JUDGEMENT
VEENA MISRA,J. -
(1.) This is an appeal filed by the OPs insurer against order dated 17.01.2011 passed in Complaint Case No.416/2009 by the District Consumer Disputes Redressal Forum, Raipur (hereinafter called ''District Forum '' for
short), whereby the complaint was allowed and the OPs were directed to
pay to the mother of the deceased insured, the insured sum as well as
accident benefit aggregating to Rs.1,47,462/ - and also to pay interest @
6% p.a. from the date of complaint together with Rs.1,000/ - towards cost of litigation.
(2.) THE facts of the case before the District Forum are that the complainant?s son, Shri Ashish Jain had obtained HDFC Children Double
Benefit Plan Policy bearing No.10405812 dated 21.10.2005 for a sum of
Rs.73,731/ - with equal sum under accident benefit, yearly premium was
Rs.5,000/ - and the policy was to mature on 21.10.2019. It was averred in
the complaint that the complainant had regularly paid premium for 3
complete years and on 15.11.2008 he met with an accident near Nalghar
Chowk, Raipur and died. The accident was reported to the police. The
complainant gave intimation to the insurer and laid claim. However, the
OPs had sent a discharge voucher dated 16.12.2008 without mentioning
payable amount. Thereupon the complainant contacted the Office and by way
of letter dated 19.12.2008 she demanded full payment of the assured sum
together with accident benefit. OPs sent cheque No.336353 for a sum of
Rs.18,893/ - with covering letter dated 20.03.2009. The complainant
refused to accept the check and returned it to OP no.1 as the amount paid
was insufficient. The complainant?s son had paid premium continuously for
Years, though the premium for 4th year could not be paid before the due date and later on the insured died in accident after merely a few days.
So the complainant filed complaint before the District Forum for getting the insured sum and accident benefit together with interest and cost etc. She also filed documents and affidavit in support of the complaint.
3. In joint written version, the OPs took the plea that the complainant's son had made a proposal to OPs and thereupon the policy was sent to him
with terms and conditions with clear mention of a grace period of 15
days. It was to be returned in case the insured did not accept the terms
and conditions mentioned therein. As the policy was not returned, the
terms and conditions had become binding on the insured as well as the
nominee. In the policy it was mentioned that yearly premium was to be
paid on 21st October every year till 2019. Further period of 15 days
grace period was also provided. In the instant case after calculating the
grace period, the premium was to be paid by 5th November, but as the
insured had not paid the premium by 05.11.2008, so the policy was in
lapsed condition, when the policyholder died on 15.11.2008. The amount
payable to the nominee was calculated according to the terms of the
policy and cheque of a sum of Rs.18,893/ - was sent to the complainant,
which was returned by her. The said cheque was again sent to the
complainant on 13.05.2009, which was again returned by her. It was
averred that the complainant only wishes to get sympathy of the Forum
though actually she is not entitled to any relief claimed under the
complaint.
(3.) ON the basis of material placed before it, the District Forum came to the conclusion that the complainant was entitled to get full amount
together with accident benefit and interest on the said amount @ 6% p.a.
from the date of complaint and Rs.1,000/ - towards cost.;
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