High Court of KeralaSingle JudgeAppeal allowed; impugned award set aside; OP(MV...

New India Assurance Co. Ltd v. A.T. Rapheal and Raju A.T., MACA.No.3872 OF 2016(D)

Case / Petition Number:MACA.No.3872 OF 2016(D)
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Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • C.S. Dias
Judgment Date
2020-11-04
Court Decision / Holding
Appeal allowed; the impugned award passed by the Tribunal is set aside and OP(MV) 365/2005 is dismissed as against the appellant.
Final Disposition
Appeal allowed; impugned award set aside; OP(MV) 365/2005 dismissed against the appellant.

Parties to the Case

Appellants / Petitioners

  • The New India Assurance Co. Ltd, Kunnamkulam

Respondents

  • A.T. Rapheal S/O Thomas
  • Raju A.T S/O Thomas

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri George Cherian (Sr.)
  • • Latha Susan Cherian
  • • K.S. Santhi

Counsels for Respondents

  • • Sri P.V. Chandra Mohan

Case Synopsis & Summary

This is a Motor Accidents Claims Appeal from a Thrissur Tribunal award under Sec.163A of the Motor Vehicles Act, 1988. The New India Assurance Co. Ltd. (appellant) challenges an award in favour of the claimant arising from a motorcycle accident on 4 December 2003, in which the claimant sustained injuries and sought compensation under Sec.163A. The Tribunal awarded Rs.1,06,400 with interest at 9% per annum and costs, holding the insurer liable to indemnify the insured. The insurer contends that a rider or pillion rider cannot be treated as a third party for Sec.163A claims and that Ext. B1 is a “Liability Only” policy that covers only third party damage; no premium was collected to cover rider risks. The claimant-represented first respondent argued otherwise, relying on decisions such as Jiljet v. Stamphen George and Ningamma, and cited Sunil Kumar and Ramkhiladi to fortify coverage claims for a rider. The Kerala High Court, however, finds fault with the Tribunal’s reasoning, noting that Ext. B1 explicitly states a Liablity Only policy and that the rider coverage requires an additional premium for personal accident. The court upholds that the insurer cannot be liable under the policy as written, overturns the Tribunal’s order, and allows the appeal, setting aside the award and dismissing OP(MV) 365/2005 against the appellant.

Provisions of Law Cited

Sec.163A of the Motor Vehicles Act, 1988

Legal Doctrines & Maxims

  • Rider of the motorcycle steps into the shoes of the insured (Ningamma, Jiljet)
  • Liability Only policy covers third party damage; premium for personal accident coverage is required to cover rider risk
  • cum meaning owner cum driver interpreted as owner who is the driver (Khadeeja)

Submissions & Arguments

Contentions of Appellants / Petitioners

The insurer argues that Sec.163A liability attaches only to indemnify the insured against third party liability for injuries; a rider (owner-driver or rider) is not a third party under the statute, and Ext. B1 is a Liabilty Only policy with no premium paid to cover rider/personal accident; thus Tribunal erred in holding insurer liable. It relies on Jiljet v. Stamphen George (2019) and Ningamma to support the rider-not-third-party proposition and contends that Sinitha’s reasoning does not apply given policy terms.

Contentions of Respondents

The claimants contend that the rider should be treated as part of the insured’s risk under Sec.163A and that the insurer’s obligation to indemnify should cover the rider when personal accident coverage is contemplated by the policy; they rely on Jiljet and other precedents including Ramkhiladi to argue that rider coverage can extend to compensation under the claim petition.

Cited Precedents (8)

Case NameCitationTreatmentExplanation
Jiljet v. Stamphen George2019 (1) KLT 546Positive Kerala High Court relied on Jiljet to support the proposition that the rider is not a third party under Sec.163A when the policy is Liablity Only.
Ningamma and another v. United India Insurance Co. LtdAIR 2009 SC 3056PositiveSC held that the insured is not a third party and the rider steps into the shoes of the insured; foundational for the approach contested here.
Sunil Kumar and another v. United India Insurance Co. Ltd2017 (4) KLT 1093(SC)Mentioned OnlyCited by counsel but the judgment treats it as a background authority; not a central ratio in the decision.
Ramkhiladi and another v. United India Insurance Company Ltd2020 ACJ 627PositiveCited to support that rider/personal accident considerations can influence insurer liability in some contexts.
Khadeeja and others v. Rushdi and another2016 (3) KLT 400PositiveCited to interpret the meaning of 'cum' as 'owner who is the driver' in policy context.
New India Insurance Company v. Sadanand Mukhi2009 (2) SCC 417PositiveSC decision on the scope of insurer’s liability and rider/personal accident requirements.
Oriental Insurance Co. Ltd v. Joseph V.V @ Johny and others2012 (2) KLT 132 (FB)PositiveFull Bench decision relevant to rider/insured liability framework under policy terms.
Ningamma and another v. United India Insurance Co. LtdAIR 2009 SC 3056PositiveDuplicate entry; listed for emphasis of core ratio on rider not third party.

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Extracted Judgment Text

Exact text extracted from official judgment records.

1 MACA.No.3872 OF 2016 ## **IN THE HIGH COURT OF KERALA AT ERNAKULAM** ## **PRESENT** **THE HONOURABLE MR.JUSTICE C.S.DIAS** **WEDNESDAY, THE 04TH DAY OF NOVEMBER 2020 / 13TH KARTHIKA, 1942** ## **MACA.No.3872 OF 2016(D)** **AGAINST THE AWARD IN OPMV 365/2005 DATED 03-02-2015 ON THE FILE OF ADDITIONAL MOTOR ACCIDENTS CLAIMS TRIBUNAL , TRISSUR** ## **APPELLANT/S:** **THE NEW INDIA ASSURANCE CO. LTD KUNNAMKULAM, REPRESENTED BY ITS DEPUTY MANAGER, REGIONAL OFFICE, MG. ROAD, ERNAKULAM** **BY ADVS. SRI.GEORGE CHERIAN (SR.) SMT.LATHA SUSAN CHERIAN SMT.K.S.SANTHI** ## **RESPONDENT/S:** **1 A.T.RAPHEAL S/O.THOMAS, ANTHIKKAT HOUSE, PULIYANNOOR, P.O.VELLANTTANJOOR, THRISSUR DISTRICT 2 RAJU A.T S/O.THOMAS, ANTHIKKAT HOUSE, P.O.VELLANTHANJOOR, THRISSUR DISTRICT** **BY ADV. SRI.P.V.CHANDRA MOHAN** **THIS MOTOR ACCIDENTS CLAIMS APPEAL HAVING BEEN FINALLY HEARD ON 4-11-2020, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:** 2 MACA.No.3872 OF 2016 ## **C.S.DIAS, J. ====================== M.A.C.A No.3872 of 2016 ====================== Dated this the 4[th] day of November, 2020.** ## **JUDGMENT** The second respondent – the Insurance Company - in OP(MV) No.365/2005 on the file of the Motor Accidents Claims Tribunal, Thrissur is the appellant. The first respondent in the appeal was the claimant and the second respondent - the owner of the vehicle - was the first respondent in the claim petition. The parties are, for the sake of convenience, referred to as per their litigate status in the claim petition. 2. The petitioner had filed the claim petition under Sec.163A of the Motor Vehicles Act, 1988, claiming compensation on account of injuries that he sustained on 4.12.2003, while he was riding the motorcycle bearing registration No.KL-8/L 7967. 3. It was the case of the petitioner that, on 4.12.2003, while he was riding the motorcycle, the 3 MACA.No.3872 OF 2016 motorcycle swerved and it overturned. The petitioner sustained injuries. He was treated at the Amala Hospital, Thrissur as an inpatient. Accordingly, he claimed an amount of Rs.1,58,000/- as compensation with 18% interest. 4. The first respondent was set exparte. 5. The second respondent filed a written statement and an additional written statement, inter alia, contending that a mere existence of a valid policy does not ipso facto attach any liability with the respondent to pay compensation. The policy issued by the respondent does not cover the risk of the rider or pillion rider of the motorcycle. The respondent had not collected any premium so as to cover the risk of rider or pillion rider. The policy is only a 'Liability Only' policy, which covers only third party damage. Therefore, the respondent may be exonerated from the liability to indemnify the insured, even if the petitioner is found entitled for the compensation. Hence, the claim petition may be dismissed. 6. The Doctor who treated the petitioner was examined as PW1. Exts A1 to A7 were marked on the side of 4 MACA.No.3872 OF 2016 the petitioner. Ext B1 insurance policy certificate was marked on the side of the second respondent. 7. The Tribunal, after considering the pleadings and materials on record, by the impugned award allowed the claim petition, in part, by holding that the petitioner is entitled to compensation and that the second respondent is liable to indemnify the first respondent. Therefore, the second respondent was held liable to pay an amount of Rs.1,06,400/- with interest at the rate of 9% per annum, from the date of the claim petition till the date of realization with proportionate costs. 8. It is assailing the impugned award that the second respondent has filed this appeal. 9. Heard the learned counsel appearing for the appellant and the learned counsel appearing for the first respondent. 10. The learned counsel appearing for the appellant argued that the 'lis' in the appeal is squarely covered by the decision of this Court in **Jiljet v. Stamphen George [2019** **(1) KLT 546],** wherein this Court while deciding an 5 MACA.No.3872 OF 2016 identical issue held that a rider of the motorcycle is never a third party, even if the claim is filed under Sec.163A of the Motor Vehicles Act. She also relied on the decisions of the Hon'ble Supreme Court in **Ningamma and another v. United India Insurance Co.Ltd [AIR 2009 SC 3056]** and **United India Insurance Co.Ltd v. Sunil Kumar and another [2017 (4) KLT 1093(SC)],** to fortify her contentions. According to her, in view of the explicit terms in Ext B1 policy, there is no doubt that Ext B1 is a “Liability Only” policy and that the Insurance Company had not received any additional premium to cover any accident involving the owner/ driver of the vehicle. Hence, the award passed by the Tribunal is erroneous and unsustainable in law and is liable to be set aside. 11. The learned counsel appearing for the first respondent, on the other hand, contended that this Court in **Jiljet** (supra) has not considered the ratio in **National Insurance Company vs. Sinitha [2011 (4) KLT 821(SC)].** He also relied on the decision of the Hon'ble Supreme Court in **Ramkhiladi and another v. United** 6 MACA.No.3872 OF 2016 ## **India Insurance Company Ltd and others [2020 ACJ** **627]** and contended that the rider of the vehicle would step into the shoes of the owner, as provided under Sec.163 A of the Act. He contended that Ext B1 policy shows that the owner of the vehicle has paid additional premium so as to cover personal accidents. Hence, the Tribunal has rightly arrived at the conclusion that the appellant is liable to pay compensation to the first respondent. 12. The sole question that emerges for consideration in this appeal is whether the appellant is liable to indemnify the insured, and consequentially pay the compensation to the first respondent for the injuries sustained in the accident. 13. This Court while considering a case of identical nature in **Jiljet** (supra), held as follows:- “11. Obviously, the heading of 'Section II' itself says that it is in respect of the 'liability to 3[rd] parties'. As held by the Apex Court in Ningamma's case (cited supra) and also by the Full Bench of this Court in Oriental Insurance Co. Ltd v. Joseph V.V @ Johny and others [2012 (2) KLT 132 (FB) = 2012 (2) KHC 1], **the insured is not 3[rd] party and rider of the motor cycle will step into the shoes of the insured. This position stands in** 7 MACA.No.3872 OF 2016 **tact. The liability undertaken by the insurer is to 'indemnify the insured', to meet the claim because of the accident which the insured shall become legally liable to pay in respect of the cause involving death or bodily injury to a person including the person conveyed in or on the motor cycle, provided that such person is not carried for hire or reward, or in respect of the property; to the extent as specified therein.** The accident on riding a motorcycle by the owner/insured was declared as not an instance to be covered by the insurer, by the Apex Court, in New India Assurance Company v. Sadanand Mukhi [2009 (2) KLT SN 21 (C No.25) SC = (2009) 2 SCC 417]. The purpose and object of the statue and the scope of contractual insurance were explained in categoric terms, holding that when the owner of the vehicle is proposed to be covered, additional premium is required to be paid. **There is no legal liability for the insured, to satisfy any claim to himself and as such, the term, 'any person' mentioned under the clause extracted above does not take in the insured or rider of the motor cycle, who has stepped into the shoes of the insured –** as held by the Apex Court in Ningamma's case (cited supra) 14. It was the specific case of the appellant in the additional written statement, that Ext B1 policy does not cover the risk of rider or pillion rider of the motorcycle; that the appellant had not collected any premium so as to cover the risk of rider or pillion rider and that the policy is only a “Liability Only” policy, which covers only third party 8 MACA.No.3872 OF 2016 damage. 15. On a perusal of Ext B1 policy, it is explicitly mentioned on the first page, that it is a “Liability Only” policy. Even assuming that owner has paid additional premium, to cover personal accident, it is seen on the second page of Ext B1, that the language used is 'compulsory p.a to owner cum driver'. 16. The meaning of the word “cum” in Oxford Advanced Learner's Dictionary is “as well as” i.e., to link two nouns and the words have to used conjunctively. Hence, the words 'owner cum driver' can only mean owner who is the driver, and not owner or driver, as argued by the learned counsel for the first respondent. This legal position is no longer res-integra in view of a Division Bench of this Court in **Khadeeja and others v. Rushdi and another [2016 (3) KLT 400]** . 17. The specific case of the first respondent in the claim petition was that he had ridden the motorcycle with the permission of the first respondent, the owner of the vehicle. Thus, even assuming that the owner had paid 9 MACA.No.3872 OF 2016 additional premium to cover personal accident, according to me, only if the owner was the driver of the vehicle, he would be entitled to be indemnified. Admittedly, the first respondent has pleaded that he was self-employed and doing “chicken business”. 18. On a perusal of the impugned award, it is seen that the Tribunal has relied on the decision of **Sinitha** (supra) and held that as the appellant has not adduced any evidence, to defeat the claim raised under Sec.163A of the Act i.e., by pleading and establishing one of the three grounds namely, wrongful act, neglect or default. 19. I am afraid that the Tribunal has gone wrong because we do not have a case of wrongful act, neglect or default, but a case where the Insurance Company has specifically contended that it is not liable to indemnify the insured in view of the unambiguous terms and conditions in Ext B1 policy, which is only a 'Liability Only' policy. Therefore, the Insurance Company cannot be saddled with the liability to indemnify the insured and consequentially pay compensation to the first respondent, as enunciated by 10 MACA.No.3872 OF 2016 this Court in **Jiljet** (supra), which was rendered relying on the decision in **Ningamma's** case (supra) and subsequently in **Sunil Kumar's** case(supra). 20. Therefore, I am of the definite opinion that the Tribunal has gone wrong in holding that the appellant is liable to pay compensation to the first respondent. 21. In the result, I allow the appeal by setting aside the impugned award passed by the Tribunal and dismiss OP (MV) No.365/2005 as against the appellant. ## **Sd/-** **C.S.DIAS** SKS/4.11.2020 **JUDGE**