, LADY MEMBER.

    Present: Sh. Rakesh Jindal, Adv. for the complainant. Sh.J.S. Arneja, Adv. for the opponent No.1. Sh. Rajiv Kumar Gupta, Adv. for the opponents No.2 and 3.

    ORDER:

    1. This is complaint under Section 35 of the Consumer Protection Act, 2019 (for short Act).

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    2. Going through the contents of the complaint, supportive documents Ex.C.1 to Ex.C.7, written statement, supportive documents Ex.R1 to Ex.R14, briefly admitted facts of the case are, complainant is the registered owner of the Royal Enfield Motorcycle bearing registration No.HR71G-8872 (for short motorcycle). It was insured by the opponent No.2 for the period 10thSeptember, 2020 to 09thSeptember, 2021, fact is reflected from copy of insurance policy Ex.C2 and the opponent No.1 at relevant time acted as agent of the opponent No.2 for the purpose of insurance of motorcycle.

    3. The complainant alleged, on 01.10.2020, the motorcycle being driven by the complainant near Gram Sachiwalya Ledi Village met with an accident with some unknown Swift Car, which came from his left side and complainant suffered injuries in the accident and on the date on 02.10.2022, somehow the motorcycle was brought in the workshop of opponent No.1 and intimated the accident and damage to the motorcycle in the accident to the opponent No.2 who deputed its surveyor who investigated into the matter and ultimately surveyor of the opponent assessed the net loss to the motorcycle in the sum of Rs.26,362.52/-, fact is reflected from his surveyor report dated 30.10.2020 Ex.R4. The opponent No.1 repaired the motorcycle and ultimately the complainant made payment of repair amount in the sum of Rs.29,797/- from his own pocket and the opponent No.1 in this regard issued the invoice Ex.C6 dated 19.10.2020 in the sum of Rs.29,797/-. However, the amount of repair was not paid by the opponent No.2 rather his claim

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    was repudiated by the opponent No.2 vide letter dated 08thNovember, 2020 Ex.R5 on the ground on perusal of the documents submitted by the complainant, it was evident that the motorcycle was different from Pre inspection vehicle photos and Final Survey vehicle photos. At the time of pre-inspection, complainant had shown different motorcycle as there had been a deliberate and willful misrepresentation on his part regarding the accident of vehicle.

    4. Repudiation/close of the insurance claim case of the complainant by the opponent No.2 according to the complainant is an act of negligence, deficiency in service, unfair trade practices, constraining him to file the complaint.

    5. On receipt of notice of the complaint, the opponent No.1 in its written statement, in material respects supported the complainant.

    6. The opponent No.2 and 3 in their written statement in material respect, it admitted the factual position, but denied commission of any act of negligence, deficiency in service, commission of unfair trade practices on its part and endeavoured to justify the repudiation of the claim of the complainant on the ground mentioned in the repudiation letter Ex.R5.

    7. Sh. Rakesh Jindal, Ld. Counsel for the complainant, in the course of arguments reiterated to the version made into the complaint and apprised the Commission about the evidence adduced on record by the complainant, pleading of the opponents and evidence adduced on record by the opponents.

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    8. Sh. JS Arneja, Adv. for the opponent No.1 in the course of arguments, reiterated to the version made into the written statement and further submitted the opponent No.1 committed no act of negligence, deficiency in service in any manner and after repair, the motorcycle was handed over to the complainant and complainant was fully satisfied from its act and the complainant himself gave writing Ex.R2 and he took the delivery of the motorcycle on 18.03.2021, fact is reflected from gate pass Ex.R1 issued by the opponent No.1.

    9. Sh. Rajiv Kumar Gupta, Ld. Counsel for the opponents No.2 and 3 in the course of arguments, in material respects, reiterated to the version made into the written statement of the opponents No.2 and 3 and he also apprised the Commission about the evidence adduced on record by the opponents No.2 and 3 i.e. documents Ex.R1 to Ex.R14 and in material respect, he endeavoured to justify the repudiation of the claim of the complainant on the ground, the complainant had obtained the insurance policy Ex.C2 on misrepresentation of the fact, because the motorcycle damaged in the accident dated 01.10.2020 was different than to the insured motorcycle.

    10. The moot question before this Commission, is whether the opponents committed any act of negligence, deficiency in service, unfair trade practices, making the complainant is entitled to the relief as prayed or to what extent?

    11. The accident of the motorcycle as pleaded by the complainant on 01.10.2020 is not disputed by the opponent insurance company as its surveyor in

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    its report Ex.R4 nowhere expressed any doubt of any kind. After the accident, motorcycle was brought in the workshop of the opponent No.1. It repaired the motorcycle and raised bill Ex.C6 and it refused to deliver the motorcycle to the complainant without receipt of repair charges mentioned in the bill Ex.C6. Then the complainant filed an application before the Commission seeking necessary direction against the opponent No.1 to handover the motorcycle without payment of repair bill Ex.C6 as it was required to be paid by the opponent No.2 and 3. However, application dated 02.11.2020 filed by the complainant was partly accepted by this Commission and the opponent No.1 was directed to release the motorcycle of the complainant in favour of the complainant on receipt of amount mentioned in the bill dated 19.10.2020 Ex.C6 excluding the parking charges, subject to final decision of the complaint. Thereafter, the complainant made payment of the bill Ex.C6 to the opponent No.1 and the complainant got satisfied from the act of the opponent No.1, fact is reflected from document Ex.R2 and the motorcycle was delivered to the complainant on 18.03.2021, fact is reflected from gate pass Ex.R1. Since, there was dispute of insurance claim between the complainant on one hand and the opponent No.2 and 3 on the another hand, so at initial stage, the opponent No.1 was fully justified not to release the motorcycle of the complainant without receipt of repair amount, either, from the complainant or from the opponents No.2 and 3 being insurance company. The opponent No.1

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    committed no act of negligence, deficiency in service or any sort of unfair trade practices. The complaint qua the opponent No.1 is liable to be dismissed.

    12. Coming on the point whether the opponents No.2 and 3 committed any act of negligence, deficiency in service, act of unfair trade practices, prior to the insurance policy Ex.C2, the same motorcycle was insured for the period 28.02.2019 to 27.02.2020, fact is reflected from insurance policy Ex.C3 and the insurance policy Ex.C3 was issued by Liberty General Insurance Company Limited, then subsequently the motorcycle was insured by the opponent Cholamandalam MS General Insurance Company Limited for the period 10th September, 2020 to 09thSeptember, 2021, fact is reflected from insurance policy Ex.C2. It mean, the insurance policy Ex.C2 was not in continuation of the insurance policy Ex.C3 and the opponents No.2 and 3 repudiated the claim of the complainant on the ground, the insurance vehicle was different than to the damaged motorcycle and in this regard, the opponents have kept reliance on photographs Ex.R6 to Ex.R14. The surveyor of the opponents No.2 and 3 nowhere casted/expressed any doubt with regard to the identity of the motorcycle insured vide insurance policy Ex.C2. The opponents No.2 and 3 in their written statement, have not explained any circumstance how they came to the conclusion the damaged motorcycle was different than to the motorcycle which was found duly pre inspection photos and final survey and in order to support the version made into the written statement by the opponents No.2 and 3, the opponents No.2

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    and 3 kept reliance on a sworn affidavit Ex.R1 sworned by Mr. Abhishek Nigam, Assistant Manager of the opponent insurance company, but the same cannot be considered, because the surveyor of the opponents No.2 and 3 in his investigation report/surveyor report Ex.R4 had not casted any sort of doubt on the identity of the insured motorcycle and the version incorporated into the affidavit Ex.R1 is an afterthought story and the opponents No.2 and 3 cannot wriggle out from the report Ex.R4 submitted by its surveyor. As already observed the insurance policy Ex.C2 was not in continuation of earlier insurance policy Ex.C3 and it is noticeable fact, when previous insurance policy expires and is not in continuation of subsequent insurance policy, then before accepting the proposal of subsequent insurance of the motorcycle, the insurance company is required to physically verify the relevant vehicle by taking its photographs, noting the engine number, chassis number with the help of glaze paper and in the case in hand, nothing has come on record that the concerned agent of the opponents No.2 an 3 before issuance of insurance policy Ex.C2 exercised reasonable care and caution to identify the relevant vehicle and once the complainant paid insurance premium qua the motorcycle bearing registration No.HR71G-887, the opponents No.2 and 3 being insurance company liable to pay the insurance claim to the complainant strictly in terms of the insurance policy Ex.C2 and if any act of negligence was committed by its own agent at the time of inspection of the motorcycle, then for his/her fault, claimant cannot be penalized and the opponents No.2 and 3 in order

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    to cover the misdeeds or negligence on the part of its agent and the opponents No.2 and 3 without any justified ground repudiate the insurance claim of the complainant despite the receipt of premium as per insurance policy Ex.C2 qua the motorcycle and it committed an act of negligence, deficiency in service as well as unfair trade practices. It, apart from making payment of Rs.26,362/- to the complainant as assessed by their surveyor, it is liable to be burdened with punitive damages. The complainant made payment of repair bill to the opponent No.1 somewhere made the payment of bill Ex.C6 on or before 18.03.2021, the date of delivery of the motorcycle to the complainant as the fact reflected from gate pass Ex.R1. The non-payment of genuine claim to the complainant and then, its repudiation without any justification caused unnecessary mental agony, harassment, economic loss, to the complainant and this Commission is of the firm view, in case, punitive damages in the sum of Rs.15,000/- (Rupees Fifteen Thousand only) are awarded against the opponents No.2 and 3, to compensate the complainant in all heads, such as mental agony, harassment, litigation cost, loss of interest, it will suffice the purpose and ends of justice will meet.

    13. Hence, due to the reason hereinbefore, the complaint is accepted, against the opponents No.2 and 3, holding them jointly and severally liable to make payment of Rs.26,362/- (Rupees Twenty Six Thousand Three Hundred Sixty Two) as insurance claim, to the complainant + punitive damages in the sum of Rs.15,000/- (Rupees Fifteen Thousand only) to compensate the complainant in all

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    heads, within the period of one month from the date of order, in default of it, the total amount shall carry on simple interest @8% per annum from the date of order till actual payment. The complaint qua opponent No.1 is dismissed.

    14. Before parting with this order, it is pertinent to mention that the complaint has not been decided within the prescribed period of limitation of time. The history of the proceedings shows, at first instance, the complainant delayed the proceedings by filing application dated 02.11.2020 which was disposed off on 07.01.2021. Thereafter, the opponent delayed the proceeding by not concluding evidence within reasonable time and they sought adjournment one or another pretext which also included suspension of work by Member of the District Bar Association. Ultimately, evidence on behalf of the opponents concluded on 11.03.2022 and as a result of COVID-19 Pandemic, there is a heavy pendency of cases before the Commission which also contributes to delay in the proceedings. Apart from it, there is a shortage of manpower in the Commission such as Clerks and Stenos as well as requisite infrastructure, in proportionate to the overall pendency of the cases. Frequent suspension of work by the Bar Association also causes hindrance in the timely disposal of the cases.

    15. File be consigned to the records. Dated: 20.12.2022.

    (Gulab Singh)

    District & Sessions Judge (VRS) (Geeta Parkash) (Dr. Barhm Parkash Yadav) President, Lady Member. (Member). DCDRC, YNR.

    Typed by: Jitender Sharma, Steno.

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    Farman Khan s/o Sh.Mustak Ali v. Falcon Automobiles
    (Dec 20, 2022)