IN THE HIGH COURT OF JUDICATURE AT PATNA
JITENDRA KUMAR, J.
National Insurance Company – Appellant
Versus
Chandramani Devi W/o Ramjee Yadav – Respondent
Miscellaneous Appeal No. 56 of 2017
Decided On : 07-11-2025
Motor Vehicles Act, 1988 – Section 149 – Defence by the insurer in a claim case – Doctrine of "Pay and Recover" – It is settled position of law if there is valid contract of insurances and there is no violation of terms and conditions on the part of the Insured, the insurer is legally bound to indemnity the insured, i.e., owner of the vehicle – The insurer, by virtue of Section 149(1) of the MV Act steps into the shoes of the judgment debtor/the insured and gets bound to pay the amount awarded to the third party – The onus to prove the breach of any terms and condition on the part of the insured is on the insurer – In the present case, it could not be proved that offending vehicle was being driven by duly licensed driver holding valid and effective license at the time of the accident – Clear finding by the learned Tribunal that the insured had violated the terms and conditions of the insurance policy and such breach of terms and conditions was fundamental contributory to the cause of the accident – The learned Tribunal committed error by not giving "pay and recover" right to the Insurance Company/appellant – Impugned judgment modified to the extent that the after paying the amount of compensation, the Insurance Co. given right to recover the same – Appeal allowed – Amount of Rs. 25,000/- already deposited directed to be adjusted against total compensation. (Paras 22, 27 to 31)
National Insurance Company Ltd Vs. Swaran Singh, (2004) 3 SCC 297; National Insurance Company Limited Vs. Laxmi Narayan Dhut, (2007) 3 SCC 700; Premkumari Vs. Prahlad Dev, (2008) 3 SCC 193; Oriental Insurance Company Ltd. Vs. Nanjappan, (2004) 13 SCC 224—Relied.
JUDGMENT :
JITENDRA KUMAR, J.
1. The present Miscellaneous Appeal has been preferred against the impugned judgment/award dated 12.08.2016, passed by learned Additional District Judge-Ist-cum-Chairman, Motor Accident Claim Tribunal, Gaya in MAC Case No. 115 of 2011 (D.J.)/ 21 of 2012, whereby learned Tribunal has directed the appellant/Insurance Company herein to pay compensation of Rs. 3,75,000/-, excluding Rs. 50,000/-, which was already paid to the claimants towards interim compensation, with interest @ 9% per annum from the date of institution of the claim petition till the payment.
2. The factual background of the case is that one Sujit Kumar, aged about 12 years, died in a road accident on G.T. Road, N.H.-2, near Kusha More at about 6:00 AM on 09.04.2011 under Madanpur Police Station, Aurangabad District, involving the motor vehicle (Tata Magic) bearing Registration No. BR-02M-5290.
3. Subsequent to the accident, Madanpur P.S. Case No. 57 of 2011 was registered against the driver of the offending vehicle for offence punishable under Sections 279 , 337, 338 and 304A of the INDIAN PENAL CODE . After investigation, charge-sheet was submitted against the FIR named accused viz., Matin Miyan @ Matiullah, son of late Riyatan @ Riyasat Hussain.
4. On the basis of the death of the deceased/Sujit Kumar on account of motor accident, claim case No. 115 of 2011 was filed by the parents of the deceased against the Insurance Company, who is the appellant herein, and one Matin Miyan @ Matiullah, son of late Riyatan @ Riyasat Hussain stating that the deceased was 12 years of age at the time of accident. It was also stated that the accident took place on account of rash and negligent driving of the driver of the offending vehicle, leading to the injury to the deceased, who died in course of treatment at N.M.C.H, Gaya. Md. Matiullah is claimed to be owner of the vehicle. It was also stated that the vehicle was registered by the insurance company vide policy bearing No. 170907/31/10/6300004899 being valid from 26.11.2010 to 25.11.2011. It is also claimed by the claimant that the deceased was a student and earning Rs. 100 per day and total compensation amount of Rs. 4,36,500/- was claimed by the claimants.
5. On notice, the Insurance Company as well as the owner of the vehicle appeared and filed their written statements, contesting the claim petition of the claimants for compensation.
6. The application of the Insurance Company under Section 170 of the MOTOR VEHICLES ACT for permission to contest the claim petition was allowed by the Tribunal vide order dated 12.09.2014.
7. On the basis of the pleadings of the parties, the following issues were framed:-
“i. Whether the claim application is maintainable?
ii. Whether the Claimants have any cause of action for the case?
iii. Whether the deceased Sujit Kumar died in a motor accident occurrence on 09.04.2011 at about 6:00 AM on G.T. Road, Kusha More due to rash and negligence driving of the driver of the Tata Magic bearing Registration No. BR-02M-5290?
iv. Whether the driver of the aforesaid Tata Magic has/had valid driving licence at the time of the accident?
v. Whether the aforesaid vehicle was insured with O.P. No. 1, National Insurance Company and is liable to pay the compensation amount, if yes, whether owner of the vehicle violated any terms and conditions of policy or not?
vi. Whether the applicants are entitled to compensation?
vii. Whether the age and occupation, income of the deceased are correct as claimed?
viii. Whether the applicant is entitled to any other relief or reliefs?”
8. During the trial, altogether three claimant witnesses were examined viz., A.W.1- Ramjee Yadav (one of the claimants), A.W.2- Chandramani Devi (also one of the claimants) and A.W.3- Naresh Yadav.
9. During the trial, five documents have been exhibited viz., Ext.1- Certified Copy of the FIR, Ext.2- Charge- sheet, Ext.3- Policy Bond of alleged vehicle, Ext.4- Photocopy of the owner book smart card and Ext. 5- Postmortem report
The insurer may exercise the right to recover compensation paid to claimants if it proves that the insured violated policy terms crucial to the cause of the accident.
The principle of pay and recover applies when an insurer is exonerated from liability due to violations of policy conditions, ensuring claimants receive compensation despite such breaches.
Insurance companies may be required to pay compensation even if the deceased was an unauthorized passenger, with the right to recover from the vehicle owner, reflecting the benevolent intent of the M....
The main legal point established in the judgment is the insurer's obligation to indemnify the compensation amount to the third party and the possibility of pay and recover in case of third party risk....
The main legal point established in the judgment is the application of the 'pay and recovery' principle in motor accident cases, allowing the Insurance Company to recover from the insured after satis....
The insurer is primarily liable to pay compensation to accident victims, with the right to recover from the vehicle owner, reinforcing the social welfare purpose of the Motor Vehicles Act.
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