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Corporate Law

Appeals Allowed Because Insurer Misapplied Exclusion Clause

Case Law Details

TaxGuru Citation
2025 taxguru.in 10992
Case Name
Kopargaon Sahakari Sakhar Karkhana Ltd Vs National Insurance Co. Ltd. & Anr. (Supreme Court of India)
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Kopargaon Sahakari Sakhar Karkhana Ltd Vs National Insurance Co. Ltd. & Anr. (Supreme Court of India)

SC: Boiler Blast Claim Wrongly Repudiated — Exclusion Clause Cannot Defeat Insurance Cover When Explosion Is Not Denied

The Supreme Court allowed the appeals filed by Kopargaon Sahakari Sakhar Karkhana Ltd. &  set aside the NCDRC order, holding that the insurer wrongly repudiated the boiler-blast insurance claim by mechanically invoking Exclusion Clause 5.

The appellant’s boiler (GT-23), duly registered &  certified fit under the Boilers Act, suffered an accident on 12.05.2005 during the currency of both the fitness certificate &  the insurance policy. The insurer rejected the claim on grounds of corrosion, wear-& -tear, &  aged tubes, relying on survey reports.

The Supreme Court found this repudiation unjustified because:

  • The appellant had specifically pleaded an explosion, & the insurer never denied this in its written statement.
  • Survey reports did not rule out an explosion; they merely noted slipped tubes & corrosion, which could occur because of the blast.
  • The boiler was inspected, registered, & certified under the Boilers Act; therefore, during the validity of that certificate, the boiler is presumed fit for use, shifting a heavy burden on the insurer to prove suppression or breach — a burden not discharged.
  • No misrepresentation, non-disclosure, or fraud by the insured was pleaded or proved.
  • Corrosion or latent defects discovered after dismantling the boiler cannot be used to defeat a claim arising from an unforeseen accident.
  • Exclusion Clause 5 itself does not apply when defects or failures occur as a result of an explosion.
  • The insurer introduced the survey report belatedly before the NCDRC, & it did not conclusively support repudiation.

The Court held that the State Commission was right in awarding compensation &  that NCDRC erred in reversing it. The appeals were allowed, &  the matter was remanded back to NCDRC only to determine quantum, with all other findings closed.

Thus, the insurer’s liability stands established, &  the repudiation was held unsustainable in law.

FULL TEXT OF THE SUPREME COURT JUDGMENT/ORDER

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Author Info

CA Vijayakumar Shetty
Qualification: CA in Practice
Company: Shetty & Co, Chartered Accountants, Mangalore
Location: Mangalore, Karnataka
Articles Published: 6,879

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