JUDGEMENT
M.THANIKACHALAM J. -
(1.) The complainants claim was dismissed by the District Forum, as per
the order dated 21.10.2008 and the result is this appeal.
(2.) The complainant/appellant had taken house insurance with the opposite
party for one year from 11.08.2005 to 10.08.2006. Due to heavy rain on
27/28.10.2005 and 5/6.11.2005, the flood water entered into the house,
causing severe damage, not only to the building, but also to the house
hold articles, for which, a claim for Rs.38,050/- was lodged, before the
opposite party. The opposite party instead of paying the amount, as
claimed, paid only a sum of Rs.17,844/- and obtained a discharge voucher
on 11.4.2006, as if, the complainant has failed to prove the damages.
Premium was collected on the basis of the accepted value and having
collected the premium, the opposite party is not entitled to reject the
claim, when the value of the goods is claimed, based upon damage. Since
the opposite party has failed to pay the amount, they have committed
deficiency and therefore, the complainant is entitled to difference of
amount namely Rs.20,206/- with interest thereon, in addition to, a sum of
Rs.50,000/- as compensation for mental agony.
(3.) The opposite party admitting the Home Insurance Policy taken by the
complainant, as well as admitting the damage caused to the house, as well
as to the articles to some extent, opposed the claim of the complainant,
inter alia contending, that the claim is barred by limitation, that the
claim of the complainant at Rs.38.050/- is not based upon correct
assessment, that as per the conditions of the policy, assessing the
damage at Rs.17,844/-, when the opposite party offered the amount, the
same was accepted by the complainant in full and final settlement, for
which, he had issued receipt also, that because of the settlement had
already taken place, the complainant is estopped from claiming the
amount, that the claim being already settled, no question of negligence
and deficiency, warranting any compensation also, thereby praying for the
dismissal of the complaint.;
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