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of <h1>Insurance company must pay full claim amount despite delayed intimation when lower forums find delay justified</h1> <h3>RAJESH KUMAR Versus NATIONAL INSURANCE CO. LTD.</h3> RAJESH KUMAR Versus NATIONAL INSURANCE CO. LTD. - 2024 INSC 993 Issues:Interpretation of insurance policy conditions regarding vehicle damage coverage and liability of the insurer in case of an accident.Analysis:The case involved an appeal challenging an order by the National Consumer Disputes Redressal Commission that reduced the insurance amount payable to the appellant. The appellant had purchased a Private Car Insurance Policy and met with an accident, resulting in substantial damage to the vehicle. The District Commission partially allowed the complaint, directing the release of 75% of the insurance amount. The State Commission fully allowed the appeal, ordering the release of the entire insured sum with interest. The National Commission partly allowed the appeal, reducing the insurance amount significantly based on the insurance policy conditions.The National Commission's decision was challenged on the grounds that it exceeded its revisional jurisdiction and misinterpreted the insurance policy conditions. The appellant argued that the delay in intimation to the insurer was justified and not fatal to the claim, citing precedents emphasizing strict interpretation of insurer liability in motor vehicle accidents.The respondent contended that the National Commission correctly exercised its jurisdiction, highlighting discrepancies in the lower courts' treatment of the survey report and the application of insurance policy conditions. The respondent argued that the National Commission's intervention was justified based on the findings of the District and State Commissions.Upon analysis, the Supreme Court found that the National Commission had overstepped its jurisdiction by interfering with the State Commission's order without demonstrating any illegality or irregularity in the State Commission's decision. The Court emphasized that revisional jurisdiction should only be invoked in cases of patent error or gross miscarriage of justice.The Court also examined the interpretation of Condition No. 4 of the insurance policy, which required the insured to safeguard the vehicle from further damage. The Court held that the State Commission correctly concluded that the condition did not apply in the circumstances of the case, considering the compelling situation the appellant faced in attending to the injured co-passenger.Ultimately, the Supreme Court allowed the appeals, setting aside the National Commission's order and reinstating the State Commission's judgment directing the insurer to release the entire insured sum to the appellant with interest. The Court emphasized the importance of reasonable care in interpreting insurance policy conditions and condoning delays in intimation if properly explained.In conclusion, the Supreme Court upheld the State Commission's decision, emphasizing the importance of interpreting insurance policy conditions in light of the specific circumstances of each case and ensuring fair compensation to the insured party.
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