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2007 Supreme(Online)(KER) 24347

HIGH COURT OF KERALA
J.B.KOSHY, V.GIRI, JJ
MATHEW JOSEPH – Appellant
Versus
JANAKI – Respondent
MFA/502/1999



Advocates:
SRI.RAJU JOSEPH, SRI.MATHEWS JACOB

A passenger in a private vehicle may be covered under a comprehensive insurance policy, contingent on the specific terms of that policy.

Headnote:

Insurance - Liability - Insurance Act - Sections Misinterpretation - The court discussed the insurance policy implications, emphasizing the necessity for comprehensive coverage and clarified the responsibility of the insurance company in proving policy violations.

Fact of the Case:

The claimants are the widow and children of the deceased who died in a vehicle accident. The Tribunal initially awarded damages based on negligence but held that there was a policy violation as the deceased was carrying arrack in a private vehicle.

Issues: Whether the deceased was covered under the insurance policy while travelling in a private vehicle carrying goods.

Ratio Decidendi: A comprehensive insurance policy may cover passengers unless specific terms restrict such coverage, requiring a full examination of the policy's terms.

Final Decision: The matter is remanded to the Tribunal for further consideration regarding the comprehensive policy terms.

JUDGMENT

Koshy, J.

The claimants are the widow and children of deceased Sukumaran.

While he was travelling in a jeep, he sustained severe injuries in an accident and he died on 9.1.1995 at the Medical College Hospital, Ernakulam. It was found that the accident occurred due to the negligence of the driver of the vehicle insured by the 5th respondent Insurance Company. The Tribunal awarded an amount of Rs.76,000/= with 12% interest and directed the Insurance Company to deposit the same and recover it from the owner of the vehicle, the appellant herein, as there was violation of policy conditions. Ext.B1 is the policy issued by the 5th respondent Oriental Insurance Company. The vehicle was registered as a private car. But it was proved that the deceased was travelling in the vehicle with arrack. According to the Tribunal, since the vehicle was used for carrying goods, there is violation of policy condition. It is contended that as it is a private car, he can travel in that car but there is no prohibition in carrying some goods with him in the private vehicle. But the fact that the deceased was carrying arrack for the licenced shops will not make it as a goods vehicle and it was also pointed out that there is comprehensive policy and the owner is indemnified by insurance. It was contended that the Tribunal's view that there is violation of the policy condition is wrong. There is no condition in the policy to show that the passengers should not carry the personal luggage in the vehicle. When the matter came up for hearing, a contention was raised that even if he is a passenger in the private car, he is not liable to be covered by the insurance policy based on the decision of the Apex Court inUnited India Insurance Co.Ltd. vTilak Singh ( 2006(2) KLT 884 ). In view of the above decision, the matter was referred to a full bench of this court. A Full Bench in the decision reported inMathew Joseph vJanaki (2007(1) KLT 747 (F.B.) held that gratuitous passengers in a transport vehicle can have coverage only when a comprehensive policy or extended policy has been availed of by the owner of the vehicle. InAmrit Lal Sood v Kaushalya Devi Thapar( AIR 1998 SC 1433 ) also took a view that if the conditions of the policy covers the occupant of the car, then the passengers are also entitled to be covered. A perusal of Ext.B1 policy certificate would show that no specific premium was paid for covering passengers, but it is a comprehensive policy. It was contended that in comprehensive policy, passengers are covered. The full policy was not produced. Whether deceased, who was travelling in a private car can be considered as covered, can be decided only after seeing the full terms of the policy. That is not produced. According to the appellant, in view of the time lag and subsequent transfer of the vehicle, comprehensive policy is not with him. But Insurance Company must have the policy(office copy). Therefore the matter is remanded for consideration by the Tribunal. The claimants need not appear. The dispute is regarding the Insurance Company and the owner only. The Insurance Company shall produce the full policy and the matter shall be decided by the Tribunal. While being examined, the first respondent who is the widow of the deceased who was not seen the accident stated that while calling for passengers to travel in the vehicle, the deceased was also entered into the vehicle, but in the cross examination, she stated that the driver of the vehicle was a friend of the deceased and hence he was invited to travel with him. Merely because of widow's statement in the Chief Examination, it cannot be held that the vehicle was used for hire or reward. The burden is on the Insurance Company to prove that there is violation of the policy conditions. In this connection we also refer to the decision of the Supreme Court inNational Insurance Co.Ltd. v. Swaran Singh ( AIR 2004 SC 1531 ). Both parties can adduce evidence regarding the use of the vehicle at the time

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