As per case facts, the petitioner's excavator suffered damage in an accident at a remote site. After reporting the incident and filing a claim with the insurance company, surveyor reports ...
IN THE HIGH COURT AT CALCUTTA
CONSTITUTIONAL WRIT JURISDICTION
APPELLATE SIDE
Present:
The Hon’ble Justice Rai Chattopadhyay
WPA 2035 of 2019
HMR Constructions Private Limited
Vs.
The Oriental Insurance Company Limited
For the Petitioner : Mr. Partha Bhattacharya, ld. Sr. Counsel
: Mr. Aryak Dutt
For the Insurance Corporation : Ms. Sucharita Paul
Judgment on : 08.04.2026
Rai Chattopadhyay, J. :-
1. The alleged arbitrary and illegal repudiation of claim of the petitioner said
to have been lodged in pursuance to the valid insurance policy, by the
respondent/insurance company, is challenged in the instant writ petition.
Legality and validity of the two letters of the said respondent dated
October 18, 2017 and March 7, 2018 are under challenge here, amongst
which the letter dated March 7, 2018 is the letter impugned that is the
letter of repudiation, sought to be set aside in this writ petition.
2. The petitioner’s case in a nutshell is that on February 11, 2014, within the
period of coverage under the insurance policy number
311200/31/2012/1755, the vehicle of the petitioner, which is a Volvo
excavator, purchased from Volvo India Private Limited Bangalore [vide
bill no. VCE/BLR/0368/2011-12 Dated September 23, 2011], met with an
accident, while being used in works at Borghat site [Meghalaya], where
the petitioner has been engaged in construction of a bridge, for the
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Meghalaya Public Works Department. Coverage of the vehicle on the
particular date of incident has not been disputed in this case.
3. According to the writ petitioner, since the place of incident was remotely
situated, the information of accident and loss and damage of the vehicle
could only be sent to the respondent on February 27, 2014. The said
respondent was informed about the accident, by an email dated same,
followed by a letter dated February 28, 2014. As per request made to the
respondent by the petitioner a surveyor was appointed namely Mr.
Nabendu Das. Mr. Das inspected the machine on March 1, 2014 and
submitted his report to the respondent.
4. An engineer appointed by the vendor of the writ petitioner has also
inspected the vehicle and submitted his report as to the damage caused to
the vehicle and estimated cost of repair. On the basis of the same the writ
petitioner has filed its claim on March 4, 2014, along with the estimate of
cost of repair as provided by the vendor of the vehicle.
5. Upon receipt of the claim of the writ petitioner the respondent/insurance
company appointed on March 7, 2014 a surveyor and loss assessor from
Guwahati namely Mr. Sobhan Malla Buzar Baruah BE. Mr. Baruah sends
letter and reminder to the writ petitioner dated March 17, 2014 and May
2, 2014, ascertaining the fact of damage of the vehicle to be true. He has
also informed in the said letter that since the preliminary inspection work
has been concluded by him, the damaged vehicle can now be dismantled
under supervision of the technical experts of the vendor, so that he can
finally complete his report. Mr. Baruah further writes vide letter dated
July 5, 2014, that physical inspection of the vehicle has been done by him
along with the technical expert of the manufacturer on two days that is,
June 29, 2014 and July 2, 2014 and the damage occurred to the same is
ascertained and confirmed. The petitioner was advised to undertake the
repairing works and to submit documents as required in connection with
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the claim. Later, on January 5, 2015, he however submits an addendum
report to the respondent correcting the date of validity of the driving
licence and name of the place of occurrence, mentioned in his earlier
report.
6. On October 8, 2014, the petitioner sent the repair advice and requisition
received by it from the authorised Volvo vendor to the
respondent/insurance company with the request to approve the estimate
with information to the vendor so that repair works may be undertaken by
the same, with a copy of estimate forwarded to Mr. Baruah the surveyor
and loss assessor, appointed by the said respondent.
7. Upon completion of the repair of the vehicle the writ petitioner has
forwarded to Mr. Baruah, the surveyor and loss accessor appointed by the
respondent, all the original invoices of repair cost of the vehicle provided
by M/s Suchita Earthmoving Solutions Guwahati, authorised distributor
of Volvo India Limited with its letter dated May 23, 2015, for the purpose
of aiding and expediting realisation of the claim amount.
8. The respondent’s first objection as to the claim of the writ petitioner was
raised by dint of its letter dated April 8, 2016, in which the respondent
pointed out certain discrepancies, in the spot survey report and the final
survey report submitted by the two surveyors respectively, that date of
accident has been mentioned differently in the said two documents as if
there were separate incidents of accident. The petitioner says to have duly
replied by justifying the alleged discrepancies, vide letter dated May 3,
2016.
9. This was followed by letters of Mr. Baruah dated May 25 and 30, and
June 10, 2016, informing about presence of typographical error in his
report, as regards the date of accident. He corrected the error by
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mentioning the actual date of accident and clarified the cause of damage
occurred to the said vehicle.
10. Thereafter repeated letters of the petitioner followed requesting the
respondent/insurance company to disburse the claim amount but to no
avail. Ultimately the petitioner received the impugned letter dated
October 18, 2017, which it replied vide latter dated November 9, 2017.
Even in spite thereof, the respondents send its letter dated March 7, 2018,
finally repudiating the claim of the writ petitioner, on the grounds
mentioned therein. Those shall be discussed at a proper place. Being
aggrieved with the same the petitioner has filed the instant writ petition.
11. The writ petitioner has been represented by Mr. Partha Bhattacharya,
learned senior counsel. He says that on the date of accident the
petitioner’s vehicle has been duly covered by the insurance policy
undertaken by the petitioner for the same. Therefore, in accordance with
the conditions thereof any loss suffered by the vehicle due to accident is
bound to be covered by the insurance company by disbursing the claim
amount in favour of the writ petitioner. He further says that the
respondent has appointed two surveyors for inspection of the vehicle and
assessment of loss. That, both of them have reported about damage
suffered by the said vehicle due to accident.
12. Mr. Bhattacharya, learned senior counsel has submitted that the
respondent has arbitrarily not considered the explanation of the
respondent’s queries in its letter dated October 18, 2017, which the
petitioner has satisfied vide its letter dated November 9, 2017. That,
similar grounds have been pleaded by the respondent while finally
repudiating the claim of the writ petitioner in the order dated March 7,
2018. That, it clearly indicates high handed, unlawful and arbitrary
conduct by the respondent insurance company. It is submitted that the
complete ignorance by the said respondent of both the survey reports as
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well as the clarification and explanation submitted by the writ petitioner
in its letter dated November 9, 2017, without any apparent and justifiable
reason, renders the final decision of the respondent to repudiate the claim
of the petitioner as baseless, irrational, arbitrary and illegal. Therefore, he
says that the said order is liable to be set aside in this writ petition.
13. Mr. Partha Bhattacharya, learned senior counsel for the petitioner has
referred to the judgment in Saurashtra Chemicals Limited (presently
known as Saurashtra Chemicals Division of Nirma Limited) Vs.
National Insurance Company Limited reported in (2019) 19 SCC 70 to
buttress the proposition of law argued by him that the
respondent/insurance company cannot bolster its case subsequently with
additional grounds than it has been mentioned in the letter of repudiation
itself. According to Mr. Bhattacharya, the grounds of delay in lodging the
claim by the petitioner is afterthought and was never pleaded in the
impugned letters as mentioned above.
14. The respondent insurance company is represented by Ms. Sucharita Paul,
learned advocate in this case. The respondent’s first contention is as
regards maintainability of the instant writ petition. It is submitted that the
plea of the petitioner is to recover the insurance claim amount in contrast
to the decision of the respondent to repudiate such claim of the petitioner.
Therefore, the same is not maintainable in the plenary and extraordinary
writ jurisdiction of this Court. Instead, the claim of the petitioner being
comprised with the disputed questions of fact, should be subject to
efficacious alternative remedy available in law, before the appropriate
civil Court by filing a money suit therefor. It has been submitted further
that the insurer is lawfully entitled to repudiate claim, due to non-
fulfilment of the terms of policy. That, since the petitioner has not been
able to satisfy the specific terms of the policy, the respondent is justified
in repudiating its claim. In this regard it has further been submitted that
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report of the surveyor is not the conclusive proof of the claim made and it
is the discretion of the respondent to consider it or its part, if at all.
15. The respondent has further stated that the claim of the petitioner has been
repudiated on the ground of violation of the policy condition. That,
merely on the basis of surveyor’s report, the insurance company is not
obliged to release the claim without being satisfied about other factual
and legal aspects in consonance with the terms and conditions in the
policy. The respondent says that the petitioner’s claim is not tenable
under Section 1 of the Commercial Vehicle Package Policy issued to the
petitioner. Such claim is also barred under Exception 4(a) of the “General
Exceptions” of the Commercial Vehicle Package Policy. That the claim of
the petitioner is also untenable as per condition No. 5 of the “Conditions”
provided in the Commercial Vehicle Package Policy. The respondent
specifically emphasizes that a claim can only be reimbursed which duly
complies with and is as per the terms and conditions of the insurance
policy and not otherwise.
16. It is the further contention of the said respondent that, the report of the
surveyor on which the petitioner has placed sufficient reliance on, is not a
conclusive document to prove the factum of the loss suffered by the
petitioner. In a way, the respondent/insurance company has disputed and
denied the allegation of the petitioner of suffering huge loss due to
alleged arbitrary and illegal action of the said respondent by not
disbursing the amount of claim to the same. Per contra, it is the contention
of the respondent that, having not proved the accident as well as loss
suffered and having not complied with the above-stated provisions under
the insurance policy, the petitioner would not be eligible to seek any
claim or reimbursement thereof. The respondent relies on the following
judgments which principally discusses and decides about non-
maintainability of a writ petition due to involvement of disputed questions
of fact, requirement of factual enquiry, delay in lodging the claim and on
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the ground of availability of alternative efficacious remedy to the
petitioner. Those are as follows:-
i) Life Insurance Corp
n
. Of India & Ors. Vs. Asha Goel (Smt)
& Anr. reported in (2001) 2 SCC 160.
ii) Life Insurance Corporation of India & Ors. Vs. Smt. Kiran
Sinha reported in (1986) 2 SCC 553
iii) Poonawalla Fincorp Limited & Anr. Vs. The National
Insurance Company Limited & Anr. [APOT No. 297 of 2021
with WPO No. 494 of 2021, IA No.: G.A. 1 of 2021 dated
March 29, 2022]
iv) Bhaskar Ghosh Vs. The Oriental Insurance Company
Limited & Anr. [WPO 1366 of 2021 dated December 20, 2021]
v) Swapan Ghosh Vs. The Oriental Insurance Company
Limited & Ors. [W.P. 4159 (w) of 2018 dated June 15, 2018]
vi) Poonawalla Fincorp Ltd. (Formerly Known as Magma
Fincorp Limited) & Anr. Vs. The National Insurance Company
Limited & Anr. dated September 16, 2021)
17. On perusal of the letters of the respondent impugned in this case dated
October 18, 2017 and March 07, 2018, it appears that the said respondent
has taken up grounds of coming into operation of (i) Section 1, (ii)
Exception 4 (a) and (iii) Condition No. 5 of the Commercial Vehicles
Package Policy, to hold the claim of the petitioner as unsustainable and to
repudiate the same. The issue, therefore, arises whether the said
respondent could have lawfully and justifiably repudiate the insurance
claim of the petitioner for the reason of coming into operation of the
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specified provisions of the Commercial Vehicles Package Policy; also
that whether the writ petition itself is maintainable or not.
18. Before discussing on merits with reference to the points of dispute as
mentioned above, the said relevant provisions may be quoted as
hereinbelow : -
“SECTION I - LOSS OF OR DAMAGE TO THE VEHICLE INSURED
1. The Company will indemnify the insured against loss or damage to
the vehicle insured hereunder and/or its accessories whilst thereon:
i. by fire, explosion, self ignition or lightning;
ii. by burglary housebreaking or theft;
iii. by riot and strike;
iv. by earthquake (fire and shock damage);
v. by flood, typhoon, hurricane, storm, tempest, inundation, cyclone,
hailstorm, frost;
vi. by accidental external means;
vii. by malicious act;
viii. by terrorist activity;
ix. whilst in transit by road, rail, inland waterway, lift, elevator or
air;
x. by landslide rockslide.”
** ** ** ** **
“(4) (a) any accidental loss or damage to any property whatsoever or
any loss or expense whatsoever resulting or arising there from or any
consequential loss.”
** ** ** ** **
“5. The Insured shall take all reasonable steps to safeguard the vehicle
insured from loss or damage and to maintain it in efficient condition
and the Company shall have at all times free and full access to
examine the vehicle insured or any part thereof or any driver or
employee of the insured. In the event of any accident or breakdown,
the vehicle insured shall not be left unattended without proper
precautions being taken to prevent further damage or loss and if the
vehicle insured be driven before the necessary repairs are effected,
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any extension of the damage or any further damage to the vehicle
shall be entirely at the insured's own risk.”
19. The petitioner has stated that on the date of incident, the excavator vehicle
was working at Borghat Site, Meghalaya which is 58 kilometers away
from Latrambai in East Jayantiya Hills of Meghalaya that is a remote
place in the hills of Meghalaya. During excavation of sand and gravel
near the Coffer dam the bucket of the vehicle got entangled between huge
boulders and got stuck. Repeated attempts for over a week to disentangle
the bucket of the vehicle, did not succeed. In this process, the vehicle was
so damaged that, it became unusable any further. Damage was spotted on
the bucket, arms, stick, pins and allied areas of the vehicle due to such
accident during working of the vehicle. The water cooler was also
damaged.
20. The Spot Surveyor, Mr. Das has noted the date of accident to be February
11, 2014. The surveyor and assessor appointed subsequently, though
initially noted the date of accident erroneously, subsequently vide his
letter dated May 25, 2016, has corrected the said error and mentioned the
date of the accident to be February 11, 2014. Both the surveyors have
duly endorsed the nature of accident that while working, a part of the
vehicle was stuck between the boulders in the hills and got damaged
extensively while being recovered from there.
21. Section 1 of the Commercial Vehicles Package Policy has provided the
incidents, (10 of those), a damage occurred due to any of which, shall
make the respondent liable to indemnify the insured/petitioner. Those are
quoted above. Clause (vi) thereof is worth noting “by accidental external
means”. Clause 4(a) of General Exception states that, any accidental loss
or damage to the vehicle or expense resulting or arising therefrom or any
consequential loss should be considered to be exempted from the list of
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liabilities of the respondent under the said policy. Clause 5 of the
conditions emphasizes that the insured should take all reasonable steps for
safeguard of the vehicle.
22. No materials is forthcoming in this case to suggest remotely that while
using the same for work, necessary protection, care and safeguard has not
been maintained. The vehicle is of specific nature to discharge specific
kind of job that is, for excavation. In hilly areas, the job of excavation is
always involved with the risk and danger of grapple with boulders. In
view of the fact that the concerned vehicle have been entangled with the
boulders while in work the same specifically comes within the bounds of
Section 1 clause (vi) that is, “damage by accidental external means”.
23. The two surveyors’ reports have never been considered by the
respondent/insurance company to come to its decision in the impugned
order. The reason thereof has been stated in the affidavit-in-opposition
that, report of the surveyor being not a conclusive proof of the facts stated
therein, may not compulsorily be taken into consideration. The Court
finds that the respondent’s decision should have been based on some
cogent grounds or else that should be termed as an arbitrary decision
according to its own whims. So far as the nature of loss suffered by the
vehicle, the surveyors’ reports are the only materials available. The
respondent could have merrily not relied on the same, had it got some
other sufficient and cogent material in contrast to the claim of the
petitioner. Unfortunately, the same is not available in this case the
respondent’s decision in the impugned letters is based on no grounds at
all as to why the said specific provisions of the Commercial Vehicle
Package Policy should be made applicable in case of the present
petitioner’s claim. On the other hand, the purpose of appointing a
surveyor is only to ascertain justifiability of the claim on the basis of
collected evidence. Let it be mentioned that the contents of reports of the
surveyors have never been denied or disputed as untrue or improbable.
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Therefore those must be found to be good foundational grounds in
support of the claim of the petitioner. Also against the petitioner or the
surveyors, so to say, there is no allegation levelled for suppression of any
material foundational fact. Obviously, in such situation the reports of the
surveyors are acceptable and those should not have been discarded
without showing any reason, as it has been done in the instant case.
24. The time gap between the date of incident (February 11, 2014) and report
being made to the respondent/insurance company (dated February 27,
2014) is not fatal for the petitioner in view of the remote situation of the
place of incidence and lack of due communication facilities. Furthermore,
the Court is in concurrence with the argument advanced on behalf of the
petitioner that the ground of delay being not part of the impugned letter of
repudiation dated March 07, 2018 cannot subsequently be put in. Or else,
that would have an effect of strengthening its case further by the
respondent authority which is prohibited in the eye of law. In this regard,
the ratio of the judgment relied on by Mr. Bhattacharya in Saurashtra
Chemicals Limited (supra) squarely applies in this case.
25. Hence, the impugned orders as mentioned above, appeared to be
unreasoned and unsubstantiated with any cogent and sufficient material.
In such event, the said order stands neither on the anvil of tests of
arbitrariness nor that of legality or validity.
26. Having said so, it is also necessary that the Court discusses futility of the
preliminary point of objection raised on maintainability of this writ
petition. The objection proceeds on two principal planks, firstly, that the
dispute pertains to enforcement of a contractual right involving disputed
questions of fact; and secondly, that the petitioner has an efficacious
alternative remedy by way of a civil suit. This Court is unable to accept
the said contention in the facts and circumstances of the present case. It is
now well-settled that the jurisdiction under Article 226 of the Constitution
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is not barred merely because the dispute arises out of a contractual
relationship, particularly where the respondent is a State or an
instrumentality thereof and its action is impugned on the ground of
arbitrariness, unreasonableness or violation of Article 14 of the
Constitution. The doctrinal foundation for exercise of writ jurisdiction in
such cases rests on the public law element embedded in the action of the
State, even in contractual matters.
27. The distinction between a pure private law dispute and a dispute
involving public law character must be borne in mind. Where the
challenge is not simpliciter for recovery of money but is directed against
an arbitrary, irrational or mala fide decision-making process of a public
authority, the writ court would be justified in exercising jurisdiction. In
the present case, the petitioner has not merely sought enforcement of a
claim amount, but has assailed the decision-making process culminating
in the repudiation of the claim as being arbitrary, unreasoned and
violative of settled principles of fairness. The doctrine of arbitrariness, as
a facet of Article 14, pervades all State actions, including those arising
out of contractual dealings. An insurance company, being a State
instrumentality within the meaning of Article 12, is bound to act fairly,
reasonably and in a non-arbitrary manner. The impugned repudiation, if
found to be devoid of reasons or based on irrelevant considerations,
would clearly invite judicial review.
28. The Supreme Court in United India Insurance Company Limited versus
Manubhai Dharmasinhbhai Gajera [at (2008) 10 SCC 404] has clearly
held that although the state should be free to negotiate its terms in the
field of contract qua contract, its actions however cannot be arbitrary.
The Court held that the insurance company having acted arbitrarily
cannot be allowed to say that the writ Court should not interfere.
Therefore, in such a case a writ would be maintainable even if it arises
within a contractual obligation.
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29. The contention of the respondent that the writ petition involves disputed
questions of fact also does not commend acceptance. It is trite law that the
mere existence of disputed facts does not ipso facto oust the writ
jurisdiction. The Court must examine whether such disputes are of such a
complex nature that they necessitate oral evidence and detailed trial. In
the present case, the foundational facts, including existence of policy,
occurrence of incident, appointment of surveyors and submission of
reports, are largely undisputed. The controversy essentially revolves
around the interpretation of policy conditions and the legality of the
respondent’s decision in disregarding the survey reports. In this context, it
is pertinent to note that the respondent itself had appointed surveyors for
assessment of loss, and their reports constitute the primary material on
record. The respondent has neither produced any contra material nor
demonstrated that the issues require elaborate evidentiary adjudication.
Therefore, the dispute falls within the realm of judicial review rather than
adjudication of complex factual controversies.
30. The objection as to availability of an alternative remedy is equally
untenable. The rule of alternative remedy is a rule of discretion and not
one of compulsion. It is well-recognised that in cases where the impugned
action is arbitrary, violative of principles of natural justice, or where the
order is wholly without jurisdiction, the writ court would not decline to
exercise jurisdiction merely on the ground of availability of an alternative
remedy. In the present case, the impugned letters of repudiation, as
already discussed hereinabove, are bereft of cogent reasoning and fail to
disclose proper application of mind. The respondent has neither
adequately dealt with the survey reports nor assigned sustainable reasons
for invoking the exclusion clauses of the policy. Such action, ex facie
arbitrary, falls squarely within the exceptions carved out to the rule of
alternative remedy. Further, relegating the petitioner to a civil suit in the
facts of the present case would not be efficacious. The dispute pertains to
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the legality of the decision-making process of a state instrumentality,
which can be more appropriately examined in exercise of writ
jurisdiction. The delay and multiplicity of proceedings inherent in a civil
suit would defeat the ends of justice, particularly when the material
necessary for adjudication is already available on record.
31. The judgments relied upon by the respondent are distinguishable on facts.
In those cases, the disputes involved either complex factual adjudication
or purely private law claims devoid of any public law element. In the
present case, however, the challenge is directed against an arbitrary
exercise of power by a state instrumentality, thereby attracting the writ
jurisdiction of this Court. This Court also draws sustenance from the
doctrinal principle that where a statutory or public authority exercises
discretion, such discretion must be informed by reason, guided by
relevant considerations and free from arbitrariness. The absence of
reasons in the impugned repudiation letters strikes at the very root of
administrative fairness and renders the decision susceptible to judicial
review.
32. In view of the aforesaid discussion, this Court holds that the writ petition
is maintainable. The preliminary objections raised by the respondent,
being devoid of merit, stand rejected.
33. In view of the discussions made hereinabove, this Court is of the
considered opinion that the impugned letters dated October 18, 2017 and
March 7, 2018, issued by the respondent insurance company, are
arbitrary, unreasoned and unsustainable in law. The said decisions having
been arrived at without proper application of mind and in disregard of the
materials on record, including the survey reports, cannot be sustained.
34. Hence, the instant writ petition No. WPA 2035 of 2019 is allowed with
the following directions:
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a. The impugned letter of repudiation dated March 7,
2018, are hereby set aside and quashed;
b. The respondent/insurance company is directed to
immediately release the claim amount in favour of the
writ petitioner, within a period of 3 weeks from the date
of communication of this judgment. In default the claim
amount shall bear simple interest at the rate of 10% per
annum, from the following day after expiry of 3 weeks
till the date of actual payment.
35. The writ petition No. WPA 2035 of 2019 is allowed and disposed of
along with applications pending, if any.
36. Urgent certified copy of this judgment, if applied for, be supplied to the
parties upon compliance with all requisite formalities.
(Rai Chattopadhyay, J.)
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