Professional Documents
Culture Documents
Insurance
The Concept and the Law
In India
Contd.
Chapter-X to XIII
Subject of Insurance
Mechanically propelled vehicles is in
entry-35 of the concurrent list
Hence both parliament and the states can
make laws on the subject and in
consistency between the two has to be
resolved in accordance with the Art-254
of the constitution
But the provisions of chapter-XI i.e.,
Insurance of motor vehicles against third
party risks(145-164) cannot be added to
or altered by the state legislations
because insurance subject is in the Entry47 of the Union List.
Contd.
Contd.
Coverage
A person seeking insurance in respect of his
motor vehicle enter into a contract with the
insurance to indemnify him
(a) against loss or damage to the vehicle
(b) against legal liability he may incur to
third parties in respect of death of or bodily
injury caused to them
(c) damage to their property caused by the
use of the vehicle.
Principles like indemnity, utmost most good
faith, insurable interest, subrogation
applicable
Principles Applicable
Indemnity: This principle ensures that the
insured does not make profit beyond his loss.
The insured is placed after loss, as far as
possible, in the same financial position as he
was before the loss.
But in case of theft claims, for repair claims,
insured declared value(IDV) is applied.
IDV does not take into consideration market
value or depreciated price.
It is the sum insured agreed at the beginning
of the policy of the new vehicle. It remains
constant
No fault liability
In common law: Under the original law the basis of
claim for compensation was fault.
The courts awarded compensation
only when the driver was at fault.
Therefore it was necessary for the
claimant to compensation to assert
and establish that the
vehicle involved, at the time of
accident, was being driven rashly
and negligently
In 1939 Act
Originally there was no concept of no
fault liability
The Honble SC, In Srimati Manjushri Raha
and others v. B.L. Gupta, (1977) 2 SCC
174 observed that
"The time is ripe for serious consideration
of creating no-fault liability"
A reminder was issued again in Motor
Owners Insurance Co. ltd. v. Jadavji
Keshavji Modi and others (1981) 4 SCC
660.
No-fault Liability
140. Liability to pay compensation in certain
cases on the principle of no fault.
(1) Where death or permanent disablement of any
person has resulted I from an accident arising out of the
use of a motor vehicle or motor vehicles, the owner of
the vehicle shall, or, as the case may be, the owners of
the vehicles shall, jointly and severally, be liable to
pay compensation in respect of such death or
disablement in accordance with the provisions of this
section.
(2) The amount of compensation which shall be payable
under sub-section (1) in respect of the death of any
person shall be a fixed sum of fifty thousand rupees
and the amount of compensation payable under that
sub-section in respect of the permanent disablement of
any person shall be a fixed sum of twenty-five
thousand rupees.
Contd.
Contd.
(4) A claim for compensation under sub-section (1) shall
not be defeated by reason of any wrongful act,
neglect or default of the person in respect of whose
death or permanent disablement the claim has been
made nor shall the quantum of compensation recoverable
in respect of such death or permanent disablement be
reduced on the basis of the share of such person in the
responsibility for such death or permanent disablement.
(5) Notwithstanding anything contained in sub-section (2)
regarding death or bodily injury to any person, for which
the owner of the vehicle is liable to give compensation for
relief, he is also liable to pay compensation under any
other law for the time being in force:
Provided that the amount of such compensation to be
given under any other law shall be reduced from the
amount of compensation payable under this
section or under section 163A.
Contd.
Section. 141. Provisions as to other right to claim
compensation for death or permanent disablement.
(1) The right to claim compensation under section 140 in
respect of death or permanent disablement of any person
shall be in addition to [any other right, except the right
to claim under the scheme referred to in section 163A
(such other right hereafter] in this section referred to as the
right on the principle of fault) to claim compensation in
respect thereof under any other provision of this Act or of any
other law for the time being in force].
(2) A claim for compensation under section 140 in respect of
death or permanent disablement of any person shall be
disposed of as expeditiously as possible and where
compensation is claimed in respect of such death or
permanent disablement under section 140 and also in
pursuance of any right on (the principle of fault, the claim for
compensation under section 140 shall be disposed of as
aforesaid in the first place.
Contd.
(3) Notwithstanding anything contained in sub-section (1),
where in respect of the death or permanent disablement of
any person, the person liable to pay compensation
under section 140 is also liable to pay compensation
in accordance with the right on the principle of
fault, the person so liable shall pay the first- mentioned
compensation and(a) if the amount of the first-mentioned compensation is
less than the amount of the second-mentioned
compensation, he shall be liable to pay (in addition to the
first-mentioned compensation) only so much of the
second-mentioned compensation as is equal to the amount
by which it exceeds the first mentioned compensation
(b) if the amount of the first-mentioned compensation is
equal to or more than the amount of the secondmentioned compensation, he shall not be liable to pay
the second-mentioned compensation.
Eshwarappa @ Maheshwarappa v.
C.S.
Gurushanthappa & anr
Basavaraj was the driver of a privately owned
car. In the night of October 28, 1992 he took out
the car for a joyride and along with five persons,
who were his neighbours, proceeded for the
nearby Anjaneya temple for offering pooja
On way to the temple the car met with a fatal
accident in which Basavaraj and four other
occupants of the car died; the fifth passenger
sustained injuries but escaped death.
One of the persons died in that motor accident
was Nagaraj, whose parents are the appellants
before this Court.
Contd.
The heirs and legal representatives of the deceased
driver, Basavaraj filed a claim for compensation under
the Workmen's Compensation Act, 1923. They got
nothing.
The Commissioner under the Workmen's Compensation
Act , 1923 and held that the accident did not take place
in the course of employment and rejected the claim for
compensation.
The other claimats filed a claim petition MACT,
Chitrandurga under section 166 of the Motor Vehicles
Act seeking compensation for the death of Nagaraj and
I.A.s were filed seeking interim compensation of
rupees twenty five thousand Rs.25,000.00 only as the
law stood at that time in terms of section 140 of the Act
The tribunal disposed the application by common order
as follows:-
Cond.
It was held that neither the owner of the car nor the
insurance company was liable to pay anything to any of
the claimants, including the appellants, because
Basavaraj had taken out the car of his employer
unauthorized and against his express instructions and
had caused the accident by driving the car very rashly
after consuming liquor.
At the time of accident the car had been taken
completely away from the control of its owner. In a
sense it was stolen by the driver, even though
temporarily. The accident was, thus, completely outside
the insurance policy.
No compensation was, therefore, payable to any of the
claimants under section 166 of Act. The tribunal
rejected the claim even u/s.140 and High court also
upheld the order of tribunal.
Contd.
Contd.
Contd.
Contd.
Contd.
The Honble SC held that, the impugned direction is
clearly erroneous and unsustainable in law
The Tribunal has completely failed to realize the true
nature and character of the compensation in terms of
section 140 of the Act. The marginal heading to section
140 describes it as based on the principle of no fault.
As the expression no fault suggests the compensation
under section 140 is regardless of any wrongful
act, neglect or default of the person in respect of
whose death the claim is made.
The High Court was equally in error in missing out this
grave mistake in the judgment and order passed by the
Tribunal and not setting it right. Order of the Tribunal
insofar as it permits the insurance company to recover
the amount of interim compensation along with the
interest from the claimants/appellants is set aside.
Permanent disablement
142. Permanent disablement.
For the purposes of this Chapter, permanent
disablement of a person shall be deemed to
have resulted from an accident of the nature
referred to in sub-section (1) of section 140 if
such person has suffered by reason of the
accident, any injury or injuries involving:-
(a) permanent privation of the sight of either
eye or the hearing of either ear, or privation of
any member or joint; or
(b) destruction or permanent impairing of the
powers of any member or joint; or
(c) permanent disfiguration of the head or face.
WCC vs.MACT
Section -143: Applicability of Chapter to
certain claims under Act 8 of 1923.
The provisions of this Chapter shall also
apply in relation to any claim for
compensation in respect of death or
permanent disablement of any person under
the Workmen's Compensation Act, 1923
resulting from an accident of the nature
referred to in sub-section (1) of section 140
and for this purpose, the said provisions
shall, with necessary modifications, be
deemed to form part of that Act.
Suresh P v.
M/S. Nidish Trading Company anr.
Cond.
But substantial question of law raised in this
appeal is as to whether the appellant was
entitled to the benefit of Section 140 of the
Motor
Vehicles
act
and
entitled
to
compensation for permanent disablement in
terms of that provision?
Section 143 lays down that the provisions of that
Chapter shall also apply in relation to any claims
under W.C. Act. By virtue of this section in the MV
Act, the provisions of Chapter X of that Act gets
incorporated, by reference, into the W.C. Act.
Section 140 of the MV Act provides for liability to
pay compensation for death or permanent
disablement, on the principle of no fault
Cond.
Cond.
Now, on to the facts of this case. Loss of
one phalanx of the ring or little finger,
little finger in this case, is an injury which
is deemed to result in permanent partial
disablement, going by he entry at
SI.No.37 under Part II of Schedule I of the
W.C. Act.
Clause (b) of Section 142 provides that
the destruction or permanent impairing
of the power of any member or joint shall
be a permanent disablement of the
person.
Cond.
Cond.
Section 140 (Chapter X)) provides for fixed sum
of compensation in cases of no fault liability. It is
independent of Section 161 (payment of
compensation in cases of hit and run motor
accidents),
Section
163-A
(payment
of
compensation on structured formula basis/fault
liability " Chapter XI) and Section 166 (fault
liability " Chapter XII).
Application for compensation under Section 140
is maintainable without there being application
for compensation under Section 163-A or under
Section 166 and disposable accordingly, and
compensation awarded shall be final.
Cond.
But, where two applications are filed under
Section 140 and 163-A or under Section 140 and
under Section 166, compensation awarded under
Section 140 shall be reduced from the amount of
compensation awarded under Section 163-A or
under Section 166 provided the compensation
awarded under the latter provisions are higher,
otherwise, compensation paid under Section 140
would be final. Further, where claim is preferred
only under Section 140 and not any other
provision, compensation awarded under Section
140 shall be final. Section 140 does not provide
for
interim/ad-hoc
compensation
because
compensation paid under this Section is final.
Cond.
Cond.
since
expeditious
disposal
of
application under Section 140 is the
basic theme of this beneficial piece
of legislation. But, where claimant
has filed application under Section
140, but not under any other
provision claiming compensation on
fault liability principle, application is
maintainable
and
compensation
awardable, but not recoverable from
the claimant.
Cond.
Cond.
Cond.
Some important Cases referred on behalf of the Insurance
co. is as follows: New India Assurance Co. Ltd. v. Babasaheb Anna Mali and
Others
when extra premium was not paid in the Insurance policy
to cover pillion rider, the expression "third party" in the
policy would not cover the pillion rider of the motor vehicle
and therefore, the Insurer could not have been saddled
with no fault liability under Section 92-A of the Motor
Vehicles Act (4 of 1939).
This ruling appears under the old Act, u/s.92-A of the Old
Act of 1939 and the Division Bench of the Bombay High
Court has considered Section 95 of the Act of 1939, also
requirement of policy contract and after considering the
legal position then prevailing, the Judgment of the Single
Bench directing the Insurer to deposit sum of Rs.3,500/was held as legally not sustainable and was set aside.
Cond.
Cond.
Oriental Insurance Co. Ltd. v. Nargis Premlal
Janghade and Others, 2010 (2) Bom.C.R. 140
In relation to settled legal position at interim stage
of compensation claim u/s.140 r/w.166 of the Motor
Vehicles Act, 1988, it was held that, at ad interim
stage, the victim need not prove negligence or
default of the owner or any other person.
Once it is shown that the driver is involved in the
accident caused by an insured motor vehicle, relief
against Insurer or owner has to be allowed to
provide expeditious relief to victim.
Therefore, both owners and Insurers are made
jointly liable to pay interim on no fault
compensation u/s.140 of the Act.
Cond.
Cond.
Cond.
Cond.
The owner of the jeep disclaimed the liability by
denying even the fact of the accident in which his jeep
was involved.
Alternatively, he contended that any liability found
against him in respect of the said jeep the same
should be realized from the insurance company as the
vehicle was covered by valid insurance policy. The
Tribunal repelled the above contentions of the jeep
owner. However, the Tribunal found as follows: "It appears that the front wheel of the jeep suddenly
got burst resulting in the misbalanced and occurrence
of this accident as it is mentioned in Ex-2 the report of
the Police Station "Whatever is the circumstance, the
rash and negligence of the alleged jeep is not
established
Contd.
Cond.
Contd.
Contd.
Contd.
Contd.
Contd.
He has elaborated seven defences recognised in common law
against action brought on the strength of the rule in Rylands vs.
Fletcher. They are:
(1) Consent of the plaintiff i.e. violent non fit injuria.
(2) Common benefit i.e. where the source of the danger is
maintained for the common benefit of the plaintiff and the
defendant, the defendant is not liable for its escape.
(3) Act of stranger i.e. if the escape was caused by the
unforeseeable act of a stranger, the rule does not apply.
(4) Exercise of statutory authority i.e. the rule will stand excluded
either when the act was done under a statutory duty or when a
statute provides otherwise.
(5) Act of God or vis major i.e. circumstances which no human
foresight can provide against and of which human prudence is not
bound to recognise the possibility.
(6) Default of the plaintiff i.e. if the damage is caused solely by
the act or default of the plaintiff himself, the rule will not apply.
(7) Remoteness of consequences i.e. the rule cannot be applied
ad infinitum
Contd.
The Rule in Rylands v. Fletcher has been referred to
by this Court in a number of decisions.
While dealing with the liability of industries engaged
in hazardous or dangerous activities P.N. Bhagwati, CJ,
speaking for the Constitution Bench in M.C. Mehta &
anr. v. Union of India and ors. expressed the view that
there is no necessity to bank on the Rule in Rylands v.
Fletcher. What the learned Judge observed is this:
"We have to evolve new principles and lay down new
norms which would adequately deal with the new
problems which arise in a highly industrialized
economy. We cannot allow our judicial thinking to be
constricted by reference to the law as it prevails in
England or for the matter of that in any other foreign
country. We no longer need the crutches of a foreign
legal order."
Contd.
From the point of view of the pedestrian the roads of
this country have been rendered by the use of the
motor vehicles highly dangerous. 'Hit and run' cases
where the drivers of the motor vehicles who have
caused the accidents are not known are increasing in
number. Where a pedestrian without negligence on his
part is injured or killed by a motorist whether
negligently or not, he or his legal representatives as the
case may be should be entitled to recover damages if
the principle of social justice should have any meaning
at all.
In order to meet to some extent the responsibility of
the society to the deaths and injuries caused in road
accidents there has been a continuous agitation
throughout the world to make the liability for damages
arising out of motor vehicles accidents as a liability
without fault."
Contd.
Contd.
Cond.
The court held that Appellants claimed a sum of
Rs.2,36,000/-. But PW-1 widow of the deceased
said that her husbands income was Rs.1,500/per month. PW-4 brother of the deceased also
supported the same version.
In calculating the amount of compensation in
this case we lean ourselves to adopt the
structured formula provided in the Second
Schedule to the M.V. Act, though it was
formulated for the purpose of Section 163A of
the MV Act, we find it a safer guidance for
arriving at the amount of compensation than
any other method so far as the present case is
concerned.
Cond.
Cond.