Karnataka High Court
Branch Manger National Insurance Co.Ltd. - Appellant
Versus
Hamza - Respondent
Decided On : 09-05-03
Insurance Company - Workmen's Compensation Act - Liability of Insurance Company
Fact of the Case:
The claimant sustained injuries in a road traffic accident while driving an autorickshaw under the employment of the second respondent. The Insurance Company challenged the liability saddled on it by the Commissioner's award of compensation.
Finding of the Court:
The court analyzed the terms and conditions of the insurance policy, the date of the accident, and the payment of premium. It concluded that the Insurance Company was not liable to satisfy the award as the policy would come into force from a date after the accident.
Issues: (1) Whether the Commissioner has powers to vary the terms and conditions of the policy? (2) Whether the appellant-company is liable to satisfy the award?
Ratio Decidendi: The court held that the terms and conditions of a concluded contract cannot be varied by the Commissioner. As per the terms of the policy, the Insurance Company was not liable to indemnify the owner for the period between the issuance of the policy and its enforcement.
Final Decision: The appeal was allowed, and the judgment and award passed against the appellant-insurance company were set aside.
( 2 ) THE appellant-Insurance Company, on the ground that the details of the policy were furnished in the claim petition expressed its difficulty to admit its liability. It was also contended that the claimant did not possess a valid driving licence to drive the vehicle on the date of accident. However, during the course of evidence; the policy was produced by the claimant and marked as Ex. P4. As per the terms and conditions of the policy, the policy had come in to force from 5. 8. 1997 and was valid up to 4. 8. 1998. The second respondent/employer by paying premium on 4. 8. 1997 had obtained the policy on the same day. As per terms and conditions of Ex. P4, the policy would come into effect from 5. 8. 1997 and not from the date of payment of premium and issuance of policy. The Commissioner awarded a sum of Rs. 76,245/- as compensation fixing the liability on the Insurance Company on the ground that the company had received the payment on 4. 8. 1997. The said order is now challenged in this appeal contending that the Insurance Company is not liable to satisfy the award.
( 3 ) LEARNED Counsel for the appellant relying upon the judgment of the Supreme Court in J. KALAIVANI AND OTHERS VS. K. SHIVASHANKAR AND ANOTHER, reported in 2002 ACJ-613, contends that the appellant-insurance company is not liable to pay the compensation as the policy was not in force on the date of the accident.
( 4 ) PER contra, learned counsel for the respondents, relying upon the judgment of this Court reported in 2000 ACJ-228 (T. DINAKAR VS. P. J. JAGADISH AND OTHERS) contends that, as the premium was paid on 4. 8. 1997, the insurance company has to satisfy the award.
( 5 ) AFTER hearing the learned counsel for the parties, the following points emerge for consideration of this Court: (1) Whether the Commissioner has powers to vary the terms and conditions of the policy? (2) Whether the appellant-company is liable to satisfy the award?
( 6 ) FACTS in this case are not dispute, Appellant-company has collected premium and issued insurance policy in favour of second respondent on 4. 8. 1997 but the policy would come into force from 5. 8. 1997 and not from the date and time of issuance of policy. The accident has occurred after issuance of policy by the appellant. The Commissioner considering that the premium was collected by the appellant prior to the accident i. e. , saddled the liability on the insurance company.
( 7 ) THEREFORE, what is required to be considered by this court is whether the Commissioner has powers to vary the terms of the contract. It is not in dispute that the appellant as well as second respondent-owner of the vehicle are bound by the terms and conditions of the policy. As per terms and conditions of the policy it would come into force from 5. 8. 1997; even though or the same was obtained on 4. 8. 1997. When the policy is issued by mutual consent, whether the terms of policy can be varied by the Commissioner, when second respondent has paid the premium and obtained the policy on 4. 8. 1997, there was no difficulty for him to insist the appellant-insurance company covering liability from the times and the date on which Ex. P-4 has been issued. Unfortunately, second respondent had not foreseen that his vehicle would met with an accident in between the time of issuance of policy and the date of; enforcement of policy. When second respondent has obtained the policy knowing fully well that the policy would come into force with effect from 5. 8. 1997, when the parties have not let any evidence to show the intention of the parties in reg
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