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Supreme Court of India

SRI VENKATESWARA SYNDICATEversusORIENTAL INSURANCE COMPANY LTD. AND ANR.

Citation
2009 INSC 1071
Decided
24 August 2009
Disposal
Case Partly allowed

Holding

The insurer may appoint a second or further surveyor provided it furnishes satisfactory reasons for rejecting the prior surveyor’s report, and interest on the awarded amount should be 9% per annum from the date of the chartered accountant’s assessment.

Summary

Sri Venkateswara Syndicate, a cotton trading partnership, suffered an accidental fire in its godown and claimed Rs.1.90 crore under its fire insurance policies with Oriental Insurance Company Ltd. The insurer appointed a series of surveyors – a licensed surveyor, joint surveyors, a second surveyor, and finally a chartered accountant – each producing differing loss assessments, ultimately accepting the chartered accountant's figure of Rs.1,05,00,817. The syndicate approached the National Consumer Disputes Redressal Commission, which ordered payment of the chartered accountant's amount with interest at 6% per annum from March 2001. The insurer appealed, raising the questions whether it could repeatedly appoint surveyors under Section 64‑UM of the Insurance Act and whether the commission was justified in fixing interest at 6% instead of a higher rate. The Supreme Court held that the Act does not forbid appointing additional surveyors, but the insurer must give satisfactory reasons for rejecting earlier reports; it also directed that interest be awarded at 9% per annum from the date of the chartered accountant’s assessment. Consequently, the appeal was partly allowed, confirming the quantum of loss and increasing the interest rate.

Issues considered

  • Whether an insurer may repeatedly appoint surveyors after surveyors for loss assessment under Section 64‑UM of the Insurance Act, 1938.
  • Whether the National Consumer Disputes Redressal Commission was justified in awarding interest at 6% per annum instead of a higher rate.

Legislation cited

Subjects

insurancesurveyor appointmentSection 64‑UMclaim settlementinterest rateconsumer protectionNational Consumer Disputes Redressal Commissiondelayfire insurance

Judgment

                                 (2009) 14 (ADDL.) S.C.R. 57
~




                              SRI VENKATESWARA SYNDICATE                         A
                                                v.
                     ORIENTAL INSURANCE COMPANY LTD. AND ANR.
                             (Civil Appeal No. 4487 of 2004) .
                                       AUGUST 24, 2009
                                                                                 B
                        [MARKANDEY KATJU AND H.L. DATTU, JJ.]
           -'(
                        Insurance - Accidental fire resulting in Joss of cotton
                   stock - Claim - Insurance company appointing Surveyor after
                   Suttteyor and delaying payment towards the claim - Claimant   c
                   approaching National Consumer Commission !Jfhich passed
                   an order directing payment of the agreed loss with 6% interest -


...        ....
                   thereon - On appeal, Held: There is no prohibition in the
                  Insurance Act for appointment of second Surveyor by the
                  Insurance Company but it has to give satisfactory reasons for D
                  not accepting the report of the first Surveyor and the need to
                  appoint second Surveyor - On the facts of the case quantum
                  of loss determined and awarded by the Commission affirmed
                  - However, interest awarded at 6% p.a. increased to 9% p.a.
                  - Insurance Surveyors and Loss Assessors (Licensing, E
                  Professional Requirements and Code of Conduct)
       "
--                Regulations, 2000- Insurance Act, 1938, Section 64 UM (2).

                       Appellant, a registered partnership firm has been
                  trading in cotton. It had a ginning mill on lease. There has
                  been an accidental fire in its godown. Appellant made a F
                  claim of Rs.190 Crores towards the loss. The Insurance
                  Company appointed a licensed Surveyor and he
                  estimated the loss of stock at Rs.1, 73,92,310/-. Thereafter
                  appellants had appointed a Joint Surveyor in terms of
     ""(          Section 64 UM(2) of the Insurance Act. The Joint Surveyor G
                  report estimated the loss of stock at Rs.1,67 ,fl0,9251-. The
                  Insurance Company was of the view that the report is
                  perfunctory and appointed another Surveyor. This
                  Surveyor confirmed the report of the Joint Surveyor. Still
                                                57                              \H
    58    SUPREME COURT REPORTS [2009] 14 (ADDL.) S.C.R.


A   not satisfied, the Insurance Company appointed a                  i
    Chartered Accountant to give a fresh report, and he had
    estimated the loss of stock at Rs.1,05,00,817/-. The
    Insurance Company had placed the report before the
    Joint Surveyors for their opinion. The Joint Surveyors in
B   their clarificatory report, did not agree with the findings
    of the Chartered Accountant on the ground that the
    findings were based on books of accounts for the period
    1-.10.1998 to 31.3.1999 and not till the date of fire accident.
    Since there was inordinate delay in settling the claim, the -
c   appellant approached the National Consumer
    Commission. The Commission directed the Insurance
    Company to pay Rs.1,05,00,817/- with interest at 6% p.a.
    Hence the appeal.

        The main issue that arose for consideration was
D   whether the insurance company can repeatedly appoint
    Surveyors after Surveyors for getting the loss/damaged
    assessed before settling the claim of the insured, and the
    incidental issue was whether the Nationai Consumer
    Commission was justified in awarding interest at 6% p.a.
E   as against 18% claimeq by the appellant.
                                                                          J.
         Partly allowing the appeal, the Court

       .HELD: 1.1. Parties have not lead in· any evidence in
  ·support of their claim. In fact Natfonal Consumer
F Commission has proceeded to decide the lis between the
   parties based on certain documents filed by the parties
   along with their pleadings. [Para 19] [7 4-A-B]

      1.2. A perusal of the joint su..Vey report reveals that
G the Joint Surveyors without going into the records of the
  appellant firm had assessed the loss said to have been
  sustained by the insured in the fire accident. The Joint
  Surveyors had arrived at the cost of own Ginned lint at
  Rs. 7084/- as against the records of the insured which
H
                    SRI VENKATESWARA SYNDICATE v. ORIENTAL                59
-
~


                            INSURANCE COMPANY LTD.
            ,_
                 itself shows the cost of Ginned lint at Rs. 6,229.35 and A
wt               Rs. 6,181.57 per quintal. Secondly, the Joint Surveyors
 '
('               had taken into ~ccount 88 borahs while assessing the
                 loss, whereas as per the records of the insured submitted
                 to the bank, there were 551 borahs as on 31.7.1999, out
                 of which 548 bor~s were sold from 1.8.1999 to 24.8.1999, B
                 (the date of the .fire inciden~) thus leaving only 3 borahs
                 in the stock. Mr. R. Srinivasan, Chartered Accountant,
            -I
                 who gave the report h~ving noticed all these omissions
                 and after detailed verification of the books of accounts
                 and records maintained by the appellant has assessed c
                 the loss at Rs.1,05,00817/-. In his report he has specifically
                 stated that the Joint Surveyors have failed to notice that
                 the accounts presented to them belonged to one of the
             y
                 several firms operating from the same premises under the

•                same or similar names and further the Joint Surveyors
                 had overlooked to ascertain the identity of the firm which
                 was insured and the firm which had in fact sustained the
                                                                                D


                 loss. [Para 20] [7 4-8-G]
                       1.3. A bare perusal of the report of the Chartered
                  Accountant would clearly demonstrate that:'.it is only after E
            l\
                 verifying the books of accounts maintained by the
     ...         appellant in the regular course of business, has
                 calculated the number of borahs that could have been
~
                 available in the business premises at the time of fire
                 incident. These finer aspects of the matter has been taken F,
                  into consideration by the National Consumer Commission
                 while rejecting the Joint Survey report of Joint Assessors
                 and for accepting the report of Chartered Accountant. The
                 Commission has also observed that after looking into
                 several reports of the surveyors and the loss assessed G
           .,.   by them, it would be fair to go by what the Chartered
                 Accountant has said in his report. May be, the discussion
                 is brief, but the conclusion is sound, and this Court
...
 /
                 concurs with it. [Para 20] [75-A-C]
                                                                               H

      ~
    60    SUPREME COURT REPORTS [2009] 14 (ADDL.) S.C.R.                       _._

                                                                                     ~
                                                                     1
A        2.1. ·The assessment of loss, claim settlement and
    relevance of survey report depends on various factors.
                                                                                ~~
    Whenever a loss is reported by the insured, a· loss
    adjuster, popularly known as loss surveyor, is deputed
    who assess the loss and issues report known as
B   surveyor report which forms the basis for consideration·
    or otherwise of the claim. Surveyors are appointed under,
    the statutory provisions and they are the link between the
    insurer and the insured when the question of settlement
    of loss or damage arises. The report of the surveyor
c   could become the basis for settlement of a claim by the
    insurer in respect of the loss suffered by the insured.
    There is no disputing the fact that the _Surveyor/Surveyors
    are appointed by the insurance ,company under the


D
    provisions of Insurance Act and their reports are to be
    given due importance and one should have sufficient
    grounds not to agree with the assessment made by them.
    Under Section 64-UM, the insurance company cannot go
                                                                     y


                                                                              ..
                                                                               ,,


    on appointing Surveyors one after another so as to get
    a tailor made report to the satisfacti:m of the concerned
    officer of the insurance company, if for any reason, the
E   report of the Surveyors is not acceptable, the insurer has
    to give valid reason for not accepting the report. Scheme            j.


    of Section 64-UM particularly, of sub-sections (2), (3) and
    (4) would show that the insurer cannot appoint a second
    surv~yor just as a matter of course. If for any valid reason
F   the report of the Surveyor is not acceptable to the insurer
    may be for the reason if there are inhe.rent defects, if it is
    found to be arbitrary, excessive, exaggerated etc., it must
    specify cogent reasons,. without which it is not free to
    appoint second Surveyor or Surveyors till it gets a report
G   which would satisfy its interest. Alternatively, it can be
                                                                         ~
    stated that there must be sufficient ground to disagree
    with the findings of Surveyor/Surveyors. There is no
    prohibition in the Insurance Act for appointment of
    second Surveyor by the Insurance Company, but while                         '
H

                                                                              ....
                SRI VENKATESWARA SYNDICATE v. ORIENTAL                  61
-+                      INSURANCE COMPANY LTD.
             doing so, the insurance company has to give satisfactory A
             reasons for not accepting the report of the first Surveyor
             and the need to appoint second Surveyor. [Para 22] [75-
             F-G; 76-A-E]

                     2.2. The Insurance Act only mandates that while
                                                                              B
               settling a claim, assistance of surveyor should be taken
               but it does not go further and say that the insurer would
               be bound whatever the surveyor has assessed or
               quantified, if for any reason, the insurer is of the view that
               certain material facts ought to have been taken into
               consideration while framing a report by the surveyor and c
             . if it is not done, it can certainly depute another surveyor
               for the purpose of conducting a fresh survey to estimate
              the loss suffered by the insured. [Para 23] [77-A-C]
       ,,_
                  2.3. In the instant case, the insurer has stated in the D
              counter affidavit filed before the National Commission
             and even before this Court as to why the appointment of
             second Surveyor was necessitated and also has given
             valid reasons for appointing second Surveyor and also
             has assigned valid reason for not accepting the report of E
             Joint Surveyor. The correspondence between the insurer
      :i..
             and the Surveyors would indicate the particulars differed
 "           by the insurer for differing with the assessment of loss
             made by the Surveyors. The option to accept or not to
             accept the report is with the insurer. However, if the F
 ~
             rejection of the report is arbitrary and based on no
             acceptable reasons, the courts or other .forums can
             definitely step in and correct the error committed by the
             insurer while repudiating the claim of the insured. If the
             reports are prepared in good faith, due application of
                                                                          G
             mind and in the absence of any error or ill motive, the
     --+
             insurance company is not expected to reject the report
             of the Surveyors. [Para 23] [77-C-F]

                 3.1. In this Case, the insurer after rejecting the
             assessments of the surveyor and the joint surveyor has          H
    62    SUPREME COURT REPORTS [2009] 14 (ADDL.) S.C.R.
                                                                            ...._

                                                                      -t
A   accepted the assessment made by the Chartered
    Accountant. Therefore, it would not be correct to say that
    insurer while settling the claim has caused an
    unnecessary delay of three years. But once the insurer
    has reached a settlement he should make the payment
B   at the earliest. And if further delay is caused by the
    insurer in making the payment then he should. be made
    liable to pay the interest on the amount settled, as             ).-
    compensation at the current rate of interest till the
    payment is made, as it has deprived the appellant from
c   using his money for which he is legitimately entitled.
    [Para 27] [78-F-H; 79-A]

         3.2. The respondent Insurance Company to pay
    Rs.1,05,00817/- with interest at the rate of 9% as               ..,,
    compensation from the date of assessment done by the
D                                                                           ....
    Chartered Accountant, within two months from the date
    of this order. [Para 28] (79-B]

        Secretary, Irrigation Deptt., Govt. of Orissa v. G.C. Roy,
    (1992) 1 SCC 508; Ghfl,~iabad Development Authority v.
E   Balbir Singh, (2004) 5 SCC 65 and ·Kaushnuma Begum v.
    New India Assurance Co. Ltd., (2001) 2 SCC 9, relied on.           ~

                         Case Law Reference:                                ~


         (1992) 1 sec 508         relied on             Para 24
F        (2004) 5 sec 65          relied on             Para 25             ~




         (2001) 2 sec 9           relied on             Para 26
        CIVIL AP PELLATE JURISDICTION : Civil Appeal No.
    4487 of 2004.
G
         From the Judgment & Order dated 19.1.2004 of the
    National Consumer Disputes Redressal Commission at New
    Delhi in OP No. 135 of 2001.

H
j

              SRI VENKATESWARA SYNDICATE v. ORIENTAL                    63
                      INSURANCE COMPANY LTD.
     ~-
               K.V. Viswanathan, P.B. Suresh, Vipin Nair (for Temple          A
           Law firm) for the Appellant.

                Kishore Rawat, M.K. Dua for the Respondents.

                The Judgment of the Court was delivered by
                                                                              B
               H.L. DATTU, J. 1. This appeal is directed against the
     _.(
           order passed by National Consumer Disputes Redressal
           Commission, New Delhi in Original Petition No.135 of 2001
           dated 19th day of January, 2003.

                2. The brief facts are as under :
                                                                              c
                 The appellant is a registered partnership firm. Their line
            of activity is trading in cotton. For the purpose of their business,
      "    they had taken Mis Jai Bharat Traders Cotton Ginning Mill on
,;         lease. The claim of the appellant is that an accidental fire took 0
           place in the godown of Mis Jai Bharat Traders, leased by the
           appellant firm, where its cotton stocks were stored and insured
           at about 2.10 a.m. in the morning hours of 24.8.1999 and
           according to the appellant the estimated loss was of Rs. 1.90
           crores. The cotton stocks in question were covered by seven E
           insurance policies issued by respondent - Oriental Insurance
     ~
           Company Ltd. hereinafter for the sake of brevity referred to as
-+         'insurer' for a total sum of Rs.1.98 Crores during the period
           when the fire accident took place. The appellant made a claim
           of Rs.1.90 crores towards loss of stock due to accidental fire F
                                                               io
           in its business premises, with the insurer. Pursuant the claim
           so made, the insurance company appointed one Sri K. Siva
           Prasad, a licensed surveyor for preliminary investigation and
           for submitting a preliminary report, about the cause of fire and
           the probable loss said to have been suffered by the insured. G
     ,._   The surveyor having examined the place of fire accident gave
           preliminary report dated 09.09.1999 to the insurance company
           estimating the loss of stock at Rs.1,73,92,310/-, however, had
           noticed in his report that the number of bales and borahs lying
                                                                              H
I



                                                                                  /
                                                                                  •
        64     SUPREME COURT REPORTS [2009] 14 (ADDL.) S.C.R.


    A in the Godown and the actual quantity of lint damaged by fire         1'
      has to be got confirmed from the accounts of the insured and
      also by physical verification of bale hoops. The insurer after
      receipt of the preliminary report of Sri K. Siva Prasad, had
      appointed Joint Surveyors M/s Mehta and Padamsey and
    B Kaypens, in terms of Section 64 UM(2) of the Insurance Act to
      give a joint report. They conducted a joint survey and in that,
      had estimated the loss of stock insured at Rs.1,67,80,925/- and
      gave a report to that effect to the .insurer. The insurer being of   ).
      the view that the report is perfunctory, had appointed yet another
    c Surveyor viz. Dinesh Gopal and Co. who, in turn appointed one
      Mr. Panchal, former DIG (Fire). CISF and Fire Adviser to the
      Government of India to investigate. and submit a report, who in                 ,-.
      turn after investigation and· survey submitted his report dated
      07.05.2000, confirming the quantification made by the Joint
      Surveyor. Since the insurer was not satisfied with the aforesaid
                                                                           .,
    D
      report also, appointed R. Srinivasan and Co., Chartered
      Accountant to give a fresh report by estimating the loss of stock
      insured due to accidental fire incident. After inspection of the
      godown and verifying the books of accounts, estimated the loss
      of stock at Rs.1,05,00,817/-. The insurance company had
    E placed the aforesaid report before the Joint Surveyor viz. M/s.
      Mehta and Padamsey and Kaypsens for their opinion. The joint
                                                                            ~
      surveyors in their clarificatory report dated 06.01.2001, did not
      agree with the finding'.> of the chartered accountant, on the
      ground that the chartered accountant had based his report only
    F after verifying the books of accounts for the period 01.10. 1998
      to 31.03. 1999 and not till the date of fire accident.

             3. Since there was inordinate delay in settling the lawful
        claim under the fire insurance policy, the appellant preferred
    G   original complaint before the National Consumer Forum against
        the insurer, inter-alia, alleging that there was deficiency in     ...,
        service and, therefore, they are entitled for a sum of
        Rs.1,67,80,925/- being the value of loss assessed by the Joint
        Surveyors and, therefore, sought a direction to the insurer for           ~


    H
            SRI VENKATESWARA SYNDICATE v. ORIENTAL                       65
•            INSURANCE COMPANY LTD. [H.L. DATTU, J.]
    ""   payment of the aforesaid amount with interest at 18% from the         A
         date of fire accident till its realization and for payment of a sum
         of Rs. 6,91, 155/- being the value of the salvage as assessed
         by the surveyors and also to award damages in causing
         unnecessary and unwarranted delay in settling the claim under
         the insurance policy.                                                 B

              4. The National Consumer Disputes Redressal
    °"   Commission, hereinafter for the sake of brevity referred to as
         "Commission" on the concession made by the insurance
         company based on the report of Chartered Accountant has               C
         passed the impugned order, directing the insurer to pay a sum
         of Rs. 1,05,00,817/- with interest at 6% per annum from
         01.03.2001 till the date of payment within two months from the
         date of receipt of the order. The reasons assigned by the
    "    Commission for accepting the concession made by the
         respondents is forthcoming in its order. The same is extracted        D
         for better appreciation of the case pleaded by the parties to
         the lis. It is as under :

             "7.5. As regards the quantum of loss, we need to give
             weightage to the estimates made by various Investigators          E
             appointed by the Insurance Co. The first three Investigators
             assessed the loss at about the same figures i.e. the loss
             is of 1350 fully pressed bales of cotton and 88 boras of
             lint valued that about Rs. 1. 73 to Rs. 1.74 crores. However,
             the Insurance Co. having noticed that these Investigators         F
             had not gone into the details of transactions and stocks in
             a thorough manner, asked another Chartered Accountant,
             Mis R. Srinivasan & Co. to specially ascertain the quantum
             of loss caused by the fire. M/s R. Srinivasan & Co.
             submitted a "Accounts Verification Report" on 22.11.2000          G
             and assessed the loss at Rs. 1,05,00,817/-. They also
             furnished subsequent clarification on 22.12.2000,
             22.1.2001 and 9.9.2002 pointing out the lacunae in the
             reports of the previous Investigators."

                                                                               H
    66     SUPREME COURT REPORTS [2009) 14 (AOOL) $.C.R.                              ,
                                                                                      ~




A         Finally, the opposite party themselves, while disputing their   -f


    liability to pay, have however agreed that the loss Is ·only
    Rs.1,05,00,817/- and not Rs.1.90 crore, as claimed by the                         "'
    appellant.

        5. Being aggrieved by the aforesaid order, the claimant is ·
B
    before us in this appeal.
         6. The learned senior counsel Shri K.V. Viswanathan·             'r
   appearing for the appellant submitted, that, the actlt>n of the
   insurance company in appointing several surveyors tili it got a.
c favourable report to suitits estimatiQn Qf loss of stock in the fire
   incident is illegal and shatters the confidence and trust of the
   people on the very purpose of insurance. It is further submitted
   that the National Commission despite upholding the report of
   the Joint Surveyors which assessed the loss at Rs.1,64, 70,407/        ?'
                                                                                      •
                                                                                           r'
D -, ought not to have accepted the concession made. by the                                '
   insurer and directed the insurance company to -pay only the
 . amount as quantified by the chartered accountant. Lastly, it is
   submitted that the National Commission despite giving a finding
   that there is gross deficiency in service has only granted interest
E at 6% per annum from 01.03.2001 and not from the date o{ fire
   accident, which,· according to learned counsel is. impropf!r and
                                                                           ...
   illegal.
       7. In response to the submission made by learned senior
  counsel for the appellant, the learned counsel for the insurer
F invites our attention to the counter affidavit filed by them before
  this Court in justification of the order passed by National                              ..._I'
  Consumer Commission and then submits that the provisions of
  Section 64-UM of Insurance Act, 1938 does authorize the
  insurer to appoint surveyor or surveyors, may be for the second
G time for the purpose of getting a fair report of the -actual Joss            ..,.
  suffered by the insured. To buttress their submission, they invite
  our attention to the provision of Section 64-UM of the Insurance
  Act, 1938, for which we will make reference at the appropriate
  stage. The learned counsel also submitted several reasons for
H
                                                                                                    t
                                                                                                    I
              SRI VENKATESWARA SYNDICATE v. ORIENTAL                     67
               INSURANCE COMPANY LTD. [H.L. DATTU, J.]
      '    not accepting the report of Joint Surveyors in view of the lacuna   A
           pointed out by the Chartered Accountant, who was asked to
           verify the Books of Accounts maintained by the insured to
           ascertain the actual loss incurred due to the fire accident by
           the insured in its place of business and therefore, there is no
           illegality committed by the National Consumer Commission in         B
           accepting the report of Chartered Accountant and directing the
           insurance company to pay as assessed and quantified by an
           independent agency. The learned counsel also submits that
           keeping in view the facts and circumstances of the case, the
           National Consumer C<iJlmission was justified in awarding            c
...        interest at the rate of 6% per annum from 01.03.2001, though
           a claim was made for awarding interest at the rate of 18% from
           the date of fire incident till the date of payment.
      'y



                 8. Two issues would arise for our consideration and
           decision. Firstly, whether the insurance company can repeatedly     D
           appoint Surveyors after Surveyors for getting the loss/damage
           assessed before settling the claim of the insured. The incidental
           question is, whether the National Consumer Commission was
           justified in awarding 6% interest per annum from 01.03.2001
           as against the claim of the appellant at 18% from the date of       E
           the fire accident, viz. 24.08.1999.

                9.-To appreciate the issues raised in this civil appeal, we
           extract relevant Section by omitting what is not necessary for
           the purpose of this case. Section 64-UM(2) of the Insurance Act,    F
           1938 is as under :

                "64- UM(2) - No claim in respect of a loss which has
                occurred in India and requiring to be paid or settled in India
                equal to or exceeding twenty thousand rupees in value <;>n
                any policy of insurance, arising or intimated to an insurer . G
                at any time after the expiry of a period of one year from
                the commencement of the Insurance (Amendment) Act,
              · 1968, shall, unless otherwise directed by the Authority, be
                admitted for payment or settled by the insurer unless he
                                                                               H·
                                                                                     ....

    68      SUPREME COURT REPORTS [2009] 14 (ADDL.) S.C.R.

                                                                           -1
A         has obtained a report, on the loss that has occurred, from
          a person who holds a licence issued under this section to ·
                                                                                    Al
          act as a surveyor or loss assessor (hereafter referred to
          as "approved surveyor or loss assessors):

          Provided that nothing in this sub-section shall be deemed
B
          to take away or abridge the right of the insurer to pay or
          settle any claim at any amount different from the amount
          assessed by the approved surveyor or loss assessor.
           (3) The Authority may, at any time, in respect of any claim
c          of the nature referred to in sub~ection (2), call for an
           independent report from any other approved surveyor or·                  ~



           loss assessor specified by him and such surveyor or loss
           assessor shall furnish such report to the Authority within
                                                                           y
           such time as may be specified by the Authority or if no
D          time limit has been specified by him within reasondiJle time
           and the cost of, or incidental to, such report shall be borne
         · by the insurer.

          (4) The Authority may, on receipt of a report referred to in
          sub-section (3), issue such directions as he may consider
E
          necessary with regard to the settlement of the claim
                                          a
          including any direction to settle claim at a figure less than,       1'

          or more than, that at which it is proposed to settle it or it
          was settled and the insurer shall be bound to comply with
          such directions:
F
          Provided that where the Authority issues a direction for
          settling a claim at a figure lower than that at which it h.as
          already been settled, the insurer shall be deemed to
          comply with such direction if he satisfies the Authority that
G         all reasonable steps with due regard to the question
          whether the expenditure involved is not disproportionate
          to the amount required to be recovered, have been taken
          with due despatch by him:

          Provided further that no direction for the payment of a
H
            SRI VENKATESWARA SYNDICATE v. ORIENTAL                         69
             INSURANCE COMPANY LTD. [H.L. DATIU, J.]
              lesser sum shall be made where the amount of the claim             A
              has already been paid and the Authority is of opinion that
              the recovery of the amount paid in excess would cause
              undue hardship to the insured:

              Provided also that nothing in this section shall relieve the       B
              insurer from any liability, civil or criminal, to which he would
              have been subject but for the provisions of this sub-section. n

              10. Section 64-UM (1) of the Act speaks of licensing of.
         Surveyors and loss assessors. We are not very much concerned
         with this sub-section. Sub-section (2) mandates that no claim           c
         in respect of a loss which has occurred in India and requiring
•        to be paid in India equal to or exceeding twenty thousand rupees
         in value on any policy of insurance be admitted for payment,
         unless insurer obtains a report on the loss that has occurred
         from ao person who holds a license issued under sub-section D
         (1) of Section 64 UM of the Act as a Surveyor or loss assessor.
         The proviso to sub-section(2) however, retains the right of the
         insurer to settle a claim for an amount different from that
         assessed by the surveyor. This proviso impliedly permits an
         insurer to obtain a second or further report where considered E
         appropriate or expedient in the circumstances of a case, based
    .,   upon which the claim could be settled for a different amount than
         as assessed earlier.

              11. Sub-section (3) provides for the Authority (Insurance
                                                                                 F
         Regulatory and Development Authority), the power to obtain an
         independent report from any other surveyor in respect of a claim
         referred to in sub-section (2). This sub-section vests in the
         Authority the power to call for a second report, either suo motto
         or upon the application by the insured person or on a complaint
         by a third party. Under sub-section (3), the second report is           G
         required to be called by the Authority. himself for use,
         consideration and further directions.

              12. Sub-section (4) envisages, that the authority may on
         receipt of a report referred to in sub-section (3), issue such          H
      70     SUPREME COURT REPORTS [2009] 14 (ADDL.) S.C.R.
                                                                                    ...._
  A directions as he may consider necessary with regard to the            i
    settlement of the claim including any direction to settle a claim
    at a figure less than, that at which it is proposed to settle it or
                                                                                    '\
    it was settled and the insurer shall be bound .to comply with such
    directions.                                                                    ;
                                                                                   ~
  B
          13. The learned senior counsel Shri K.V. Viswanathan for
    the app~llant, submits that, despite the surveyors having
    consistently given a specific finding that the claim was bonafide
    and the fire was accidental had assessed the loss at Rs.1. 70
    crores, but the insurance company has repudiated the claim
  c on frivolous ground, that too after a period of three years from
    the date of fire incident. It is further contended that the company
    had appointed several surveyors, which they could not have
                                                                                   ..
    done in terms of Section 64-UM of the Insurance Act, ,1938.
                                                                          .,,,
 D        14. In the instant case, the insurer had appointed a
     surveyor for preliminary inspection and survey to assess the
     loss caused due to the fire accident in the business premises
     of the appellant. In the preliminary survey report dated
     09.09.1999, Sri K. Siva Prasad had given broadly an estimate
 E of loss caused due to the fire accident. in the business
     premises of the appellant. He had specifically reported that the
     ')Umber of bales and borahs lying- in the godown and the actual          ,.
    quantity of lint damaged by the fire has to be got confirmed from
     the accounts of the insured and also by physical verification of
 F the bale hoops. In his report, he had made ~ clear that he has
    hot finally assessed the loss. The Joint Surveyors who were
   · appointed to jointly assess the loss had given their report dated
     15.11.1999, wherein they had assessed the loss at Rs.
     1,67,80,925/- on receipt of this report, the insurance company
·G by their letter dated 7.1.2000, had sought several clarifications
    from their Joint Surveyors, which according to them were
    omitted to be noticed by the Joint Surveyors while assessing
    the loss caused due to the fire accident in the appellant's
    business premises. The letter dated 7.1.2000, is extracted for
    better understanding the rival claims of the parties :
 H
       SRI VENKATESWARA SYNDICATE v. ORIENTAL                     71
        INSURANCE COMPANY LTD. [H.L. DATTU, J.]
         "THE ORIENTAL INSURANCE HYDERABAD REGION                       A

          THEORIENTAL INSURANCE COMPANY LIMITED

                     DIVISIONAL OFFICE : GUNTUR

        Dear.Sirs,                                                      B

        . RE: FIRE LOSS TO COTTON STOCKS ON 24-8-1999
~ ·.


               OUR CLAIM NO. 432301/136/0/F/04/2000 -
                                                                        c
                Ale: M/S SRI VENKATESWARA SYNDICATE·-
              . GUNTUR
         We refer to your joint survey report bearing Nos. MR/1269
       · (MS/61640) and KPS/CL/1837 dated 15.11:99                      D
         respectively.
        On perusal of the. papers, we have observed as under :
        (1) The cause of the accident is mentioned as electrical
        short circuit because of voltage fluctuations. When the         E
        stocks were kept in a locked godown and when there was
        no kind of activity for months together, we wonder as to
        why the lights in the godown were kept switched on round
        the clock. Had the lights been switched off the short circuit
        causing the fire accident could not have occurred. Please       F
        let us have your comments.

         (2) From the balance sheet of insured as on 31st march,
         1999 nearly 50% of the purchases i.e. Rs. 1.07 crore out
        of Rs. 2.27 crores were from individual village ryots on
                                                 a
        .credit basis. We fell in a claim of such magnitude some        G
         random investigation is required on th~ credit purchases
        to confirm their genuinity.

        (3) As per the preliminary survey report there were two
                                                                        H
    72      SUPREME COURT REPORTS [2~09] 14 (ADDL.) S.C.R.


A         varities of bales/borahs viz. MCU-5'@ Rs. 7, 140/- per           i
          quintal in bales and Rs. 7,040/- per quintal in borahs and
          LK variety @ Rs. 5,650/- per quintal in bales and Rs.
          5,550/- in borahs. But, in your assessment you have taken
                                  a
          the entire quantity as single variety i.e. MCU-5 @ Rs.
8         7,193/- per quintal in FP bales and Rs. 7,084-19 ps per
          quital in bor~hs and assessed the loss@ Rs. 1,74,82,080/
          -. Whereas, when we have applied the different rating the
          assessment is claiming to Rs. 1,72,57,3Q5/-. Please              ~
          clarify.
c         Please let us have your clarification on the above points
          at the earliest to enable us to proceed further.                          ~




                                                                                    "'
          Thanki~g you,
                                                                           -~




D         Yours faithfully,

          Sd/-

         ·SR. DIVISIONAL MANAGER

E         cc to: Regional Office, Hyder~bad, forJnformation:"

        15. The Joint Surveyors by their reply letter dated                    r'
  12.1.2000 had stated.that they did not consider an investigation
  into .the purchases necessary although they stated ~hat the ·
  insurer may cause and/or carry out any investigation as
F necessary. We intend to extract only that portion of the reply,
  which may be relevant for tpe purpose of knowing why the
  insurer thought it fit to appoint Chartered Accountants for
  verification of the accounts of the insured firm :

G        · "(2). The doubts on procurements and need for
           investigations (irrespective of cas~ or credit purchase)            +·
           would arise only if the stock position as claimed did not
           tally with the available physical evidence. Even if purchases
           are proved against actual payment, the physical evidence
H
                   SRI VENKATESWARA SYNDICATE v. ORIENTAL                     73
);.
                    INSURANCE COMPANY LTD. [H.L. DATTU, J.]
          t·                                                                            A
                     after the incident, the single most important factor in such
                     situations can necessitate further enquiries and
                     investigation. That kind of a situation never arose in this
                     particular incident as the physical evidence and the extent
                     of damage to the building were supportive of the quantum
                     of stocks claimed to have been held. Our local enquiries           B
                     did not show any evidence otherJhan an accidental fire.
                     In the circumstances, we do not, from our survey and
                     assessment point of view, consider an investigation into,
                     the purchases too essential. Nevertheless, as insurers with
                     privy to the contract, we note that you may cause and/or           c
                     carry out any investigation as necessary."

                                                  [Emphasis is supplied by us]


...       ...         16. In view of certain discrepancies in the joint report of,
                the Joint Surveyors, the insurer was constrained to appoint a D
                Chartered Accountant for verification of the books of accounts
                of the insured, to ascertain the actual quantum of loss caused
                by fire accident in the business place of the appellant.
                      17. Mr. Srinivasan, the Chartered Accountant, after detailed E
                verification of the books of accounts and other relevant material
      ~

-               had assessed the loss at Rs. 1,05,00817/-. In his report, he has '
          ~

      I
                stated that the Joint Surveyors without verifying the books of
                account and other relevant records of the appellant firm had
                assessed the loss which does not reflect the loss sustained by
                                                                                   F
                the insured. They had also pointed out various other omissions
                in the joint report of the Joint Surveyors.

                     18. The insurer for the purpose of ascertaining the actual
                loss sustained by the insured had sought clarifications from the
                Joint Surveyors in view of the findings by the Chartered                G
      ' ~       Accountant. We were taken through their replies by learned          '




                counsel for the insurance company. To our mind, it appears,
                they were not prepared to accept their omissions while
                preparing their reports after inspection and verification of the
                                                                                        H
          74     SUPRf;ME COURT REPORTS [2009) 14 (AODL.) S.C.Ft
                                                                                                   ~

      A place of fire BCCident.                                                  1


               19. Parties have not l~ad in any evidence in support .of their
        claim. tn fact National Consumer CQmmission has proceeded
        to decide the lis between the parties based .on certain
      B documents filed by the parties along with their pleadings. . · . .
                                                                          ..
               20. We have carefully perused the joint survey report
                                                                                       '     .
         submitted by the surveyors who were appointed by the lnsu~r ·.         .t. '.
         and the report of the. Chartered Accountant.. The perusal of the
         joint survey report reveals that the Joint Surveyors without going ·
     .C into the records of the appellant firm had assessed the loss said
         to have been sustained by the insured inthe fire accident. The
         Joint Surveyors had arrived at the cost of own Ginned lint at ·.
         Rs. 7084/- as against the records of the insured which itself
         shows the post of Ginned lint at Rs. 6,229.35 and Rs. G, 181.57        ..,.
      D per quintal. Secondly, the Joint Surveyors had taken intg
         account 88 borahs while assessing the loss, whereas '1& per                       '"""""""
         the records of the insured submitted to the bank. there Wire
         551 borahs as on 31.7.199~, oµt gf wfligh §4a bg~h~ w@rt sold
         from 1.8.1999 to 24.8.19~~. (~~e Q@t~ gf t~~ fim ln@id@n~ thua
      E leaving only 3 borahs in the ~~~gk. Mr~ R: iRRiV~§lU,, Chartered
         Accountant, who gave the report having noticed all these
                                                                                  ;J         I
         omissions and after detailed verification of the books of
         accounts and records maint~ined l>Y th' IPRtllant haa                              ......
                                                                                             '

         assessed the loss at Rs.1,05,00817/-.. ln his report he has
      F  specifically stated that the Joint Surveyors have failed to notice
        .that the accounts presented to them b~lof'ged to one of the ·                     ....
         several firms operating from the SPme premises under the
        same or similar names and further the Joint Surveyors had over
        looked to ascertain the identity of the firm which Was Insured
      G and the firm which had in fact sustained the loss: The learned
        senior counsel Sri K.V. Viswanathan would contend that the               + :
        Chartered Accountant who was deputed in conducting the
        survey had verified the books of accounts of the appellant till
        31.3.1999 and not till the date of Incident and, therefore, the                     ....
        National Commission could not have accepted the report of the
\.
      H
        SRI VENKATESWARA SYNDICATE v. ORIENTAL                     75
         INSURANCE COMPANY LTD. [H.L DATTU, J.]

~      Chartered Accountant. This submission of the learned counsel A
       is not based on facts. A bare perusal of the report of the ·
       Chartered Accountant would clearly demonstrate that it is only
       after verifying the books of accounts maintained by the appellant
       in the regular course of business, has calculated the number
       of borahs that could have been available in the business B
       premises at the time of fire incident. These finer aspects of the
     . matter has been taken into consideration by the National
-~     Consumer Commission while rejecting the Joint Survey report.
       of Joint Assessors and for accepting the report of Chartered
       Accountant. The Commission has also observed ..that after. c
       looking into several reports of the surveyors and the los's
       assessed by them, it would be fair to go by what the Chartered
      Accountant has said in his report. May be, the discussion is
      brief, but the conclusion is sound, and we concur.
"                                                                        D
          21. The Insurance Regulatory Authority ('IRDA' for short)
     has· fcmnulated Insurance Surveyors and Loss Assessors
     (Ucensing, Professional Requirements and Code of Conduct)
     Regulations, 2000, which regulate the licensing and the work
     of surveyors. These regulations stipulate that the surveyor shall
     investigate, manage, quantify, validate and deal with losses        E
     arising from any contingency and carry out the work with
     competence, obj3ctivity and professional integrity by strictly
     adhering to the Regulations.

           22. The assessment of loss, claim settlement and              F
      relevance of survey report depends on various factors.
     Whenever a loss is reported by the insured, a loss adjuster,
      popularly known as loss surveyor, is deputed who assess the
      loss and .issues report known as surveyor report which forms
     the basis for consideration or otherwise of the claim. Surveyors
                                                                         G
     are appointed under the statutory provisions and they are the
     link between the insurer and the insured when the question of
     settlement of loss or damage arises. The report of the surveyor
     could become the basis for settlement of a claim by the insurer
     in respect of the loss suffered by the insured. There is no
                                                                         H
    76    SUPREME COURT REPORTS [2009) 14 (ADDL.) S.C.R.


A disputing the fact that the Surveyor/Surveyors are appointed by
  the insurance company under the provisions of Insurance Act
  and their reports are to be given due importance and one
  should have sufficient grounds not to agree with the assessment
  made by them. We also add, that, under this Section the
B insu~ance ·company cannot go on appointing Surveyors one
  after another so as to get a tailor made report to the satisfaction
  of the concerned officer of the insurance company, if for any -
  reason, the report of the Surveyors is not acceptable, the insurer
  has to give valid reason for not accepting the report. Scheme
c of Section 64-UM particularly, of sub-sections (2), (3) and (4)
  would show that the insurer cannot appoint a second surveyor
  just as a matter of course. If for any valid reason the report of
  the Surveyor is not acceptable to the insurer may be for the
  reason if there are inherent defects, if it is found to be arbitrary,
  excessive, exaggerated etc., it must specify cogent reasons,
0
  without which it is not free to appoint second Surveyor or
  Surveyors till it gets a report which would satisfy its interest.
  Alternatively, it can be stated that there must be sufficient
  ground to disagree with the findings 0f Surveyor/Surveyors.
E There is no prohibition in the Insurance Act for appointment of
  second Surveyor by the Insurance Company, but while doing
  so, the insurance company has to give satisfactory reasons for
  not accepting the. report of the first Surveyor and the need to
  appoint second Surveyor.

F    . 23. Section 64 UM(2) of the Insurance Act, 1938, reads
  that 'No claim in respect of a loss which has occurred in India
  and requiring to be paid or settled in India equal to or exceeding
  twenty thousand rupees in value on any policy of insurance,
  arising or intimates to an insurer at any time after the expiry of
G a period of one year from the commencement of the Insurance
  (Amendment) Act, 1968 shall, unless otherwise directed by the
  Authority, be admitted for payment or settled. by the insurer
  unless he has obtained a report on the loss that has occurred
  from a person who holds a license issued under this Section
H
            SRI VENKATESWARA SYNDICATE v. ORIENTAL                     77
             INSURANCE COMPANY LTD. [H.L. DATIU, J.]
          to act as a surveyor. In our considered view, the Insurance Act     A
          only mandates that while settling a claim, assistance of surveyor
          should be taken but it does not go further and say that the
          insurer would be bound whatever the surveyor has assessed
          or quantified, if for any reason, the insurer is of the view that
          certain material facts ought to have been taken into                B
          consideration while framing a report by the surveyor and if it is
I         not done, it can certainly depute another surveyor for the
~
          purpose of conducting a fresh survey to estimate the loss
    -·    suffered by the tnsured. In the present ~ase, the insurer has
          stated in the counter affidavit filed before the National           c
          Commission and even before us, why the appointment of
          second Surveyor was necessitated and also has given valid
          reasons for appointing second Surveyor and also has
          assigned valid reason for not accepting the report of Joint
          Surveyor. The correspondence between the insurer and the
                                                                              D
          Surveyors would indicate the particulars differed by the insurer
         for differing with the assessment of loss made by the Surveyors.
         The option to accept or not to accept the report is with the
         insurer. However, if the rejection of the report is arbitrary and
         based on no acceptable reasons, the courts or other forums
         can definitely step in and correct the error committed by the        E
    lt
         insurer while repudiating the claim of the insured. We hasten
         to add, if the reports are prepared in good faith, due application
         of mind and in the absence of any error or ill motive, the
         insurance company is not expected to reject the report of the
         Surveyors.                                                           F

              24. Now with regard to the question of awarding rate of
         interest as compensation in cases where loss is caused due
         to deficiency/delay in services, this court in various judgments
         has held that the award of compensation must depend on facts G
         and circumstances of each case and has to be worked out after
         determining the amount of loss suffered by the consumer. In the
         case of Secretary, Irrigation Deptt., Govt. of Orissa v. G.C. Roy,
         (1992) 1   sec   508, this court has stated that "a person
                                                                              H
    78     SUPREME COURT REPORTS [2009] 14 (ADDL.) S.C.R.                              ,...
A deprived of the use of money to which he is legitimately entitled
    has a right to be compensated for the deprivation, call it by any
    name. It may be called interest, compensation or damages."

       25. It was observed. in the case of Ghaziabad
    Development Authority v. Balbir Singh, (2004) 5 SCC 65, that:
8
         "it is already held that awarding interest at a flat rate of
         18% is not justified. It is clear that in all these cases interest   +-
         is being awarded. as and by way of compensation/                              >
                                                                                      ~
         damages. Whils( so awarding it must be shown that there
c        is relationship between the amount awarded and .the
         default/unjustifiable delay/harassment. It is thus necessary
         that there be separate awards under each such head with
         reasons why such award is justified."                                T



D
         26. In the case of Kaushnuma Begum v. New India
    Assurance Co. Ltd., (2001) 2 SCC 9, this court has held that,
    "with a change in economy and the policy of Reserve Bank of
    India the interest rate has ,been lowered. The nationalized banks
    are now granting interest at the. rate of 9% on fixed deposits
    for one year. We, therefore, direct that the· compensation
E
    amount fixed hereinbefore shall bear interest at the rate of 9%           -;I
    per annum from the date of the claim made by the appellants."                   .....
                                                                                       •
                                                                                       f-
          27. In the case before us it has been made clear that if
F the insurer is not satisfied with the assessment of the surveyor,                 ;;>
    he retains the right to settle claim for a differentamount. The
    insurer after rejecting the assessments of the surveyor and the
  · joint surveyor has accepted the assessment made by the
    Chartered Accountant. Therefore, it would not be correct to say
G that insurer while settling the claim has caused an unnecessary             +-
    delay of three years. But once the insurer has reached a
    settlement he should make the payment at the earliest. And if
    further delay is caused by the insurer in making the payment
    then he should be made liable to pay the interest on the amount
H   settled, as compensation at the current rate of interest till the
                 . SRI VENKATESWARA SYNDICATE v. ORIENTAL                      79
                    INSURANCE COMPANY LTD. [H.L. DATTU, J.]


..
 '
                 paytnent is made, as it has deprived the appellant from using A
                 his money for Which he is legitimately entitled .
                    . 28. lhus, in vie~ of the above discussion, we direct the
                 respondent Insurance Company to ··pay Rs.1,05;00817/- with, .
                 interest atthe raje of 9% as compensation from the date of
                                                                                     8
                 assessment done by the Chartered Accountant, within two·
                 months from the date of this order. The appeal is partly allowed. ·
                 No order as to costs.
                 G.N.                                     Appeal Partly allowed .




            ..
     <.,.




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