High Court of KeralaSingle JudgeAppeal allowed; award set aside to the extent o...

M.A.C.A.NO.1078 OF 2005

Case / Petition Number:MACA.No.1078 of 2005 (C)

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • M. Sasidharan Nambiar
Judgment Date
2007-02-12
Court Decision / Holding
The appeal is allowed. The Tribunal’s liability on the appellant to pay the claimant is set aside to the extent of the insured’s liability; the insurer’s right to recover the amount from the insured is to be considered in light of Swaran Singh. The Tribunal is directed to re-evaluate whether the alleged policy-conditions breach is so fundamental as to exonerate the insurer and to determine the liability accordingly, while not disturbing the quantum of compensation already awarded. Parties are to appear before the Tribunal on 28.3.2007.
Final Disposition
Appeal allowed; award set aside to the extent of liability on appellant; remand to Tribunal to decide the effect of policy-conditions breach and to determine liability in light of Swaran Singh, without disturbing quantum; parties to appear on 28.3.2007.

Parties to the Case

Appellants / Petitioners

  • Pauloose, Athithottathil House, Market P.O., Muvattupuzha

Respondents

  • Vinu, S/O. Simon, Madappikunnel House, Vazhappilly Kara, East Vazhappilly P.O.
  • Shijo, S/O. Pauloose, Athithottathil House, East Vazhappilly Kara, East Vazhappilly P.O.
  • United India Insurance Company Limited, Muvattupuzha Branch

Legal Representation & Advocates

Counsels for Petitioners

  • • Adv. Sri R. Bindu (Sastamangalam)

Counsels for Respondents

  • • Adv. Sri P. M. M. Najeeb Khan

Case Synopsis & Summary

This is an appeal under M.A.C.A. No.1078 of 2005 arising from OP(MV) No.566/1999 before the Motor Accident Claims Tribunal, Moovattupuzha. The petitioner-appellant, owner of auto-rickshaw KL 7/S 5520, was held liable for injuries to the first respondent from a 27.6.1998 accident. The Tribunal awarded Rs.16,000 to the claimant, directed the third respondent (insurer) to pay, and allowed the insurer to recover that amount from the insured due to alleged policy violations (absence of a badge/authority for the driver) under Ext.B1 and Ext.B2. The appellant did not contest the Tribunal’s findings at the hearing. The appellant’s counsel argued that mere absence of a badge to drive a commercial vehicle is not necessarily a ground to exonerate the insurer and that there was no evidence linking badge absence to the accident; reliance was placed on Swaran Singh and Ramachandran to show that policy-breach alone should not automatically defeat the insured’s liability. The respondent insurer relied on Kusum Rai, contending the insurer may recover in similar fact patterns. The Kerala High Court ultimately allows the appeal, sets aside the liability on the appellant to reimburse the claimant from the insurer, and remands for re-evaluation in light of Swaran Singh, preserving quantum and directing appearance before the Tribunal on 28.3.2007.

Provisions of Law Cited

Section 149(2) of the Motor Vehicles Act

Legal Doctrines & Maxims

  • Main purpose rule
  • Fundamental breach doctrine
  • Breach of policy conditions must contribute to the cause of accident to exonerate insurer

Submissions & Arguments

Contentions of Appellants / Petitioners

Appellant contends that mere absence of a badge to drive a commercial vehicle cannot, per se, exonerate the insurer; there was no evidence showing the badge-absence caused or contributed to the accident; relies on Swaran Singh and Ramachandran to urge that the policy conditions’ breach is not automatically fatal to the insured’s liability. Seeks to set aside the Tribunal’s liability against the appellant and challenges the part of the award directing recovery from the appellant.

Contentions of Respondents

Insurer argues that absence of a badge constitutes a breach of policy conditions, enabling recovery from the insured; relies on Kusum Rai to contend insurer is entitled to recover; prays for dismissal of the appeal.

Cited Precedents (4)

Case NameCitationTreatmentExplanation
National Insurance Company v. Swaran Singh2004 (1) KLT 781PositiveUsed to articulate that insurer’s liability is not automatically extinguished by breach of policy conditions unless such breach is fundamental or contributing to the accident.
Ramachandran v. Unnikrishnan2006 (2) KLT 15PositiveCited in support of argument that mere absence of a badge should not automatically exonerate insurer; used to bolster appellant’s position.
National Insurance Co. v. Kusum Rai2006 (2) KLT 300DistinguishedNoted as holding that absence of badge can be a defence but cannot automatically absolve insurer; distinguished to limit its applicability in the present case.
National Insurance Co. Ltd. v. Kantidevi2005 (5) SCC 789PositiveCited for remand rationale; used to support allowing further evidence and remand to Tribunal in similar factual contexts.

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Extracted Judgment Text

Exact text extracted from official judgment records.

IN THE HIGH COURT OF KERALA AT ERNAKULAM PRESENT : THE HONOURABLE MR. JUSTICE M.SASIDHARAN NAMBIAR MONDAY, THE 12TH FEBRUARY 2007 / 23RD MAGHA 1928 MACA.No. 1078 of 2005() ----------------------- OP(MV) No.566/1999 of MOTOR ACCIDENT CLAIMS TRIBUNAL, MUVATTUPUZHA .................... APPELLANT/1ST RESPONDENT: --------------- PAULOSE, ATHITHOTTATHIL HOUSE, MARKET P.O., MUVATTUPUZHA. BY ADV. SRI.R.BINDU (SASTHAMANGALAM) RESPONDENTS: --------------------- 1. VINU, S/O. SIMON, MADAPPIKUNNEL HOUSE, VAZHAPPILLY KARA, EAST VEZHAPPILLY P.O. 2. SHYJO, S/O. PAULOSE, ATHITHOTTATHIL HOUSE, EAST VAZHAPPILLY KARA, EAST VAZHAPPILLY P.O. 3. UNITED INDIA INSURANCE COMPANY LIMITED MUVATTUPUZHA BRANCH. BY FOR R3 ADV. SRI.P.M.M.NAJEEB KHAN THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING BEEN FINALLY HEARD ON 12/02/2007, THE COURT ON THE SAME DAY PASSED THE FOLLOWING: ## **M.SASIDHARAN NAMBIAR, J.** ------------------------------------------ ## **M.A.C.A.NO.1078 OF 2005 (C)** ----------------------------------------- Dated this the 12[th] day of February, 2007. ## **J U D G M E N T** The owner of autorikshaw KL 7/S 5520 involved in a motor accident on 27.6.98 causing injuries to first respondent, is the appellant. The Motor Accident Claims Tribunal, Moovattupuzha awarded a compensation of Rs.16,000/- and directed third respondent to pay the compensation and allowed insurance company to realise it from appellant. The Motor Accidents Claims Tribunal holding that second respondent, the driver was not authorised to drive an autorikshaw under Ext.B1 insurance policy, held that due to violation of policy conditions, the insurance conpany is entitled to realise the amount paid to the claimant from appellant, the insured. Third respondent has already remitted the amount with interest. The case of the appellant was that Tribunal did not consider the question whether absence of a badge by second respondent was the cause of the accident and unless it was the cause of the accident, insurance company cannot be exonerated from its liability to compensate appellant and therefore that portion of the award is to be set aside. Appellant did not appear or contest the case before the Tribunal. Tribunal passed the award accepting the contentions of third respondent and relying on Ext.B2 insurance policy and Ext.B1 driving licence. **M.A.C.A.NO.1078 OF 2005 (C)** **2** 2. Learned counsel appearing for appellant and third respondent were heard. 3. Learned counsel for appellant relying on the decision of Apex court in _National Insurance Company vs. Swaran Singh (2004 (1) KLT 781)_ and Division Bench of this court in _Ramachandran vs. Unnikrishnan (2006 (2) KLT 15)_ argued that mere absence of a badge to drive a commercial vehicle is not sufficient to exonerate the insurance company from its liability under Ext.B2 policy and no evidence was adduced before the Tribunal to show that absence of badge was either the cause of accident or that it contributed to the accident and therefore Tribunal should not have granted an award in favour of third respondent to realise the amount paid to first respondent/claimant from appellant. Learned counsel appearing for third respondent relying on the decision of Apex court in _National Insurance company vs. Kusum Rai (2006 (2) KLT 300)_ argued that facts are identical, where the driver was not holding licence to drive a commercial vehicle and Apex court permitted the Insurance company to realise the amount paid to the injured from the insured and therefore the appeal is only to be dismissed. 4. Apex court in Swaran Singh's case considered the liability of the insurance company to pay compensation due to an injured in a motor accident, even in cases of violation of policy conditions. Thier Lordship summarising the findings in paragraph 102 clause (vi) held; "Even where the insurer is able to prove breach on **M.A.C.A.NO.1078 OF 2005 (C)** **3** the part of the insured concerning the policy condition regarding holding of a valid licence by the driver or his qualification to drive during the relevant period, the insurer would not be allowed to avoid its liability towards insured unless the said breach or breaches of the condition of driving licence is/are so fundamental as are found to have contributed to the cause of the accident. The Tribunals in interpreting the policy conditions would apply 'the rule of main purpose' and the concept of 'fundamental breach' to allow defences available to the insurer under S.149(2) of the Act." 5. Though it was held that mere absence, fake or invalid driving licence or disqualification of the driver for driving at the relevant time are not in themselves defences available to the insurer against either the insured or third parties and to avoid its liability towards insured, the insurer has to prove that the insured was guilty of negligence and failed to exercise reasonable care in the matter of fulfilling the condition of policy regarding use of vehicles by duly licenced driver or one who was not disqualified to drive at the relevant time and whether the owner has taken reasonable care to find out as to whether the driving licence produced by the driver, does not fulfill the requirements of law or not will have to be determined in each case, **M.A.C.A.NO.1078 OF 2005 (C)** **4** it was held that to avoid its liability towards insured, the insurer has to establish that the said breach or breaches of condition of driving licence is/are so fundamental as are found to have contributed to the cause of the accident. Therefore the fact that second respondent driver was not holding a badge by itself is insufficient to exonerate the insurance company from its liability to the insured. Even if second respondent was not holding a badge, unless the said breach of condition of the driving licence was so fundamental as to have contributed to the accident, insurer cannot be exonerated. In Kusum Rai's case, relied on by learned counsel appearing for third respondent, it was held that, the question whether the driver did not possess any licence to drive a commercial vehicle and so there was breach of conditions of the contract of insurance is a defence available to the insurance company. It was not held that for the reason it was a defence, insurance company is entitled to be exonerated in all cases. Quoting the dictum in Swaran Singh's case their Lordship relied on a decision of the Division Bench in _National Insurance Corporation Ltd. vs. Kantidevi (2005 (5) SCC 789)._ In that case Apex court remanded the case back to the Tribunal, permitting parties to lead such further evidence to prove the facts as directed in Swaran Singh's case. But that course was not followed considering the peculiar circumstances of the case, finding that the owner did not appear and the injured was a 12 year old boy. Therefore Kusum Rai's case cannot be taken as a precedent to hold that absence of a badge **M.A.C.A.NO.1078 OF 2005 (C)** **5** by itself is sufficient to exonerate the insurance company from avoiding its liability to the insured under the insurance policy. As held in Swaran Singh's case, unless that breach of condition is found to have contributed to the cause of accident, insurance company is not entitled to be exonerated. Appellant did not contest the case before the Tribunal. In such circumstances Tribunal did not consider the question in the light of the dictum laid in Swaran Singh's case. Interest of justice warrants that an opportunity shall be granted to the parties to let in evidence in support of the respective contentions. 6. The appeal is allowed. Award passed by Motor Accident Claims Tribunal, Moovattupuzha in O.P.(M.V) 566/1999 is set aside to the extent of the liability of appellant/first respondent and the permission granted to third respondent insurance company to realise the amount from appellant. Motor Accident Claims Tribunal is directed to consider the question whether the violation of the policy condition, as claimed by third respondent, is sufficient enough to exonerate third respondent and enable third respondent to realise the compensation paid to first respondent from appellants in the light of the decision of the Apex court in Swaran Singh's case. Even though learned counsel appearing for appellant challenged the quantum of compensation and prayed that the said question may also be left opened to be decided by the Tribunal in the circumstances of the case, I do not find that it is in the interest of justice to interfere with the quantum of **6** **M.A.C.A.NO.1078 OF 2005 (C)** compensation awarded. Appellant and third respondent are directed to appear before the Tribunal on 28.3.2007. M.SASIDHARAN NAMBIAR, JUDGE. bkn **M.A.C.A.NO.1078 OF 2005 (C)** **7** ORDER ON I.A.2000/2005 IN M.A.C.A.NO.1078/2005 DISMISSED. 12.2.2007 SD/- M.SASIDHARAN NAMBIAR, JUDGE. //TRUE COPY// P.A. TO JUDGE.