Tag: Insurance Claim Dispute

Supreme Court Sets Guidelines: What Constitutes an “Accidental Fire” for Insurance?
Supreme Court

Supreme Court Sets Guidelines: What Constitutes an “Accidental Fire” for Insurance?

The Supreme Court held that in fire insurance claims, the precise cause of fire is immaterial unless fraud or instigation by the insured is proven. The insured is not required to prove the exact origin if the loss is due to fire. Exclusion clauses must be interpreted narrowly, and coverage provisions broadly, with ambiguities resolved in favor of the insured. Facts Of The Case: The case involves cross-appeals arising from a fire insurance claim dispute. Orion Commerx Pvt. Ltd. (the Insured) suffered a fire at its premises on September 25, 2010. The National Insurance Co. Ltd. repudiated the claim, primarily relying on the report of its final Surveyor, which concluded the fire was not accidental and originated from multiple sources, thus excluding it from policy coverage...
Supreme Court’s Key Ruling :Notional Income of an Engineering Student Should Be Higher
Supreme Court

Supreme Court’s Key Ruling :Notional Income of an Engineering Student Should Be Higher

The Supreme Court modified the contributory negligence apportionment to 20% on the claimant, 50% on the car driver, and 30% on the bus driver. It enhanced compensation by revising the notional income calculation for an engineering student and reinstated attendant charges, emphasizing just compensation for 100% disability. Facts Of The Case: On January 7, 2017, the appellant, a 20-year-old engineering student, was riding a motorcycle with a friend on the pillion. A car ahead, driven by respondent no. 2, suddenly applied its brakes on the highway because the driver's pregnant wife felt a vomiting sensation. This caused the appellant to collide with the rear of the car and fall onto the road. Subsequently, a bus, insured by respondent no. 1, which was coming from behind, ran over the appell...
Homeowner Wins 7-Year Battle: Supreme Court Orders Insurer to Pay for Rain-Flooded Basement
Supreme Court

Homeowner Wins 7-Year Battle: Supreme Court Orders Insurer to Pay for Rain-Flooded Basement

The Supreme Court held that heavy rainfall causing sudden basement flooding constitutes a covered "flood/inundation" peril under standard insurance policies, rejecting the insurer’s "seepage" exclusion. It ruled that insurers cannot arbitrarily disregard initial survey reports confirming flood damage in favor of belated contradictory assessments. The Court remanded the matter to NCDRC solely for compensation quantification under the policy terms, emphasizing objective claim evaluation aligned with contractual obligations. Facts Of The Case: The appellant, Gopal Dikshit, owned a property at 50, Ishwar Nagar, Mathura Road, New Delhi, insured under a ₹1.5 crore House Holder Policy (No. 2219042615P115431073) by United India Insurance for the period March 13, 2016, to March 12, 20...