Has Covid been conquered ?
– these days, people are out there on streets as if nothing had happened ! –
city roads are filled with vehicles and there is regular traffic snarls,
overcrowding and more .. .. sadly, there are accidents too arising out of automobiles
and petitions are filed before Courts [Motor Accident Claims Tribunals] by the
victims and their dependents seeking compensation. Motor Policy provides for legal compensation
.. .. Policy is a contract !
Insurance is a
contract and involves all the basic elements of any ordinary contract. Before
we read any further – the essentials of the contract between Insurance Company and Policy
holder is : there has to be an offer, acceptance and consideration and is
determined by the insuring terms, conditions, exceptions – wordings as
incorporated in the contract. The
coverage under the Poliy is determined : 1) after payment of premium 2) stated
property being destroyed or damaged 3) by perils specified 4) during the period of insurance [usually
annual] 5) Insurers shall pay the value of the property at the time of
happening of destruction .. .. in India
going by the Insurance Act provisions – ‘coverage shall commence only after
payment of premium – ie., cash before cover!” – 64VB the essential of Insurance
The foregoing could be
primary representation of Property coverage – in Motor Insurance, the subject
matter being the automobile – there is option to cover Act only (ie liability to third parties arising out use of motor vehicle in public
place) and coverage for own damage (indemnity for the vehicle) besides coverage
for driver, owner, passengers, workmen and more.
In general, all
Motor Policies are annual policies ie., coverage starts on a given date and
ends a day earlier next year at 12 O clock midnight !! – the coverage starts
from the time of payment of premium. A
few decades ago, policies used to incorporate only date and arising out of some
legal complications, Insurers started mentioning the time too (and that can
only from the payment of premium).
However, arising out of practical difficulties and procedures laid down
internally, Insures have been issuing Motor Policies with coverage commencing –
a day after receipt of premium – especially for TP Only policies and for
vehicles insured without inspection (that is a procedure / process according to
internal guidelines of Insurers and can vary !)
Sometimes every
basic assumptions too get jolted !!
- The
Supreme Court on Tuesday stayed the operation of a Jharkhand High Court's order
which allowed the claim in the case of a motor accident, that occurred a day
prior to the coverage of the insurance period, but in which the insurance
premium was paid on the very day of the accident.
The Bench of Justice
Sanjay Kishan Kaul and Justice M. M. Sundresh was hearing an appeal filed by a
Private Insurer against the Jharkhand
High Court order dismissing its appeal against the Award passed by Presiding
Officer, Motor Vehicles Accident Claims Tribunal (MVACT), Ranchi. Arising out of a road accident, the Tribunal
at Ranchi had passed an award for Rs.699200/- and deducted 30% as
contributory negligence, as such, the claimants were held to be entitled to
compensation to the tune of Rs. 4,89,440/- along with interest @ 7.5% per
annum. This award was challenged before the Jharkhand High Court on the ground
that the policy was valid from March 15, 2015, to March 14, 2016, but the
accident took place a day prior to coverage of the insurance period (on March
14, 2015). As such, in view of Section 147(3) of the Motor Vehicles Act, it was
argued, the Insurance Company was not liable to compensate or indemnify the
award.
Upholding the award of the
Tribunal, the Jharkhand High Court had observed thus: "Under the aforesaid
circumstances, since the written statement has not
been filed by the Insurance Company and the policy was signed on
14.03.2015, for an accident of evening of 14.03.2015, this Court holds that the
finding recorded the learned Tribunal does not require any interference as
premium must have been taken during the office hour of 14.03.2015 at Chennai
and the accident took place only in the evening."
As it contravenes the
intended and accepted coverage – Insurers filed an appeal against the order
and Judgment of the Jharkhand High Court, raising the plea that premium was paid on
14.3.2015; accident too occurred on the same date but Policy was to operate
only from 15.3.2015 till 14.3.2016.
Hence there was no coverage under the policy on the date on which
accident had occurred and for which petition for compensation had been
filed.
The petition for Special
Leave to Appeal came up for hearing in Supreme Court and Honble Court issued
notice and stayed the operation of impugned order. Hopefully, the contention of the insurer on
coverage would be positively accepted and Insurers exonerated of liability.
It is also interesting to
note that what ‘We (Insurers / Agents / IMDs) perceive and presume to be a simple, open and
shut case’ could provide numerous interpretations by various legal bodies –
that way it is interesting and is a lesson for all of us.
16th Sept. 2021.
SLA : 13645/2021 (Arising out of impugned final judgment and order dated 30-06-2021 in MA No. 103/2020 passed by the High Court Of Jharkhand At Ranchi)
Well posted. It is an eye opener for what can happen in a legal forum. This seems a case of a break in insurance, else, the previous insurance company could be made a respondent to the claim. Cases involving break ins, Most Insurers, these days, do issue policies from a prospective date reckoned from the time the premium is remitted. In such cases, a physical vehicle inspection is dispensed with. It would make sense for insurance companies to seek a concurrence from the prospective client of the proposed policy period. That would possibly help defend the case strongly.
ReplyDeleteIn instances of accidents happening the same day, for older vehicle, there is a lurking possibility of the insurance cover taken post the accident.