Texco vs. TATA AIG
Texco vs. TATA AIG
Texco vs. TATA AIG
Versus
TATA AIG General Insurance Company Ltd. & Ors. ... Respondents
JUDGMENT
M. M. SUNDRESH, J.
Leave granted.
ON FACTS
1. The appellant secured a Standard Fire & Special Perils policy from the
building. However, the exclusion clause of the contract specifies that it does not
cover the basement. Due inspection of the shop was made which was actually
Signature Not Verified
Digitally signed by
NIRMALA NEGI
Date: 2022.11.09
17:25:03 IST
Reason:
situated on the other side of the road from the office of respondent No. 1. Not
only this shop of the appellant, but yet another shop similarly situated, was also
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insured by respondent No. 1. The appellant continued to pay the premium
promptly.
2. The appellant put up further construction, for which due notice was given and
due inspection was also made. The shop met with a fire accident for which the
inspection, on the basis of which the appellant was instructed to refurnish its
shop for the purpose of due evaluation. While arriving at the sum payable, the
surveyor did notice the fact that the earlier inspections were made and that the
fact that the shop was in a basement was to the knowledge of the insurer. The
claim made was repudiated by respondent No. 1, taking umbrage under the
exclusion clause.
premise that there was no adequate disclosure, the mandatory provisions have
not been followed, as such the insurer was deficient in service and indulged in
unfair trade practice. The fact that a similarly placed shop was also covered, was
not in dispute. The amount payable is only after due deduction of the goods
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despite a finding to the effect that respondent No. 1 was not in compliance of the
mandate of the law and inspection was indeed done prior to the execution of the
reliance upon the exclusion clause in setting aside the decision of the State
5. Shri. A.K. Ganguli, learned senior counsel appearing for the appellant submitted
that the National Commission has not overturned the reasoning of the State
Commission both on facts and law. When once there is a finding which is not in
appearing for the respondents that the existence of the exclusion clause is not in
dispute. Admittedly, the shop was situated in the basement, as such, the mere
fact that the decision of the National Commission was accepted would not
disentitle the respondents to contend that the finding that there was knowledge
even at the time of the execution of the contract, is not correct. In any case, it
cannot be the basis for restoring the decision of the State Commission.
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GRAVAMEN OF THE CASE
PRINCIPLES
Adhesion Contract
Insurance are one such category of contracts. These contracts are prepared by
the insurer having a standard format upon which a consumer is made to sign.
He has very little option or choice to negotiate the terms of the contract, except
to sign on the dotted lines. The insurer who, being the dominant party dictates its
own terms, leaving it upon the consumer, either to take it or leave it. Such
contracts are obviously one sided, grossly in favour of the insurer due to the
insurance. Such contracts demand a very high degree of prudence, good faith,
disclosure and notice on the part of the insurer, being different facets of the
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doctrine of fairness. Though, a contract of insurance is a voluntary act on the
part of the consumer, the obvious intendment is to cover any contingency that
might happen in future. A premium is paid obviously for that purpose, as there is
Therefore, an insurer is expected to keep that objective in mind, and that too
from the point of view of the consumer, to cover the risk, as against a plausible
repudiation.
Exclusion Clause
Not only the onus but also the burden lies with the insurer when reliance is made
on such a clause. This is for the reason that insurance contracts are special
for the insurer, but is meant to be pressed into service on a contingency, being a
reading down in the light of the underlining object and intendment of the
purpose for which the contract is entered. A party, who relies upon it, shall not
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particularly when the contract along with the exclusion clause is introduced by
it. Such a clause has to be understood on the prism of the main contract. The
main contract once signed would eclipse the offending exclusion clause when it
has got no existence outside, as such, it exists and vanishes along with the
contract, having no independent life of its own. It has got no ability to destroy its
own creator, i.e. the main contract. When it is destructive to the main contract,
brought either inadvertently or consciously by the party who introduced it. The
13.On the aforesaid principle of law, particularly with respect to the issues qua
onus, burden and reading down, this Court in Shivram Chandra Jagarnath
Cold Storage v. New India Assurance Co. Ltd. (2022) 4 SCC 539 has held as
follows,
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met with an accident, it was carrying nine persons apart from the driver. The
insured had moved a claim for repair of the vehicle, which was rejected by the
insurer.
20. Allowing the claim, this Court held thus : (B.V. Nagaraju case (1996) 4
SCC 647] , SCC pp. 650-51, para 7)
“7. It is plain from the terms of the Insurance Policy that the
insured vehicle was entitled to carry 6 workmen, excluding the driver. If
those 6 workmen when travelling in the vehicle, are assumed not to
have increased any risk from the point of view of the Insurance
Company on occurring of an accident, how could those added persons
be said to have contributed to the causing of it is the poser, keeping
apart the load it was carrying. Here, it is nobody's case that the driver
of the insured vehicle was responsible for the accident. In fact, it was
not disputed that the oncoming vehicle had collided head-on against
the insured vehicle, which resulted in the damage. Merely by lifting a
person or two, or even three, by the driver or the cleaner of the vehicle,
without the knowledge of the owner, cannot be said to be such a
fundamental breach that the owner should, in all events, be denied
indemnification. The misuse of the vehicle was somewhat irregular
though, but not so fundamental in nature so as to put an end to the
contract, unless some factors existed which, by themselves, had gone to
contribute to the causing of the accident. In the instant case, however,
we find no such contributory factor. In Skandia case [Skandia
Insurance Co. Ltd. v. Kokilaben Chandravadan, (1987) 2 SCC 654]
this Court paved the way towards reading down the contractual clause
by observing as follows : (SCC pp. 665-66, para 14)
‘14. … When the option is between opting for a view which will
relieve the distress and misery of the victims of accidents or their
dependants on the one hand and the equally plausible view which
will reduce the profitability of the insurer in regard to the
occupational hazard undertaken by him by way of business activity,
there is hardly any choice. The Court cannot but opt for the former
view. Even if one were to make a strictly doctrinaire approach, the
very same conclusion would emerge in obeisance to the doctrine of
“reading down” the exclusion clause in the light of the “main
purpose” of the provision so that the “exclusion clause” does not
cross swords with the “main purpose” highlighted earlier. The effort
must be to harmonise the two instead of allowing the exclusion
clause to snipe successfully at the main purpose. The theory which
needs no support is supported by Carter's “Breach of Contract” vide
para 251. To quote:
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“Notwithstanding the general ability of contracting parties to
agree to exclusion clauses which operate to define obligations
there exists a rule, usually referred to as the “main purpose rule”,
which may limit the application of wide exclusion clauses
defining a promisor's contractual obligations. For example, in
Glynn v. Margetson & Co. [1893 AC 351 (HL)] , AC at p. 357,
Lord Halsbury, L.C. stated : (AC p. 357)
14.The principles governing disclosure, good faith and notice are founded on the
common law principle of fairness. These principles are meant to be applied with
very high standard of good faith, disclosure and due compliance of notice is
required on the part of the insurer, keeping in view the unique nature of an
insurance contract.
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15.An act of good faith on the part of the insurer starts from the time of its intention
intending to act on an exclusion clause, the aforesaid principles may not require
effect to a due disclosure and notice in its true letter and spirit. When an
failure to furnish a copy of the said contract by following the procedure required
disclosure in George Mitchell (Chesterhall) Ltd v Finney Lock Seeds Ltd. (1983)
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the courts said to the big concern, "You must put it in clear words," the
big concern had no hesitation in doing so. It knew well that the little man
would never read the exemption clauses or understand them.
It was a bleak winter for our law of contract……"
(2022) 4 SCC 582, summarises the duty of an insurer and an insured to disclose
“Uberrimae fidei
31. It is observed that insurance contracts are special contracts based
on the general principles of full disclosure inasmuch as a person seeking
insurance is bound to disclose all material facts relating to the risk involved.
Law demands a higher standard of good faith in matters of insurance
contracts which is expressed in the legal maxim uberrimae fidei.
32. MacGillivray on insurance law 13th Ed. has summarised the duty of an
insured to disclose as under:
“...the assured must disclose to the insurer all facts material
to an insurer's appraisal of the risk which are known or deemed
to be known by the assured but neither known nor deemed to be
known by the insurer. Breach of this duty by the assured entitles
the insurer to avoid the contract of insurance so long as he can
show that the non-disclosure induced the making of the contract
on the relevant terms.
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The keeping back such circumstance is a fraud, and
therefore the policy is void. Although the suppression should
happen through mistake, without any fraudulent intention, yet
still the under-writer is deceived and the policy is void; because
the risk run is really different from the risk understood and
intended to be run at the time of the agreement.
The aforesaid principles would apply having regard to the nature of policy
under consideration, as what is necessary to be disclosed are "material facts"
which phrase is not definable as such, as the same would depend upon the
nature and extent of coverage of risk under a particular type of policy. In
simple terms, it could be understood that any fact which has a bearing on the
very foundation of the contract of insurance and the risk to be covered under
the policy would be a "material fact”.
35. Just as the insured has a duty to disclose all material facts, the insurer
must also inform the insured about the terms and conditions of the policy
that is going to be issued to him and must strictly conform to the statements
in the proposal form or prospectus, or those made through his agents. Thus,
the principle of utmost good faith imposes meaningful reciprocal duties
owed by the insured to the insurer and vice versa. This inherent duty of
disclosure was a common law duty of good faith originally founded in
equity but has later been statutorily recognised as noted above. It is also
open to the parties entering into a contract to extend the duty or restrict it by
the terms of the contract.”
18. On the principle of acting in good faith, it is held by this Court in United India
Insurance Co. Ltd. v. M.K.J. Corporation (1996) 6 SCC 428, that it is the primary
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“(6) It is a fundamental principle of Insurance law that utmost good
faith must be observed by the contracting parties. Good faith forbids either
party from concealing (non-disclosure) what he privately knows, to draw the
other into a bargain, from his ignorance of that fact and his believing the
contrary. Just as the insured has a duty to disclose, “similarly, it is the duty
of the insurers and their agents to disclose all material facts within their
knowledge, since obligation of good faith applies to them equally with the
assured.”
19.A similar view is taken in Modern Insulators Ltd. v. Oriental Insurance Co.
20.We have already quoted with profit the classical passage of Lord Denning in
mandates a party relying upon the exclusion clause to bring it to the knowledge
of the other side, any failure to do so would non-suit the said party from placing
reliance upon it, as held in Bharat Watch Company v. National Insurance Co.
"7. The basic issue which has been canvassed on behalf of the
appellant before this Court is that the conditions of exclusion under the
policy document were not handed over to the appellant by the insurer and in
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the absence of the appellant being made aware of the terms of the exclusion,
it is not open to the insurer to rely upon the exclusionary clauses. Hence, it
was urged that the decision in United India Insurance Co. Ltd. v. Harchand
Rai Chandan Lal, (2004) 8 SCC 644, will have no application since there
was no dispute in that case that the policy document was issued to the
insured.
9. We find from the judgment of the District Forum that it was the
specific contention of the appellant that the exclusionary conditions in the
policy document had not been communicated by the insurer as a result of
which the terms and conditions of the exclusion were never communicated.
The fact that there was a contract of insurance is not in dispute and has never
been in dispute. The only issue is whether the exclusionary conditions were
communicated to the appellant. The District Forum came to a specific
finding of fact that the insurer did not furnish the terms and conditions of the
exclusion and special conditions to the appellant and hence, they were not
binding. When the case travelled to SCDRC, there was a finding of fact
again that the conditions of exclusion were not supplied to the complainant.
10. Having held this, SCDRC also came to the conclusion that the
exclusion would in any event not be attracted. The finding of SCDRC in
regard to the interpretation of such an exclusionary clause is evidently
contrary to the law laid down by this Court in Harchand Rai (supra)
However, the relevance of that interpretation would have arisen provided the
conditions of exclusion were provided to the insured. NCDRC missed the
concurrent findings of both the District Forum and SCDRC that the terms of
exclusion were not made known to the insured. If those conditions were not
made known to the insured, as is the concurrent finding, there was no
occasion for NCDRC to render a decision on the effect of such an
exclusion.”
onerous responsibility on the part of the insurer while dealing with an exclusion
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clause. We may only add that the insurer is statutorily mandated as per Clause
referred to as IRDA Regulation, 2002) to the effect that the insurer and his agent
are duty bound to provide all material information in respect of a policy to the
insured to enable him to decide on the best cover that would be in his interest.
Further, sub-clause (iv) of Clause 3 mandates that if proposal form is not filled
by the insured, a certificate has to be incorporated at the end of the said form
that all the contents of the form and documents have been fully explained to the
insured and made him to understand. Similarly, Clause 4 enjoins a duty upon the
insurer to furnish a copy of the proposal form within thirty days of the
be pressed into service by the insurer against the insured as he may not be in
clause being void ab initio, has to be pressed into service. The said clause being
repugnant to the main contract, and thus destroying it without even a need for
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such a clause having found to be totally illegal and detrimental to the execution
of the main contract along with its objective, requires an effacement in the form
Courts has been duly taken note of by this Court in Beed District Central Coop.
“10. The “doctrine of blue pencil” was evolved by the English and
American courts. In Halsbury's Laws of England, (4th Edn., Vol. 9), p. 297,
para 430, it is stated:
“430. Severance of illegal and void provisions.—A contract will rarely be
totally illegal or void and certain parts of it may be entirely lawful in
themselves. The question therefore arises whether the illegal or void parts
may be separated or ‘severed’ from the contract and the rest of the contract
enforced without them. Nearly all the cases arise in the context of restraint
of trade, but the following principles are applicable to contracts in general.”
11. In P. Ramanatha Aiyar's Advanced Law Lexicon, 3rd Edn. 2005, Vol. 1,
pp. 553-54, it is stated:
“Blue pencil doctrine (test).—A judicial standard for deciding
whether to invalidate the whole contract or only the offending words.
Under this standard, only the offending words are invalidated if it
would be possible to delete them simply by running a blue pencil
through them, as opposed to changing, adding, or rearranging words.
(Black, 7th Edn., 1999)
This doctrine holds that if courts can render an unreasonable
restraint reasonable by scratching out the offensive portions of the
covenant, they should do so and then enforce the remainder.
Traditionally, the doctrine is applicable only if the covenant in
question is applicable, so that the unreasonable portions may be
separated. E.P.I. of Cleveland, Inc. v. Basler [12 Ohio App 2d 16 :
230 NE 2d 552, 556].
Blue pencil rule/test.—Legal theory that permits a judge to limit
unreasonable aspects of a covenant not to compete.
Severance of contract; ‘severance can be effected when the part
severed can be removed by running a blue pencil through it without
affording the remaining part’. Attwood v. Lamont [(1920) 3 KB 571 :
1920 All ER Rep 55 (CA)] . (Banking)
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A rule in contracts a court may strike parts of a covenant not to
compete in order to make the covenant reasonable. (Merriam
Webster)
Phrase referring to severance (q.v.) of contract. ‘Severance can be
effected when the part severed can be removed by running a blue
pencil through it’ without affording the remaining
part. Attwood v. Lamont [(1920) 3 KB 571 : 1920 All ER Rep 55
(CA)] . (Banking)”
12. The matter has recently been considered by a learned Judge of this Court
while exercising his jurisdiction under sub-section (6) of Section 11 of the
Arbitration and Conciliation Act, 1996 in Shin Satellite Public Co. Ltd. v. Jain
Studios Ltd. [(2006) 2 SCC 628]”
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(1) the suggestion, as a fact, of that which is not true, by one
who does not believe it to be true;
(2) the active concealment of a fact by one having knowledge
belief of the fact:
(3) a promise made without any intention of performing it;
(4) any other act fitted to deceive;
(5) any such act or omission as the law specially declares to be
fraudulent.
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Explanation.- A fraud or misrepresentation which did not cause
the consent to a contract of the party on whom such fraud was
practised, or to whom such misrepresentation was made, does not
render a contract voidable.
Illustrations
xxx xxx xxx
(c) A fraudulently informs B that A’s estate is free from incumbrance.
B thereupon buys the estate. The estate is subject to mortgage. B may
either avoid the contract, or may insist on its being carried out and
mortgage-debt redeemed,”
23.Section 2(i) of the Indian Contract Act, 1872 (hereinafter referred to as “the
Contract Act”) defines a voidable contract. This definition clause extends the
24.Under Section 10 of the Contract Act, an agreement would partake the character
agreement cannot be enforced, not being a contract in the eyes of law. The words
Contract Act. These two provisions on a simple reading give a clear indication
that they are of very wide import. No restrictive meaning can be given to them,
as both the words “means” and “includes” are consciously mentioned. The
being a contract becomes voidable at the option of the party against whom it was
done. Option under Section 19 of the Contract Act not only facilitates such a
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party, but also curtails the other who is responsible, from seeking to declare the
contract as voidable. Thus, the door is shut for the said party who benefits from
26.The second part of Section 19 of the Contract Act extends a further benefit to the
option to either declare the contract as voidable or insist upon its due
provide adequate relief to the party, who is aggrieved at the hands of the one
made clear from illustration (c) to Section 19 of the Contract Act, which
provides for the B party either to avoid the contract or insist upon it being
carried out. It also debars the violator from deriving benefit from his wrong
doing.
destructive clause facilitating a window for the insurer to escape from the
liability while drawing benefit from the consumer, the resultant relief will have
to be granted.
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Consumer Protection Act, 1986:
“2. Definitions.- (1) In this Act, unless the context otherwise requires,-
xxx xxx xxx
(g) “deficiency” means any fault, imperfection, shortcoming or
inadequacy in the quality, nature and manner of performance which is
required to be maintained by or under any law for the time being in
force or has been undertaken to be performed by a person in
pursuance of a contract or otherwise in relation to any service;
xxx xxx xxx
(r) “unfair trade practice” means a trade practice which, for the
purpose of promoting the sale, use or supply of any goods or for the
provision of any service, adopts any unfair method or unfair or
deceptive practice including any of the following practices, namely:
—
(1) the practice of making any statement, whether orally or in
writing or by visible representation which,—
xxx xxx xxx
(iv) represents that the goods or services have sponsorship,
approval, performance, characteristics, accessories,
uses or benefits which such goods or services do not
have.
xxx xxx xxx
(vi) makes a false or misleading representation concerning
the need for, or the usefulness of, any goods or
services.”
xxx xxx xxx
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Provided that the District Forum shall have the power to
grant punitive damages in such circumstances as it deems fit;
xxx xxx xxx
(f) to discontinue the unfair trade practice or the restrictive trade
practice or not to repeat them;
28.The consumer under the Consumer Protection Act, 1986 (hereinafter referred to
as “the 1986 Act”) is at an elevated place than the plaintiff in a suit. A dispute
before the Consumer Commission is to be seen primarily from the point of view
of the consumer as against the civil suit. It is only to avoid any possible
bottleneck in granting the relief. The jurisdiction of the Commission has been
under Section 3 of the 1986 Act. The Act being a self-contained one, requires to
relief and not to curtail it. The aforesaid view of ours is fortified by Regulation
friendly as possible.
29.Having noted the provision governing unfair trade practice, it is rather crystal
clear that it takes in its sweep all forms of unfair trade practice. One cannot give
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execution of the contract. Court’s finding against one of the parties qua the
favour of the other, particularly in light of Section 14 of the 1986 Act. One has
to keep in mind the legislative intendment behind the Act. Once again, we
reiterate the definition clause which gives adequate ammunition to the Court to
declare any form of unfair trade practice as illegal while granting the appropriate
relief.
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(vi) imposing on the consumer any unreasonable charge,
obligation or condition which puts such consumer
to disadvantage;”
(47) "unfair trade practice" means a trade practice which, for the
purpose of promoting the sale, use or supply of any goods or for the
provision of any service, adopts any unfair method or unfair or
deceptive practice including any of the following practices, namely:--
Protection Act, 2019 (hereinafter referred to as “the 2019 Act”) gives a very
broad meaning of unfair contract. As in the other provisions, it does not restrict
itself to the few illustrative circumstances mentioned under sub-clause (i) to (vi).
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Ultimately, it is for the State Commission or the National Commission to declare
31.Though, these two provisions are merely defining the terms, they actually
empower the Commission to go into the issue qua the unfair nature of the terms
of a contract and also the trade practice. Once, the State Commission or the
National Commission, as the case may be, comes to the conclusion that the term
aggrieved party has to be extended the resultant relief. The above said view is
Section 47 and 49
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(2) Without prejudice to the provisions of sub-section (1), the State
Commission may also declare any terms of contract, which is unfair to any
consumer, to be null and void.
xxx xxx xxx
32.Section 47 and 58 of the 2019 Act have been introduced to facilitate the State
contract which is unfair. As stated, the power is not only with respect to
identifying a contract as unfair or not, but also to grant the consequential relief.
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33.Under sub-section (2) of Section 49 and 59 of the 2019 Act, the State
Commission and the National Commission, respectively, may declare any terms
of the contract being unfair to any consumer to be null and void. The principle
provision.
34.In these provisions, there exists ample power to declare any terms of the contract
as unfair by the State Commission and the National Commission. The words
“any terms of the contract” would empower the State Commission and the
term of a contract, if in its opinion, its introduction by the insurer has certain
unfair, would make the contract active and executable to the benefit of the
35.We are conscious of the fact that the aforesaid provisions have been introduced
under the new 2019 Act. However, the intendment of these provisions could be
seen as implied even under the prior Act, i.e. the Consumer Protection Act,
1986. This Court has traced the jurisdiction of the Commission under Section 14
of the Consumer Protection Act, 1986 Act in IREO Grace Realtech (P) Ltd. v.
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“33. Section 14 of the 1986 Act empowers the Consumer Fora to
redress the deficiency of service by issuing directions to the Builder, and
compensate the consumer for the loss or injury caused by the opposite party,
or discontinue the unfair or restrictive trade practices.
34. We are of the view that the incorporation of such one-sided and
unreasonable clauses in the apartment buyer's Agreement constitutes an
unfair trade practice under Section 2(1)(r) of the Consumer Protection Act.
Even under the 1986 Act, the powers of the consumer fora were in no
manner constrained to declare a contractual term as unfair or one-sided as an
incident of the power to discontinue unfair or restrictive trade practices. An
“unfair contract” has been defined under the 2019 Act, and powers have
been conferred on the State Consumer Fora and the National Commission to
declare contractual terms which are unfair, as null and void. This is a
statutory recognition of a power which was implicit under the 1986 Act.”
ANALYSIS
36.Both the forums have held concurrently that respondent No. 1 was conscious of
the fact that the contract was entered into for insuring a shop situated in the
basement. The aforesaid position is not only a factual one but also accepted by
the respondents as no challenge has been laid against the impugned order.
notice. The National Commission has not given any finding on this aspect,
Section 21(A) of the Consumer Protection Act, 1986, it is clear that it is not akin
impugned order has not considered all the relevant materials which were duly
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37.Once it is proved that there is a deficiency in service and that respondent No. 1
consequence would flow out of it. We have already discussed the scope and
ambit of the provisions under the Indian Contract Act, 1872. Even as per the
38.Under the impugned order, we have already taken note of and discussed, the
findings of the State Commission, which are indeed approved by the National
Commission. These findings are sufficient enough to come to the conclusion that
the terms of the contract are unfair, particularly the exclusion clause, and that
respondent No. 1 has indulged in unfair trade practice. In such view of the
without taking note of the fact that it is the duty of the Forum to grant the
consequential relief by exercising the power under Section 14(d) and 14(f) of the
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terms in the contract and unfair trade practice on the part of the other party. In
other words, a party is entitled for the relief which the law provides.
39.Non-compliance of Clauses (3) and (4) of the IRDA Regulation, 2002 preceded
receiving benefits, and repudiation after knowing that it was entered into for a
fortified by the finding that the exclusion clause is an unfair term, going against
the very object of the contract, making it otherwise un-executable from its
inception.
by the counsel appearing for the respondents that the State Commission without
any basis granted a sum of Rs.2.5 lakhs towards harassment and mental agony.
We are of the view that no case for awarding amount under that head has been
41.In light of the aforesaid, the order impugned passed by the National Commission
in F.A. No. 275 of 2016 stands set aside except to the extent of declining a sum
of Rs.2.5 lakhs towards harassment and mental agony. The appeal stands
allowed in part.
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42.Before we part with this case, we would like to extend a word of caution to all
the insurance companies on the mandatory compliance of Clause (3) and (4) of
the IRDA Regulation, 2002. Any non-compliance on the part of the insurance
placing reliance upon any of the terms and conditions included thereunder.
……………………………J.
(SURYA KANT)
……………………………J.
(M.M. SUNDRESH)
New Delhi,
November 09, 2022
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