Full Judgment Text
Reportabl
e
IN THE SUPREME COURT OF INDIA
CIVIL APPELLATE JURISDICTION
CIVIL APPEAL NO. 8163 OF 2012
(Arising out of S.L.P. (Civil) No. 1232 of 2012)
National Insurance Company Ltd. ... Appellants
Versus
Balakrishnan & Another ... Respondents
J U D G M E N T
Dipak Misra, J.
Leave granted.
2. The singular issue that arises for consideration in this
JUDGMENT
appeal is whether the first respondent, the Managing Director
of the respondent No. 2, a company registered under the
Companies Act, 1956, is entitled to sustain a claim against the
appellant-insurer for having sustained bodily injuries.
Succinctly stated, the facts are that the respondent No. 1 met
with an accident about 8.30 p.m. on 23.3.2001 while
travelling in the Lancer car bearing registration No. TN 49 K
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2
2750 belonging to the respondent No. 2, as it dashed against a
bullock cart near Muthandipatti Pirivu Road-I. He knocked at
the doors of the Motor Accident Claim Tribunal (for short “the
the tribunal”) in MACOP No. 357 of 2004 under Sections 140,
147 and 166 of the Motor Vehicles Act, 1988 (for brevity “the
Act”) claiming compensation of Rs.20,00,000/- jointly and
severally from the appellant as well as the company on the
foundation that the vehicle in question was insured with the
appellant-company. Be it noted, the amount was calculated
on the basis of pecuniary and non-pecuniary damages.
3. The insurer resisted the claim on the grounds that the
claimant had suppressed the fact that he was the Managing
Director of the company and hence, the application deserved
to be thrown overboard; that even if the petition was
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entertained the insurance company could not be held liable to
indemnify the respondent as the appellant was himself the
owner being the Managing Director and under no
circumstances he could be treated as a third party; that the
policy taken by the company did not cover an occupant in the
vehicle but only covered the owner for a limited quantum and
hence, the claim was not allowable as sought for.
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4. The tribunal, in its award dated 19.4.2007, addressed to
the issues of rash and negligent driving of the driver, injuries
sustained by the insured and the liability of the insurance
company. On the basis of the material brought on record, it
came to hold that the accident had occurred due to rash and
st
negligent driving of the driver of the 1 respondent; that the
claimant was injured in the accident; that regard being had to
the injuries sustained he was entitled to get Rs.8,63,200/- as
compensation with interest @ 7.5% per annum from the date
of the petition till the date of deposit; and that the insurance
company was liable to indemnify as the owner of the vehicle
was the company, and the injured was travelling in the car as
a third party.
5. Being dissatisfied with the award passed by the tribunal,
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the insurer preferred C.M.A. (M.D.) No. 1624 of 2008 before
the Madurai Bench of Madras High Court and in appeal it was
urged that the victim, the Managing Director, who was
running the hospital in the name of his deceased father, was
the legal owner of the car though the vehicle was insured in
the name of the company and, therefore, the liability was to
the limited extent as stipulated in the policy. It was also
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4
canvassed, in any case, he was a non-fare paying passenger in
the car for which no extra premium was paid and hence, the
liability could not be fastened on the insurer. The High Court
treated the company to be the owner of the vehicle and
repelled the stand that the Managing Director was the owner,
and further held that as he was only an occupant of the car
the insurance company was liable to indemnify the owner for
the claim put forth by the victim. It is worthy to note that the
High Court opined that if no premium is paid to cover the
owner, the insurer is not liable to make good the loss but if
another person travels with the owner and suffers injuries the
insurer is liable to pay the compensation. Being of this view,
the High Court dismissed the appeal. Hence, the present
appeal by the insurer.
JUDGMENT
6. We have heard the learned counsel for the parties and
perused the record. As has been indicated at the beginning,
the seminal issue is whether the appellant-company is liable
to make good the compensation determined by the tribunal to
the victim in the accident. On a scrutiny of the award passed
by the tribunal which has been given the stamp of approval by
st
the High Court, it is manifest that the 1 respondent was the
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Managing Director of the respondent No. 2 and the vehicle was
registered in the name of the company but the Managing
Director had signed on behalf of the company in the R. C.
book of the car that was involved in the accident. The High
Court has returned a finding that the company and the
Managing Director are two different legal entities and hence,
the Managing Director cannot be equated with the owner. On
that foundation, the claimant has been treated as a passenger
and, accordingly, liability has been fastened on the insurer.
The learned counsel appearing for the insurer would contend
that assuming he is the owner being a signatory in the R.C.
book, the liability of the company is limited upto
Rs.2,00,000/- and under no circumstances a non-fare paying
passenger would be covered under the policy. In oppugnation,
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the learned counsel for the respondent-claimant has proponed
that barring the insurer and the insured, all others are third
parties and, therefore, he is covered by the policy. It is also
urged by him that as he had travelled as an occupant in a
private car he is a third party vis-à-vis the insurer and hence,
it is bound to indemnify the owner as the risk of the third
party is covered.
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7. As per the command of Section 146 of the Act, the owner
of a vehicle is obliged to obtain an insurance for the vehicle to
cover the third party risk. Section 147 deals with the
requirements of policies and limits of liability. Section 147 (1)
which is relevant for the present purpose is reproduced
below:-
“147. Requirement of policies and limits
of liability . – (1) In order to comply with the
requirements of this Chapter, a policy of
insurance must be a policy which -
(a) is issued by a person who is an authorised
insurer; and
(b) insurers the person or classes of persons
specified in the policy to the extent specified in
sub – section (2) –
(i) against any liability which may be incurred
by him in respect of the death of or bodily
[injury to any person, including owner of the
goods or his authorised representative carried
in the vehicle] or damage to any property of
a third party caused by or arising out of
the use of the vehicle in a public place ;
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(ii) against the death of or bodily injury to any
passenger of a public service vehicle caused by
or arising out of the use of the vehicle in a
public place;
Provided that a policy shall not be required –
(i) to cover liability in respect of the death,
arising out of and in the course of his
employment, of the employee of a person
insured by the policy or in respect of bodily
injury sustained by such an employee arising
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out of and in the course of his employment
other than a liability arising under the
Workmen’s Compensation Act, 1923 (8 of 1923)
in respect of the death of, or bodily injury to,
any such employee -
(a) engaged in driving the vehicle, or
(b) if it is a public service vehicle, engaged
as a conductor of the vehicle or in examining
tickets on the vehicle or
(c) if it is a goods carriage, being carried in the
vehicle, or
(ii) to cover any contractual liability.
Explanation. – For the removal of doubts, it
is hereby declared that the death of or
bodily injury to any person or damage to any
property of a third party shall be deemed
to have been caused by or to have arisen
out of, the use of a vehicle in a public place
notwithstanding that the person who is dead or
injured or the property which is damaged was
not in a public place at the time of the
accident, if the act or omission which led to
the accident occurred in a public place.”
On a scanning of the aforesaid provision, it is evident
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that the policy of insurance must be a policy which complies
with the conditions enumerated under Section 147 (1) (a) &
(b). It also provides where a policy is not required and also
stipulates to cover any contractual liability.
8. In United India Insurance Co. Ltd., Shimla v. Tilak
1
Singh and Others , this Court referred to the concurring
1
(2006) 4 SCC 404
Page 7
8
opinion rendered in a three-Judge Bench decision in New
2
India Assurance Co. Ltd. V. Asha Rani and ruled thus:-
“In our view, although the observations made in
Asha Rani case were in connection with carrying
passengers in a goods vehicle, the same would
apply with equal force to gratuitous passengers in
any other vehicle also. Thus, we must uphold the
contention of the appellant Insurance Company
that it owed no liability towards the injuries
suffered by the deceased Rajinder Singh who was a
pillion rider, as the insurance policy was a statutory
policy, and hence it did not cover the risk of death
of or bodily injury to a gratuitous passenger.”
It is worthy to note that in the said case the controversy
related to gratuitous passenger carried in private vehicle.
9. In Oriental Insurance Co. Ltd. v. Jhuma Saha (Smt)
3
and Others , the controversy related to fastening of liability
on the insurer for the death of the owner of a registered
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vehicle, Maruti van. The Court observed that the accident did
not involve any other motor vehicle than the one which he was
driving and as the liability of the insurer Company is to the
extent of indemnification of the insured against the
respondent or an injured person, a third person or in respect
of damages of property, the insured cannot be fastened with
2
(2003) 2 SCC 223
3
(2007) 9 SCC 263
Page 8
9
any liability under the provisions of the Motor Vehicles Act,
and, therefore, the question of the insurer being liable to
indemnify the insured does not arise. Thereafter, the Bench
referred to the decision in Dhanraj v. New India Assurance
4
co. Ltd. and ruled thus:-
“The additional premium was not paid in respect of
the entire risk of death or bodily injury of the owner
of the vehicle. If that be so, Section 147 (b) of the
Motor Vehicles Act which in no uncertain terms
covers a risk of a third party only would be
attracted in the present case.”
10. In National Insurance Co. Ltd. v. Laxmi Narain
5
Dhut , after elaborately referring to the analysis made in Asha
Rani (supra), the Bench stated thus:-
“Section 149 is part of Chapter XI which is titled
“Insurance of Motor Vehicles against Third-Party
Risks”. A significant factor which needs to be
noticed is that there is no contractual relation
between the insurance company and the third
party. The liabilities and the obligations relatable to
third parties are created only by fiction of Sections
147 and 149 of the Act.”
JUDGMENT
In the said case, it has been opined that although the statute
is a beneficial one qua the third party, yet that benefit cannot
be extended to the owner of the offending vehicle.
4
(2004) 8 SCC 553
5
(2007) 3 SCC 700
Page 9
1
11. In Oriental Insurance Company Ltd. v. Meena Variyal
6
and Others , the facts were that a Regional Manager of the
company, which was the owner of the vehicle, was himself
driving a vehicle of the company and met with an accident and
eventually succumbed to the injuries. It was contended by the
insurer before this Court that the policy did not cover the
employee of the owner who was driving the vehicle while
attending the business of the employer-company and the
deceased was not a third party in terms of the policy or in
terms of the Act. It was also urged that the same would be the
position even if the deceased was only travelling in the car in
his capacity as a Regional Manger of the owner-company and
the vehicle was being driven by the driver. This Court
observed that a contract of insurance is ordinarily a contract
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of indemnity and when a car belonging to an owner is insured
with the insurance company and it is being driven by a driver
employed by the insured, when it meets with an accident, the
primary liability under law for payment of compensation is
that of the driver. Once the driver is liable, the owner of the
vehicle becomes vicariously liable for payment of
compensation. It is this vicarious liability of the owner that is
6
(2007) 5 SCC 428
Page 10
1
indemnified by the insurer. Dealing with the said liability, the
Bench analysed the language employed under Section 147 (1)
of the Act and observed as follows:-
“The object of the insistence on insurance under
Chapter XI of the Act thus seems to be to
compulsorily cover the liability relating to their
person or properties of third parties and in respect
of employees of the insured employer, the liability
that may arise under the Workmen's Compensation
Act, 1923 in respect of the driver, the conductor
and the one carried in a goods vehicle carrying
goods. On this plain understanding of Section 147,
we find it difficult to hold that the Insurance
Company, in the case on hand, was liable to
indemnify the owner, the employer Company, the
insured, in respect of the death of one of its
employees, who according to the claim, was not the
driver. Be it noted that the liability is not one
arising under the Workmen's Compensation Act,
1923 and it is doubtful, on the case put forward by
the claimant, whether the deceased could be
understood as a workman coming within the
Workmen's Compensation Act, 1923. Therefore, on
a plain reading of Section 147 of the Act, it appears
to be clear that the Insurance Company is not liable
to indemnify the insured in the case on hand.”
12. After so stating, the Bench adverted to the decisions in
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7
National Insurance Co. Ltd. v. Swaran Singh , Laxmi
Narain Dhut (supra), Asha Rani (supra) and Tilak Singh
(supra) and opined that a policy in terms of Section 147 of the
Act does not cover persons other than third parties.
Eventually, it ruled thus:-
7
(2004) 3 SCC 297
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1
“The victim was the Regional Manager of the
Company that owned the car. He was using the car
given to him by the Company for use. Whether he is
treated as the owner of the vehicle or as an
employee, he is not covered by the insurance policy
taken in terms of the Act—without any special
contract—since there is no award under the
Workmen's Compensation Act that is required to be
satisfied by the insurer. In these circumstances, we
hold that the appellant Insurance Company is not
liable to indemnify the insured and is also not
obliged to satisfy the award of the Tribunal/Court
and then have recourse to the insured, the owner of
the vehicle.”
13. In Oriental Insurance Company Ltd. v. Sudhakaran K.
8
V. and Others , a two-Judge Bench, while dealing with the
issue whether a pillion rider on a scooter would be a third
party within the meaning of Section 147 of the Act, after
referring to number of authorities, stated thus:-
“The contract of insurance did not cover the owner
of the vehicle, certainly not the pillion-rider. The
deceased was travelling as a passenger, stricto
sensu may not be as a gratuitous passenger as in a
given case she may not (sic) be a member of the
family, a friend or other relative. In the sense of the
term which is used in common parlance, she might
not be even a passenger. In view of the terms of the
contract of insurance, however, she would not be
covered thereby.
JUDGMENT
xxx xxx xxx xxx xxx
The law which emerges from the said decisions,
is: (i) the liability of the insurance company in a
8
(2008) 7 SCC 428
Page 12
1
case of this nature is not extended to a pillion-rider
of the motor vehicle unless the requisite amount of
premium is paid for covering his/her risk; (ii) the
legal obligation arising under Section 147 of the Act
cannot be extended to an injury or death of the
owner of vehicle or the pillion-rider; (iii) the pillion-
rider in a two-wheeler was not to be treated as a
third party when the accident has taken place
owing to rash and negligent riding of the scooter
and not on the part of the driver of another vehicle.”
14. In New India Assurance Company Limited v.
9
Sadanand Mukhi and Others , the son of the owner of the
insured while driving the motor cycle met with an accident
and died. The accident allegedly took place as a stray dog
came in front of the vehicle. The stand of the insurance
company was that in view of the relationship between the
deceased and the owner of the vehicle being father and son the
deceased was not a third party. The Bench relied on the
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decisions in Tilak Singh (supra), Jhuma Saha (supra),
Meena Variyal (supra), Laxmi Narain Dhut (supra) and
10
United India Insurance Co. Ltd. v. Davinder Singh and
came to hold that the insurance company was not liable to
indemnify the owner.
9
(2009) 2 SCC 417
10
(2007) 8 SCC 698
Page 13
1
15. At this juncture, we may refer with profit to a two-Judge
Bench decision in Bhagyalakshmi and others v. United
11
Insurance Company Limited and another wherein the
learned Judges took note of the contention of the learned
senior counsel for the claimant-appellant which was to the
effect that after the deletion of the second proviso appended to
Section 95(1)(b) of the Motor Vehicles Act, 1939 in the 1988
Act, the liability of a passenger in a private vehicle must also
be included in the policy in terms of the provisions of the 1988
Act. The Bench reproduced the policy, referred to Section 64-B
of the Insurance Act, 1938, took note of the role of the Tariff
Advisory Committee and referred to the decisions in Amrit Lal
Sood and Another v. Kaushalya Devi Thapar and
12
Others , Asha Rani (supra), Tilak Singh (supra), Jhuma
JUDGMENT
Saha (supra) and Sudhakaran K. V. and Others (supra)
and observed thus :-
“Before this Court, however, the nature of policies
which came up for consideration were Act policies.
This Court did not deal with a package policy. If the
Tariff Advisory Committee seeks to enforce its
decision in regard to coverage of third-party risk
which would include all persons including
occupants of the vehicle and the insurer having
11
(2009) 7 SCC 148
12
(1998) 3 SCC 744
Page 14
1
entered into a contract of insurance in relation
thereto, we are of the opinion that the matter may
require a deeper scrutiny.”
On a perusal of the aforesaid paragraph, it is clear as
crystal that the decisions that have been referred to in
Bhagyalakshmi (supra) involved only “Act Policies”. The
Bench felt that the matter would be different if the Tariff
Advisory Committee seeks to enforce its decision in regard to
coverage of third party risk which would include an occupant
in a vehicle. It is worth noting that the Bench referred to
certain decisions of Delhi High Court and Madras High Court
and thought it appropriate to refer the matter to a larger
Bench. Be it noted, in the said case, the Court was dealing
with comprehensive policy which is also called a package
policy. In that context, in the earlier part of the judgment, the
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Bench had stated thus:-
“The policy in question is a package policy. The
contract of insurance if given its face value covers
the risk not only of a third party but also of persons
travelling in the car including the owner thereof.
The question is as to whether the policy in question
is a comprehensive policy or only an Act policy.”
16. Thus, it is quite vivid that the Bench had made a
distinction between the “Act policy” and “comprehensive
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1
policy/package policy”. We respectfully concur with the said
distinction. The crux of the matter is what would be the
liability of the insurer if the policy is a
“comprehensive/package policy”. We are absolutely conscious
that the matter has been referred to a larger Bench, but, as is
evident, the Bench has also observed that it would depend
upon the view of the Tariff Advisory Committee pertaining to
enforcement of its decision to cover the liability of an occupant
in a vehicle in a “comprehensive/package policy” regard being
had to the contract of insurance.
17. At this stage, it is apposite to note that when the decision
in Bhagyalakshmi (supra) was rendered, a decision of High
Court of Delhi dealing with the view of the Tariff Advisory
Committee in respect of “comprehensive/package policy” had
JUDGMENT
not come into the field. We think it apt to refer to the same as
it deals with certain factual position which can be of
assistance. The High Court of Delhi in Yashpal Luthra and
13
Anr. V. United India Insurance Co. Ltd. and Another ,
after recording the evidence of the competent authority of
Tariff Advisory Committee (TAC) and Insurance Regulatory and
13
2011 ACJ 1415
Page 16
1
Development Authority (IRDA), reproduced a circular dated
16.11.2009 issued by IRDA to CEOs of all the Insurance
Companies restating the factual position relating to the
liability of Insurance companies in respect of a pillion rider on
a two-wheeler and occupants in a private car under the
comprehensive/package policy. The relevant portion of the
circular which has been reproduced by the High Court is as
follows:-
“IRDA
Ref: IRDA/NL/CIR/F&U/073/11/2009
16.11.2009
To
CEOs of all general insurance companies
Re: Liability of insurance companies in respect of
occupants of a Private car and pillion rider on a
two-wheeler under Standard Motor Package Policy
(also called Comprehensive Policy).
JUDGMENT
Insurers’ attention is drawn to wordings of Section
(II) 1 (ii) of Standard Motor Package Policy (also
called Comprehensive Policy) for private car and
two-wheeler under the (erstwhile) India Motor Tariff.
For convenience the relevant provisions are
reproduced hereunder:-
‘Section II - Liability to Third Parties
1. Subject to the limits of liabilities as laid down in
the Schedule hereto the company will indemnify the
insured in the event of an accident caused by or
arising out of the use of the insured vehicle against
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all sums which the insured shall become legally
liable to pay in respect of -
| shall not be lia<br>out of and in<br>person by the i<br>It is further br | |
|---|---|
| ers that | |
| the above provisions are in line with the following<br>circulars earlier issued by the TAC on the subject:<br>(i) Circular M.V. No. l of 1978 - dated 18th March,<br>1978 (regarding occupants carried in Private Car)<br>effective from 25th March, 1977.<br>(ii) MOT/GEN/10 dated 2nd June, 1986 (regarding<br>pillion riders in a two-wheeler) effective from the<br>date of the circular.<br>The above circulars make it clear that the insured<br>liability in respect o f occupant(s ) carried in a private<br>car and pillion rider carried on two-wheeler is |
JUDGMENT
The Authority vide circular No.
066/IRDA/F&U/Mar-08 dated March 26, 2008
issued under File & Use Guidelines has reiterated
that pending further orders the insurers shall not
vary the coverage, terms and conditions wording,
warranties, clauses and endorsements in respect of
covers that were under the erstwhile tariffs.
Further the Authority, vide circular No.
019/IRDA/NL/F&U/Oct-08 dated November 6,
2008 has mandated that insurers are not permitted
abridge to the scope of standard covers available
under the erstwhile tariffs beyond the options
permitted in the erstwhile tariffs. All general
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1
insurers are advised to adhere to the afore-
mentioned circulars and any non-compliance of the
same would be viewed seriously by the Authority .
This is issued with the approval of competent
authority.
Sd/-
(Prabodh Chander)
Executive Director”
[emphasis supplied]
18. The High Court has also reproduced a circular issued by
IRD dated 3.12.2009. It is instructive to quote the same:-
“IRDA
IRDA/NL/CIR/F&U/078/12/2009
3.12.2009.
To
All CEOs of All general insurance companies (except
ECGC, AIC, Staff Health, Apollo)
Re: Liability of insurance companies in respect of
occupant of a private car and pillion rider in a two-
wheeler under Standard Motor Package Policy (also
called Comprehensive Policy).
JUDGMENT
Pursuant to the Order of the Delhi High Court dated
23.11.2009 in MAC APP No. 176/2009 in the case
of Yashpal Luthra v. United India and Ors., the
Authority convened a meeting on November 26,
2009 of the CEOs of all the general insurance
companies doing motor insurance business in the
presence of the counsel appearing on behalf of the
Authority and the leaned amicus curie .
Based on the unanimous decision taken in the
meeting by the representatives of the general
insurance companies to comply with the IRDA
circular dated 16th November, 2009 restating the
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2
position relating to the liability of all the general
insurance companies doing motor insurance
business in respect of the occupants in a private car
and pillion rider on a two wheeler under the
comprehensive/package policies which was
communicated to the court on the same day i.e.
November 26, 2009 and the court was pleased to
pass the order (dt. 26.11.2009) received from the
Court Master, Delhi High Court, is enclosed for your
ready reference and adherence. In terms of the said
order and the admitted liability of all the general
insurance companies doing motor insurance
business in respect of the occupants in a private car
and pillion rider on a two-wheeler under the
comprehensive/package policies, you are advised to
confirm to the Authority, strict compliance of the
th
circular dated 16 November, 2009 and orders dt.
26.11.2009 of the High Court. Such compliance on
your part would also involve:
(i) withdrawing the plea against such a contest
wherever taken in the cases pending before the
MACT, and issue appropriate instructions to
their respective lawyers and the operating
officers within 7 days;
(ii) with respect to all appeals pending before the
High Courts on this point, issuing instructions
within 7 days to the respective operating
officers and the counsel to withdraw the
contest on this ground which would require
identification of the number of appeals
pending before the High Courts (whether filed
by the claimants or the insurers) on this issue
within a period of 2 weeks and the contest on
this ground being withdrawn within a period of
four weeks thereafter;
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(iii) With respect to the appeals pending before the
Hon'ble Apex Court, informing, within a period
of 7 days, their respective advocates on record
about the IRDA Circulars, for appropriate
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2
advice and action. Your attention is also
drawn to the discussions in the CEOs meeting
on 26.11.2009, when it was reiterated that
insurers must take immediate steps to collect
statistics about accident claims on the above
subject through a central point of reference
decided by them as the same has to be
communicated in due course to the
Honourable High Court. You are therefore
advised to take up the exercise of collecting
and collating the information within a period of
two months to ensure necessary & effective
compliance of the order of the Court. The
information may be centralized with the
Secretariat of the General Insurance Council
and also furnished to us.
IRDA requires a written confirmation from you on
the action taken by you in this regard.
This has the approval of the Competent Authority.
Sd/-
(Prabodh Chander)
Executive Director”
[emphasis added]
st
19. It is extremely important to note here that till 31
JUDGMENT
December, 2006 the Tariff Advisory Committee and, thereafter,
st
from 1 January, 2007, IRDA functioned as the statutory
regulatory authorities and they are entitled to fix the tariff as
well as the terms and conditions of the policies by all
insurance companies. The High Court had issued notice to
the Tariff Advisory Committee and the IRDA to explain the
factual position as regards the liability of the insurance
Page 21
2
companies in respect of an occupant in a private car under the
“comprehensive/ package policy”. Before the High Court, the
nd
Competent Authority of IRDA had stated that on 2 June,
1986, the Tariff Advisory Committee had issued instructions
to all the insurance companies to cover the pillion rider of a
scooter/motorcycle under the “comprehensive policy” and the
said position continues to be in vogue till date. It had also
admitted that the “comprehensive policy” is presently called a
“package policy”. It is the admitted position, as the decision
th
would show, the earlier circulars dated 18 March, 1978 and
nd
2 June, 1986 continue to be valid and effective and all
insurance companies are bound to pay the compensation in
respect of the liability towards an occupant in a car under the
“comprehensive/package policy” irrespective of the terms and
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conditions contained in the policy. The competent authority of
the IRDA was also examined before the High Court who stated
th nd
that the circulars dated 18 March, 1978 and 2 June, 1986
of the Tariff Advisory Committee were incorporated in the
st
Indian Motor Tariff effective from 1 July, 2002 and they
continue to be operative and binding on the insurance
companies. Because of the aforesaid factual position, the
Page 22
2
th rd
circulars dated 16 November 2009 and 3 December, 2009,
that have been reproduced hereinabove, were issued.
20. It is also worthy to note that the High Court, after
referring to individual circulars issued by various insurance
companies, eventually stated thus:-
“In view of the aforesaid, it is clear that the
comprehensive/package policy of a two wheeler
covers a pillion rider and comprehensive/package
policy of a private car covers the occupants and
where the vehicle is covered under a
comprehensive/package policy, there is no need for
Motor Accident Claims Tribunal to go into the
question whether the Insurance Company is liable
to compensate for the death or injury of a pillion
rider on a two-wheeler or the occupants in a private
car. In fact, in view of the TAC’s directives and those
of the IRDA, such a plea was not permissible and
ought not to have been raised as, for instance, it
was done in the present case.”
21. In view of the aforesaid factual position, there is no
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scintilla of doubt that a “comprehensive/package policy”
would cover the liability of the insurer for payment of
compensation for the occupant in a car. There is no cavil that
an “Act Policy” stands on a different footing from a
“Comprehensive/Package Policy”. As the circulars have made
the position very clear and the IRDA, which is presently the
statutory authority, has commanded the insurance companies
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stating that a “Comprehensive/Package Policy” covers the
liability, there cannot be any dispute in that regard. We may
hasten to clarify that the earlier pronouncements were
rendered in respect of the “Act Policy” which admittedly cannot
cover a third party risk of an occupant in a car. But, if the
policy is a “Comprehensive/Package Policy”, the liability would
be covered. These aspects were not noticed in the case of
Bhagyalakshmi (supra) and, therefore, the matter was
referred to a larger Bench. We are disposed to think that there
is no necessity to refer the present matter to a larger Bench as
the IRDA, which is presently the statutory authority, has
clarified the position by issuing circulars which have been
reproduced in the judgment by the Delhi High Court and we
have also reproduced the same.
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22. In view of the aforesaid legal position, the question that
emerges for consideration is whether in the case at hand, the
policy is an “Act Policy” or “Comprehensive/Package Policy”.
There has been no discussion either by the tribunal or the
High Court in this regard. True it is, before us, Annexure P-1
has been filed which is a policy issued by the insurer. It only
mentions the policy to be a “comprehensive policy” but we are
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inclined to think that there has to be a scanning of the terms
of the entire policy to arrive at the conclusion whether it is
really a “package policy” to cover the liability of an occupant in
a car.
23. In view of the aforesaid analysis, we think it apposite to
set aside the finding of the High Court and the tribunal as
regards the liability of the insurer and remit the matter to the
tribunal to scrutinize the policy in a proper perspective and, if
necessary, by taking additional evidence and if the conclusion
is arrived at that the policy in question is a
“Comprehensive/Package Policy”, the liability would be
fastened on the insurer. As far as other findings recorded by
the tribunal and affirmed by the High Court are concerned,
they remain undisturbed.
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24. Consequently, the appeal is allowed to the extent
indicated above and the matter is remitted to the tribunal for
the purpose of adjudication as directed hereinabove. There
shall be no order as to costs.
| ……………………………… | .J. | ||||||
|---|---|---|---|---|---|---|---|
| [K. | S. | Radhakrishnan] |
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| ……………………………… | .J. | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| [Dipak | Misra] |
| New | Delhi; | |||||
|---|---|---|---|---|---|---|
| November | 20, | 2012. |
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