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Vehicle Insurance Policy - Gbic.co.in

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gave them option of repair, re<strong>in</strong>state or replace the vehicle <strong>in</strong>sured or may pay <strong>in</strong> cashthe amount of loss or damage. This was the first Claim that was be<strong>in</strong>g settled on thereplacement basis through this option was operative s<strong>in</strong>ce l<strong>in</strong>g. The Respondent triedto expla<strong>in</strong> that their Head Office had suggested to try this option. At the same time itwas made clear that it was not a Corporate directive but a mere suggestion and thattoo was to be applied to Private Motor Car <strong>Policy</strong>. Subject <strong>Vehicle</strong> be<strong>in</strong>g a Commercial<strong>Vehicle</strong> the replacement option should not desirably be chosen. As there had been nodispute regard<strong>in</strong>g total loss of the Insured <strong>Vehicle</strong>, the settlement on IDV basis for Rs.7,18,500/- (After deduction of Excess of Rs. 1500) became admissible and Respondentwas directed to pay the same.Ahmedabad Ombudsman CentreCase No. 11.004.0089Mr. Gov<strong>in</strong>dbhai J. VadherVsUnited India <strong>Insurance</strong> Co. Ltd.Award Dated 08.4.2005Mr. Gov<strong>in</strong>dbhai J. Vadher had his Truck No. GJ - 3V - 9767 <strong>in</strong>sured under MotorPackage <strong>Policy</strong> bear<strong>in</strong>g No. 16710 / 02. His Claim for Accident loss to the Insured<strong>Vehicle</strong> was offered to be settled by the Respondent for an amount not acceptable tohim. In this case the Truck overturned on its right side after go<strong>in</strong>g below the roadsidestep area and then dashed with the wall of the bridge caus<strong>in</strong>g severe damages.Spot Survey and F<strong>in</strong>al Survey were done. The F<strong>in</strong>al Survey Report of Mr. Ajay Sharmawas found to be fairly detailed and the Surveyor assessed the loss after scrut<strong>in</strong>y ofBills which worked out to Rs. 2,13,581/-. Salvage was valued at Rs. 8,501/- and SpotSurvey fee of Rs. 920/- was found payable to the Claimant Thus, the net amountpayable on repair basis after deduction of excess worked out as under.Amount fo gross loss assessed : Rs. 2,13,581/-Less Salvage Rs. 8,501/-Add Reimbursement of Spot Survey Rs. 920/-Net Payable Claim Rs. 2,06,000/-Re-<strong>in</strong>spection Report also <strong>co</strong>nfirmed the repairs as permitted. One other Surveyor wasasked to <strong>in</strong>spect the salvage of Eng<strong>in</strong>e Spares. It was judgement over first surveryreport of Mr. Ajay Sharma. This Report <strong>in</strong>ter alia po<strong>in</strong>ted out that Rs. 73,774/- out off<strong>in</strong>al assessment of loss made by Mr. Ajay Sharma was not payable. This prompted theRespondent to offer the Claim amount of Rs. 1,34,913/-. The dispute arose due to these<strong>co</strong>nd <strong>in</strong>spection report by Mr. Vora. The justification of call<strong>in</strong>g this report can be acalled <strong>in</strong> question and its out<strong>co</strong>me should be viewed <strong>in</strong> light of the follow<strong>in</strong>g judicialprecedent. In the case of National <strong>Insurance</strong> Co. Vs. New Patiala Trad<strong>in</strong>g Company(2004 CCJ 537) the Hon’ble State Commission did not f<strong>in</strong>d justification on the part ofthe Insurer <strong>in</strong> appo<strong>in</strong>t<strong>in</strong>g another Surveyor. The Hon’ble National Commission upheldthe position and po<strong>in</strong>ted out <strong>in</strong>ter alia that it is a statute which prescribes theappo<strong>in</strong>tment of Licenced Surveyor and Loss Assessor and prima facie thereforecredence will have to be given to the report of such Approved Surveyors and LossAsssessor. Respondent to pay Rs. 20,600/- to the Compla<strong>in</strong>ant as assessed by Mr.Ajay Sharma.

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