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Miscellaneous Policy (General) - Gbic.co.in

Miscellaneous Policy (General) - Gbic.co.in

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Ahmedabad Ombudsman CentreCase No. GIC / OIC / 1 / 141Mr. Iqbal ParvezVs.Oriental Insurance Co. Ltd.Award Dated 13.12.2004Claim under Mar<strong>in</strong>e Transit <strong>Policy</strong>. There was a short delivery of 4 Packets of goodsdest<strong>in</strong>ed to Noida. Compla<strong>in</strong>ant sought for exemption from personal appearanceDocuments submitted by both the parties were enough to decide the case and hence, it is<strong>co</strong>nsidered not necessary to call either of the parties of hear<strong>in</strong>g. It is observed that thesubject <strong>Policy</strong> was for Mar<strong>in</strong>e Cargo - Inland Transit - Cover Type “B” As the Coverextended was Type - B, the liability for such loss does not vest on the Respondent, but if itwas Type - A, it will <strong>co</strong>ver all Risks. The possibility of erroneous typ<strong>in</strong>g on the phase ofCover did not rule out. Therefore, the issue was exam<strong>in</strong>ed on Rate of Premium charged. Itis observed that the Premium was charged @ 1 % on the declared value of the goods.Compla<strong>in</strong>ant quoted an identical case of <strong>Policy</strong> issued by the Respondent to one Mr. K. L.Jagatia, where<strong>in</strong> the dest<strong>in</strong>ation, Transporter, Premium charged @ 1 %, date of load<strong>in</strong>gwere all same and the said <strong>Policy</strong> was issued under Cover Type - A. Respondent <strong>co</strong>uld not<strong>in</strong>dicate the reason for denial of Type - A <strong>Policy</strong> to the Compla<strong>in</strong>ant while Charg<strong>in</strong>g thesame Premium Rate. Further the Respondent had appo<strong>in</strong>ted Survey or and if the Cover wasType - B, why the survey was <strong>co</strong>nducted as the Claim was not admissible because it be<strong>in</strong>ga Type - B Cover. Op<strong>in</strong>ed that it may be a pr<strong>in</strong>t<strong>in</strong>g error and benefit of doubt casts <strong>in</strong> favourof the Compla<strong>in</strong>ant. Respondent to pay Rs. 12,200/- (not disputed by the Respondent)alongwith refund of Rs. 1,272/- paid to Surveyor by the Compla<strong>in</strong>ant.Ahmedabad Ombudsman CentreCase No. 11-005-0175Dr. Falguni MehtaVs.Oriental Insurance Co. Ltd.Award Dated 13.12.2004Compla<strong>in</strong>ant, while tak<strong>in</strong>g a House Holder’s <strong>Policy</strong>, submitted a list of 12 Items to be<strong>co</strong>vered under the <strong>Policy</strong>, <strong>in</strong>clud<strong>in</strong>g her Mobile Phone. Her Mobile phone was stolen.Respondent while repudiat<strong>in</strong>g the Claim, stated that Mobile Phone be<strong>in</strong>g <strong>co</strong>vered underSection 1-B & 2, the claim is not payable as it was stolen from outside the House. Thepo<strong>in</strong>t taken for determ<strong>in</strong>ation is that whether the Mobile Phone was <strong>co</strong>vered under theaforesaid Sections. It is observed from the File of the Respondent presented dur<strong>in</strong>gHear<strong>in</strong>g that there were so many <strong>in</strong>firmities. Even the Proposal Form was neither filled-upand signed by the Compla<strong>in</strong>ant - it was done by someone. The Proposal Form did not<strong>co</strong>nta<strong>in</strong> any entry under Section-3. In the meantime <strong>Policy</strong> schedule issued by theRespondent <strong>co</strong>nta<strong>in</strong>ed <strong>co</strong>lumns filled up aga<strong>in</strong>st Section-3. Compla<strong>in</strong>ant submitted that shewas not aware of any such bifurcation of risk. This Forum asked the Respondent dur<strong>in</strong>gHear<strong>in</strong>g to segregate which particular item from the list of 12 items submitted by theCompla<strong>in</strong>ant at the Proposal stage is <strong>co</strong>vered under Section-3 of the <strong>Policy</strong> Schedule, they<strong>co</strong>uld not identify any of the items. Held that the Compla<strong>in</strong>ant’s <strong>co</strong>ntention that she<strong>in</strong>tended to <strong>in</strong>clude the Mobile Phone under Section- 3 is to be accepted. Respondent topay Rs. 4500/- net to the Compla<strong>in</strong>ant.Ahmedabad Ombudsman CentreCase No. GIC / NIA / 1 / 247Mr. J. B. ParmarVs.The New India Assurance Co. Ltd.

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