IN THE HIGH COURT OF JUDICATURE AT MADRAS
N. ANAND VENKATESH, J.
ICICI LOMBARD General Insurance Co. Ltd. - Appellant
Versus
Junaitha Begum and Ors. - Respondents
C.M.A.No.1095 of 2023 and C.M.P.No.10481 of 2023
Decided On : 11-07-2024
Insurance - Motor Vehicles Act - Sections 147, II-1(i), II-1(ii) - The court interpreted the insurance policy as a Comprehensive/Package policy, affirming the insurer's liability for compensation to the pillion rider, based on the terms of the policy and regulatory guidelines.
Fact of the Case:
The claimants sought compensation for the death of a pillion rider in a two-wheeler accident. The Insurance Company contended that the policy was an Act only policy, thus denying liability.
Finding of the Court:
The court upheld the Tribunal's conclusion that the insurance policy was a Comprehensive/Package policy, which included coverage for the pillion rider, based on the policy's terms and relevant regulations.
Issues: Whether the insurance policy was an Act only policy or a Comprehensive/Package policy, affecting the insurer's liability for the pillion rider's death.
Ratio Decidendi: The court determined that the policy's terms, along with regulatory guidelines, indicated it was a Comprehensive/Package policy, thus obligating the insurer to compensate the claimants.
Result: The appeal was dismissed, affirming the Tribunal's award of Rs.16,38,000/- in compensation.
Understood. Please provide the legal document content (inside
JUDGMENT :
(N. Anand Venkatesh, J.) :
(Prayer: Civil Miscellaneous Appeal filed under Section 173 of the Motor Vehicles Act, 1988, to set aside the decree and judgment dated 23.12.2022 made in M.C.O.P.No.378 of 2019 on the file of the Motor Accident Claims Tribunal, Tiruvallur at Poonamallee, III Additional District & Sessions Court, Poonamallee.)
The Insurance Company has filed the present appeal against the award passed by the Motor Accident Claims Tribunal, Tiruvallur at Poonamallee, III Additional District & Sessions Court, Poonamallee, in M.C.O.P.No.378 of 2019 dated 23.12.2022.
2. The present appeal raises an interesting question on the interpretation of the Insurance Policy under which compensation has been claimed and to determine as to whether it is an Act only policy or a Comprehensive/Package policy. If the facts of the case falls within the scope of the former, the Insurance Company will not be liable to pay the compensation and on the other hand, if it falls within the scope of the latter, the Insurance Company will be liable to pay the compensation to the claimants.
3. The claimants are the parents of the deceased HajaNajubudeen. The deceased who was aged about 22 years was traveling as a pillion rider in a two wheeler belonging to the respondents 3 & 4. On 06.06.2019 at about 04.30 PM, when the vehicle was near Meenjur – Vandaloor byepass road and was approaching the bus stop, the rider of the vehicle lost control of the vehicle and as a result, the two wheeler hit the entry ramp median. The deceased fell down from the vehicle and he sustained grievous injuries and he succumbed to the injuries on 07.06.2019. It is under these circumstances, the claim petition came to be filed before the Tribunal seeking for payment of compensation.
4. The Insurance Company took a stand that the policy in question is an Act only policy and therefore, the pillion rider in the two wheeler is not covered under the policy. Consequently, the Insurance Company denied their entire liability in this case.
5. The Tribunal on considering the facts and circumstances of the case and on appreciation of the oral and documentary evidence, came to a conclusion that the accident had taken place only due to the negligence on the part of the rider of the two wheeler.
6. The Tribunal went into the question of liability and concluded that the Insurance Company is jointly and severally liable along with the owners to pay the compensation to the claimants.
7. The Tribunal proceeded to fix the total compensation at Rs.16,38,000/- under various heads as follows:
| 1. | Loss of dependency - | Rs.15,12,000/- |
| 2. | Loss of consortium - | Rs.88,000/- |
| 3. | Loss of estate - | Rs.16,500/- |
| 4. | Funeral expenses - | Rs.16,500/- |
| 5. | Transportation expenses - | Rs.5,000/- |
|
| Total | Rs.16,38,000/- |
8. The above compensation was directed to be paid with interest at the rate of 7.5% per annum.
9. The Insurance Company has filed the present appeal questioning their liability against the award passed by the Motor Accident Claims Tribunal, Tiruvallur at Poonamallee, III Additional District & Sessions Court, Poonamallee, in M.C.O.P.No.378 of 2019 dated 23.12.2022.
10. Heard the learned counsel for the appellant and the learned counsel for respondents 1 & 2.
11. This Court has carefully considered the submissions made on the side of the appellant and the materials available on record.
12. This Court has also carefully gone through the award passed by the Tribunal.
13. The learned counsel for the appellant – Insurance Company submitted that the policy in question (Ex.P6/Ex.R1) is an Act only policy and that the Tribunal misdirected itself in construing it as a Comprehensive/Package policy and consequently went wrong in directing the Insurance Company to pay the compensation to the claimants.
14. The learned counsel in order to substantiate the above submissions, placed reliance upon the Insurance Policy which was marked as Ex.P6/Ex.R1. The learned couns
An act only policy under the Motor Vehicles Act does not cover the risk of a pillion rider, and the insurance company is not liable to pay compensation for injuries sustained by a pillion rider.
A comprehensive/package insurance policy covers the liability for a pillion rider, contrary to the tribunal's finding that treated the rider as a third party.
An Act Only Policy does not cover co-passengers unless additional premium is paid, and contributory negligence applies in accidents involving parked vehicles.
The main legal point established in the judgment is that the risk of the pillion rider cannot be covered under the 'Act Only Policy' without any extra premium.
Motor Accident – Liability of Insurance Company - When vehicle is insured by Company, insurer is liable to pay compensation in case of "comprehensive/package policy" but not in case of "Act policy".
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