G.BHAVANI PRASAD, B.PRAKASH RAO
JAYAVARAPU RAJAMMA, W/O TIRUPATI SWAMY – Appellant
Versus
JAYAVARAPU LAXMINARAYANA, S/O. SUBRAHMANYAM – Respondent
What is the liability of an insurer for third party claims when the claimant is the owner/insured or his legal heirs, under a comprehensive policy? What are the terms under which a motor vehicle insurance policy can cover injuries or death to the owner/insured or gratuitous passengers, and how do such terms affect insurer liability? What is the correct approach to determining insurer liability in cases where claims are by kith and kin of the insured or legal representatives of the deceased, in light of Sections 95, 96, and 147 of the Motor Vehicles Act?
Key Points: - The policy can cover risks beyond the statutory minimum if the terms of the contract are broader, affecting insurer liability (!) (!) . - Section 147 does not require insurers to cover death or injury to the owner/insured, but may do so if the policy explicitly covers such risk; mere "own damage" for vehicle does not imply coverage for owner’s injuries (!) (!) (!) . - Claims by kith and kin of the insured or legal representatives of the deceased can be treated as third party claims if the policy covers such risks; the determination depends on policy terms rather than mere nomenclature (!) (!) (!) . - An insurer’s liability to indemnify the insured/third parties is determined by the specific terms and conditions of the insurance policy, not solely by statutory policy labeling (!) . - The reference clarifies that the Civil Miscellaneous Appeal should consider whether the policy covers risks to the owner/insured or gratuitous passengers and whether third party claims by family/representatives are included (!) .
( 1 ) THE question as to whether, in the facts and circumstances, the insurance company can be made liable for compensation in respect of the claims made by the owner or the legal representatives of the deceased as third party claims, is the subject matter of the reference by one of us (Hon'ble Sri Justice B. Prakash rao ).
( 2 ) THE motor accident in question occurred when the owner/insured was travelling in the car along with his family members and his father died in the accident. The mother and two other sons of the deceased made the claim for compensation against the owner who himself was driving the car, the owner of the lorry and the respective insurance companies. The Tribunal while holding that the accident occurred due to the negligent driving of the car, held that the father or the other family members of the insured will not fit within the ambit of third party as the insured and the deceased are living under one roof being father and son. The Tribunal accordingly dismissed the petition without costs holding the insurance company to be not liable to pay the compensation.
( 3 ) THE claimants preferred the appeal contending that the kith and kin of
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