New India Assurance Company Ltd. v. K.N. Sasi, Krishnankutty and Jose
Case Details & Bench
- Court
- High Court of Kerala
- Hon'ble Judges
- C. S. Dias
- Judgment Date
- 2020-09-14
- Court Decision / Holding
- Appeal allowed in part; the impugned award is set aside to the extent it holds the appellant liable under Ext B1. The matter is remitted to the Tribunal for fresh consideration on whether Ext B1 is an 'Act Only' policy and the liability of the appellant is confined to the terms and conditions of Ext B1, especially IMT Nos. 16 and 29. The Tribunal is directed to complete the proceedings expeditiously, within four months, with the parties appearing on 5.10.2020.
- Final Disposition
- Appeal allowed in part; remanded to Tribunal for fresh determination on policy terms and Act Only issue; expeditious disposal mandated (within four months).
Parties to the Case
Appellants / Petitioners
- THE NEW INDIA ASSURANCE COMPANY LTD.
Respondents
- K. N. SASI
- KRISHNANKUTTY
- JOSE
Legal Representation & Advocates
Counsels for Petitioners
- • Sri. Lal George
Counsels for Respondents
- • Sri. P. S. Appu
- • Sri. A. R. Nimod
- • Sri. T. C. Suresh Menon
- • Sri. M. B. Prajith
Case Synopsis & Summary
The appellant, The New India Assurance Company Ltd., challenges the Motor Accidents Claims Tribunal, Thrissur’s award in OPMV 868/2005, which awarded the claimant Rs 58,600 with interest and costs. The accident occurred on 27-08-2004 when the insured car KEF 355, in which the first respondent was traveling, was rear-ended by a bus KL08-H-5783, allegedly due to the third respondent’s negligence. The Tribunal held the appellant and respondents 2 and 3 jointly and severally liable to pay compensation. The insurer contends that Ext B1 is an “Act Only” policy and that the first respondent was a gratuitous passenger; consequently the insurer’s liability should be limited or non-existent, and it should be able to recover the amount from insured. Ext B1, however, contains endorsements under the IMT and a note indicating the policy’s terms and conditions. The appellant argued that only four injury categories are covered under IMT No.16, with fixed compensation, and that the complainant’s injuries do not fall within those categories. It relied on an unreported Kerala High Court decision MACA 1384/2011 and on Jagtar Singh v. Sanjeev Kumar to support the Act Only position. The respondents countered with National Insurance Co. Ltd. v. Saju Paul and other decisions, arguing insurer liability notwithstanding Act Only policies. The High Court found that the Tribunal did not formulate or decide on the Ext B1 policy issues and that the Tribunal erred by not examining the policy’s terms. It allowed the appeal in part and remitted the matter to the Tribunal for fresh consideration to determine whether Ext B1 is Act Only and the insurer’s liability within its terms (IMT Nos. 16 and 29), directing expeditious disposal within four months.
Provisions of Law Cited
Submissions & Arguments
Contentions of Appellants / Petitioners
The appellant contends Ext B1 is an 'Act Only' policy and its liability is confined to the policy’s terms, including IMT endorsements 16 and 29. The policy notes limit coverage to specified injuries and cap compensation per passenger; the first respondent’s injuries do not fall within those listed. It relies on Jagtar Singh @ Jagdev Singh v. Sanjeev Kumar for the proposition that an 'Act Only' policy absolves the insurer of liability and seeks to set aside the Tribunal’s finding of liability and to remit the matter for proper framing of the policy issue.
Contentions of Respondents
The respondents urge insurer liability under Sec.166 even for an 'Act Only' policy, citing National Insurance Co. Ltd. v. Saju Paul and other authorities to contend that the insurer remains liable to pay compensation and recover from the insured, subject to policy terms. They seek upholding the Tribunal’s award and to proceed on the merits of the claim.
Cited Precedents (3)
| Case Name | Citation | Treatment | Explanation |
|---|---|---|---|
| Jagtar Singh @ Jagdev Singh vs Sanjeev Kumar and others | 2018 (15) SCC 189 | Mentioned Only | Cited by the appellant; the High Court does not adopt its ratio and instead relies on other authorities for policy interpretation. |
| National Insurance Co. Ltd vs Saju P.Paul and another | 2013 (2) SCC 41 | Positive | Court acknowledges the principle that insurer can be liable even under an 'Act Only' policy and liable to recover from insured per Supreme Court doctrine. |
| MACA No.1384/2011 | MACA No.1384/2011 | Mentioned Only | Unreported decision cited by counsel; the High Court does not rely on its ratio for the instant decision. |
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