Pages

Wednesday, 1 June 2016

What is fundamental breach of policy terms entitling Insurance company to disown liabliity to pay compensation?

 It is also relevant from the rules quoted above that, on

obtaining authorisation to drive transport vehicle, the person

concerned shall be given a metallic badge showing him as a

driver as contemplated therein. In other words, a 'badge' is a

material object given to the party, who is authorised to drive a

transport vehicle, to be given while returning the licence after

effecting endorsement as to his authorisation as provided in

Rule 11 of the Kerala Rules.          This being the position,

authorisation to drive a transport vehicle is one thing; while

'badge' supplied after effecting the endorsement of authorisation

in the licence is another thing.  As such, if the person concerned

has not applied for and obtained a badge to be worn on his left


chest, as prescribed by the rules does not do so, the absence of

badge by itself cannot be said to be 'fundamental breach' and

that it could only be 'technical'. Under such circumstance, the

Insurance Company cannot disown the liability or claim the right

of recovery from the insured. But if there is no authorisation at

all, enabling the driver to drive the transport vehicle, it is a

fundamental lapse and under such circumstance, it is open for

the Insurance Company to proceed with           steps for  recovery

from the insured, who is violator of law. This is more so since, as

observed by the Apex Court in Swaran Singh's case (cited supra),

insurance is    also a contract     and the provisions have to be

strictly interpreted to give effect to the terms agreed between the

insured and the insurer.

      24. The statute/M.V Act is of course a welfare legislation,

which intends to extend       benefit/welfare   to the victims/third

parties/claimants.       A person who is committing any breach

involving an offence under Section 3(1) of the Act r/w Sec.181

of the MV Act is a person who is having no regard to the rule of

law and as such, the provision is not intended to extend any



benefit to such wrong-doer. It is settled law that, provision of

law is not liable to be interpreted in favour of a 'wrong-doer'.
IN THE HIGH COURT OF KERALA AT ERNAKULAM

                                PRESENT:

            THE HONOURABLE MR.JUSTICE P.R.RAMACHANDRA MENON
                                   &
                  THE HONOURABLE MR.JUSTICE K.HARILAL

        MONDAY, THE 9TH DAY OF NOVEMBER 2015
                       MACA.No. 1026 of 2014 ()
                 
       SHAJI
Vs
          PRADEESH, 
Citation: 2016(2) ALLM(JOURNAL)75

     The law stands declared by a Full Bench of this Court, vide

decision reported in 2015 (1) KLT 1 (National Insurance

Company Ltd. vs. Jisha K.P. And others), that mere absence

of 'badge' by driver of a transport vehicle is not sufficient to

exonerate the insurer from the liability to pay compensation to

the claimant and that absence of 'badge is not a fundamental

breach of the statutory/policy condition to enable the insurer to

have recovery from the insured, after satisfying the liability to

the claimant/third party. The question remains to be considered

is what is a 'badge' and is it the same as 'authorisation to

drive a transport vehicle' . If it is not the same, will it not

come within the purview of statutory defence under Section 149

(2) r/w. Sub-sections 4 and 5 of Section 149 of the M.V.Act,


enabling the insurer to have recovery from the insured        for

driving the transport vehicle without authorisation to drive such

vehicle ( based on the experience to be gathered at least for

'one year' as envisaged under Section 7 (1) of the M.V.Act),

which right in fact stands declared by the Apex Court as well,

as per the celebrated judgment in 2004(1) KLT 781 (SC)

(National Insurance Company Ltd. vs. Swaran Singh). It

also remains a matter to be considered whether some of the

observations made by the Full Bench in 2015(1) KLT 1 (cited

supra) as to the meaning of the term "duly licensed" are

correct, in view of the subsequent Larger Bench decision of this

Court explaining the meaning of the said term in 2015 (1)KLT

682 (Oriental Insurance Company Limited vs. Poulose).

     2. In understanding the findings of the Supreme Court in

Swaran Singh's case, as summed up in paragraph 102 of the

judgment, it is essential to have reference to the actual point

mooted by the appellants before the Apex Court, as contained in

paragraph 11 of the judgment and the rival contentions of the

respondents    in paragraph 12, as to whether     the  Insurance


Company could 'avoid' the liability in cases of such violation

(instead of the settled principle of pay and recover), thus leading

to the findings in paragraphs 62, 63 and 64 that the Insurance

Company cannot absolve its liability; that each case will have to

be considered and decided by the facts in each case , (since no

factual position was considered by the Apex Court but for the

question of law); further holding that it would be the liability of

the insurer to satisfy the decree at the first instance with liberty

to proceed under sub section (4) and (5) of Section 149.

     3. The M.V.Act, of course, is a 'beneficial statute' requiring

liberal interpretation as observed in paragraph 65 of the

judgment in Swaran Singh's case (cited supra). But is it not for

the benefit of the victim , or is it for extending unlawful gain to

the 'wrong doer/owner or driver' who violates the law ?. Is it still

not a matter of mistake of fact made by the Full Bench in 2015

(1) KLT 1 (cited supra) while observing in 'paragraph 25' that

the words "duly licensed" under Section 149(2)(a)(ii) of the M.V.

Act has been used in' Past Tense'; (which in fact has been used

in the Present Perfect Tense)?. Since       a number of decisions


have already been rendered both ways round, it still requires

clarity in understanding the provision; particularly as to whether

'badge' is same as 'authorisation' to drive transport vehicle; more

so when the term 'badge' is nowhere defined either under the

Act or under the Central/State Rules.

      4. Another important question to be considered is, if any

contrary/limited eligibility is stipulated under the Kerala Rules

(Rule    6) unlike the Central Rules, as referred to by the Full

Bench in    2015 (1) KLT 1(cited supra), can any rules framed

by the Central     or any State override /overreach the clear

provisions of the 'Act'- insisting to have specific authorisation to

drive a 'transport vehicle' after obtaining the minimum

experience of one year from the date        of obtaining the basic

licence for driving, by virtue of the mandate under Section 7

and 10 of the M.V.Act, read with Section 3 (1)of the same

enactment?.

      5. In so far as this case is concerned, the grievance of the

appellant/ insured/owner-cum-driver of the transport vehicle is in

respect of the right of recovery given to the insurer, for


realisation of the amount after satisfying the liability to third

party/passenger, for violation of the statutory/policy conditions

in causing the vehicle to be driven by the appellant /owner-cum-

driver himself without any authorisation to drive the transport

vehicle .

      6. Before proceeding with the analysis on the legal aspects

mentioned above, it is necessary to understand the law, as

understood and explained by the Apex Court in the celebrated

decision in Swaran Singh's case (cited supra ). This is because,

the said decision is seen quoted in several judgments with mere

reference to     the 'conclusions in paragraph 102'. Absence of

driving licence to drive a particular type of vehicle    and the

resultant   violation/infringement    of   the    statutory/policy

conditions  was the subject matter. The Insurance companies

contended that, once there was infringement of the statutory

provisions and the defence of the insurer was established, the

Tribunal was bound to discharge the insurer and fix the liability

only on the owner or the driver of the vehicle.       It was also

asserted by the Insurers that once such defence was established,



the Tribunal or the Court cannot direct the Insurance Company

to pay the award amount to the claimant and seek recover the

same from the owner /driver of the vehicle . This is discernible

from the paragraph 11 of the said verdict .

      7. The contentions raised on behalf of the respondents

who were third parties/claimants was that, two different

expressions were used in the statute by the Parliament

( 'effective driving licence' under Section 3(1) and 'duly licensed'

under Section 149(2)], which suggested that, once a driver was

licensed, he would continue to be duly licensed for the purpose

of Chapter II of the Act, unless he was disqualified and that mere

non-renewal of the licence would not come within the scope of

Section 149 of the Act to confer any statutory defence to the

insurer, which will pop up only in the event of lapsing 5 years

from the date of expiry of licence. It was contended that the

Insurance Company, under no circumstance,            except under

Section 149(2)(b) (involving fraud in obtaining policy) would be

able to avoid the claim of the third parties. It was         further

asserted that by virtue of Section 149(1), the insurer should pay


the due amount first to the third parties and they can recover the

same if any of the grounds was established under Section 149

(2) of the Act and also that the breach on the part of the insured

must be wilful, being of fundamental in character, to avoid the

liability. This is discernible from paragraph 12 of the verdict in

Swaran Singh's case (cited supra). .

       8. Referring to the plight of innocent persons, who virtually

came to be thrown to streets, who are either the victims or the

dependents of the victims of mounting road accidents scaling new

heights, [as noted by the Apex Court in Sohan Lal Passi Vs. P.

Sesh Reddy [1996 ACJ 1044 (SC)], the Apex Court observed

in 'paragraph 15' onwards, as to the conscious attempt made by

the Parliament to incorporate beneficial provisions to protect the

interest of the claimants and observed in 'paragraph 19', that in

the batch of cases dealt with by the Apex Court, the issue was

mostly concerned with the 3rd party right under the policy and

that any condition in the policy, whereby right of the 3rd party is

taken away, would be void.

       9. Referring to the law declared by a Constitution Bench of


the Supreme Court in New India Assurance Co. Ltd. Vs. C.M.

Jaya [2002 (1) KLT 596 (SC)], it was observed that it was

open for the parties to enter into a contract for wider coverage,

than the statutory extent, and in the absence of such a term in

the policy, the limited statutory liability cannot be expanded to

make it unlimited or higher and if it is so done, it would amount

to rewriting the Statute or the contract of insurance, which is not

permissible.

     10.   The question considered was whether the Insurance

Company can avoid its liability, if a statutory defence is raised

under Section 149 (2) of the Act, as observed in paragraph 33,

which reads as follows :

           "33. The question as to whether an insurer can

           avoid its liability in the event it raises a defence as

           envisaged in sub-s.(2) of S.149 of the Act

           corresponding to sub-s.(2) of S.96 of the Motor

           Vehicles Act, 1939 had been the subject-matter of

           decisions in a large number of cases."

The difference in the terminology used in section 3 (where it is


"effective licence") and under Section 149 (2) (where it is "duly

licensed") was noted in paragraph 36 of the judgment and

observed in paragraph 38 that the words "effective license" used

in Section 3 cannot be imported for sub section 2 of Section 149,

where it is for the benefit of a '3rd party', as observed in the

previous paragraphs.

     11. Referring to the mandate of Sections 14 and 15 of the

M.V. Act, it was observed by the Apex Court, in paragraphs 39

and 40 of the judgment, that even after the expiry of the driving

licence, it will remain valid for a period of '30 days' after its

expiry.   To make it clear, once it is renewed within 30 days, the

licence will continue without break and there will not be any

violation of the statutory/policy condition. This however is not in

acceptance of the proposition/theory mooted by the respondents:

'once a license, always a license', which has not been

accepted anywhere in the judgment.        This becomes more clear

from paragraph 44, where the Apex Court holds that under the

Motor Vehicles Act, holding of a valid licence is one of the

conditions of contract of insurance and driving of the vehicle



without a valid licence is an offence. The Apex Court observed in

paragraph 41 that, if a person has been given a licence for a

particular type of vehicle, as specified therein, he can       drive

another type of vehicle of the same category, as in the case of a

person who has been granted license to drive the light motor

vehicle, who can drive either a 'car' or a 'jeep' and it is not

necessary that he must have a driving license of both the 'jeep'

and 'car' separately; it being of the 'same category'.       It was

held in the subsequent paragraph that the Insurance Company,

in order to   'avoid' the liability, is required to establish the

breach on the part of the insured, apart from the fact that the

insured had used or caused or permitted the vehicle to be used

in breach of the Act.

     12.     From the above, it is clear that under certain

circumstances, the Insurance Company may be justified in

seeking for absolving the insurer, but the same may not

necessarily hold good in the case of a 3rd party.        Obviously,

absolving the insurer from the liability is different from satisfying

the liability towards the 3rd party and thereafter to get it


recovered from the insured, for breach of the statutory/policy

conditions.   This is more so, in view of the observation made by

the Apex Court, in paragraph 49, that a contract of insurance

also falls within realm of contract and hence like any other

contract intention of the party must be gathered from the

expression used therein, also adding, in paragraph 51, [with

reference to the decision rendered in Oriental Insurance Co.

Ltd. Vs. Sony Cheriyan [1999 CCJ 1333 (SC)], that terms of

the agreement have to be strictly construed to determine the

extent of liability of the insurer.

     13. What is a 'technical breach' and what is a 'fundamental

breach' is explained, with reference to Sections 10 and 3 of the

Act, dealing with the form and contents of the license and

necessity to hold an effective driving    licence, as discussed in

Paragraphs 81 and 82 of the verdict in Swaran Singh's

case (cited supra).

     14. Incidentally, a question arose as to whether the benefit

could be extended to a 3rd party in a case where the vehicle was

being driven by a person, who was having only 'learners


license', more so when Section 2 (10) of the Act defining the

term 'driving license' specifically excludes the learner's license.

The Apex Court held with reference to Section 4 (3), 7 (2), 10 (2)

and Section 14, that a learner's license' is also a license within

the meaning of the provisions of the Act and it cannot, therefore

be said that a vehicle, when being driven by the learner subject

to the condition mentioned in the license he would not be a

person, who is not duly licensed, conferring any right to the

insurer to avoid the claim of 3rd party (paragraph 86). This by

itself makes it clear that such extended application will be there,

only when the learner is driving the vehicle, subject to the

conditions mentioned in the licence i.e. in the course of receiving

the instructions on learning (with duly licensed person on the

pillion- if it is a two wheeler and with a licensed person sitting on

his side- it it is a four wheeler or such other type of vehicle, as

the case may be).

      15. Based on the above discussions, the Apex Court held

that, it is for the Insurance Company to satisfy the decree at the

first instance and to recover the Award amount from the owner


or driver thereafter, was the law holding the field for a long time

and that, apart the doctrine of 'stare decisis'        persuaded the

Court not to deviate from such principles. The findings in

'paragraphs 96 and 97' are reproduced below for easy reference.

           "96. It is, therefore, evident from the discussions

           made   hereinbefore     that  the  liability of the

           insurance company to satisfy the decree at the first

           instance and to recover the awarded amount from

           the owner or driver thereof has been holding the

           field for a long time.(emphasis supplied)

           97. Apart from the reasons stated hereinbefore

           the doctrine of stare decisis persuades us not to

           deviate from the said principle."

It was thereafter that the Apex Court made clear that, it was for

the Tribunal to consider each case separately to ascertain

whether any breach was involved in terms of Section 149 (2) (a)

(ii) of the Act and whether the Insurance Company will be

entitled to realize the Award amount from the owner or driver as

the case may be.      The crux of the above discussions was given

as summary of the findings, in paragraph 102 of the judgment as


mentioned already.

     16.   From the above, it is crystal clear that the point

considered by the Apex Court in Swaran Singh's case (cited

supra) was in relation to the contentions raised by the Insurance

Company that they should be exonerated from the liability in

toto, when there was violation of statutory/policy condition,

instead of directing them to satisfy the liability initially and to

have it recovered later from the insured, which plea was rejected,

also adding that the liability will have to be satisfied in respect of

the 3rd party (also in respect of a person who was driving the

vehicle   with   the learners licence, subject to the condition

mentioned in the said license).        In other words, the above

decision does not hold it anywhere that the Insurance Company

cannot recover the amount from the insured, if the violation is

established or that "once a licence, always a licence" was the

Rule.      The point involved in the present case as to the

absence of authorization to drive a       particular type of vehicle

(transport vehicle) has to be considered and analysed in the light

of the declaration of law as aforesaid.


     17.    Now comes to the question as to the absence of

'badge'.   If it were mere absence of badge, it could only be

technical, which would confer no right of recovery upon the

insurer, as held by the Full Bench of this Court in 2015 (1) KLT

1 (cited supra). But if it is an absence of specific authorization

to drive a 'transport vehicle' (which can be acquired only after

obtaining one year's experience as stipulated under Section 7 of

the Act), the position may be different.

     18. The term 'badge' is no where defined either under the

Act or under the State/Central Rules. But reference can be seen

from Rules 11, 12 and 13 of the Kerala Motor Vehicles Rules,

1989.; which are extracted below :

                  "11.   Issue of authorisation to drive transport

           vehicles:-    The Licensing Authority        granting an

           authorisation shall,-

                  (a)  issue a driver's badge to the applicant on

           payment of the prescribed fee, endorse upon the driving

           licence accordingly and return the driving licence to the

           holder thereof along with the badge issued; and

                  (b) send intimation in form 'LTI' to the Authority

           by which the driving licence was issued if it is not the



         authority which issued the licence.

         12. Driver's Badge and its fee:- (i) The metal badge

         issued to a driver on authorising him to drive transport

         vehicle shall be in the form illustrated     in the First

         Schedule to these rules and inscribed      with the word

         "Driver" and identification number and the name of the

         district in which it was issued.

                 (ii) A driver shall not hold more than one such

         badge.

                 (iii) The fee payable by an applicant for the issue

         of a badge shall be fifty rupees.

         Provided that the fee payable by an applicant authorised

         to drive only a motorised cycle-richshaw for the issue of

         badge shall be five rupees.

                 13. Driver's badge issued under the old rules-

         Validity of.- A driver's badge in force immediately before

         the commencement of these rules shall, after such

         commencement be deemed to be effective        as if issued

         under these rules.

    19. An issue came up for consideration before the Apex

Court in National Insurance Co. Ltd. vs. Annappa Irappa

Nesaria ((2008) 3 SCC 464=AIR 2008 SC 1418) as to

whether a person who was holding a licence to drive a light

motor vehicle could drive light goods vehicle on 09.12.1999.

It was observed by the Bench that the amendment of the



provisions     under the Central Motor Vehicle Rules, 1989,

particularly clause (e) to (h) of Form 4, in which application for

granting a driving licence was to be filed, came to be deleted and

after the term 'light motor vehicle' under clause (d), a separate

class was carved out as     'transport vehicle'   under clause (e)

(replacing the earlier entries of medium goods vehicle, medium

passenger    vehicle, heavy goods vehicle and heavy passenger

vehicle. ). Reference was also made to Section 2(21) of the MV

Act , which defines the term 'Light Motor Vehicle', which included

a 'transport vehicle' as well , if unladen weight did not exceed

7500 Kgm.      But a distinction was carved      out to 'transport

vehicle' in differentiation from light motor vehicle under clause

(d). It was contended before the Supreme Court that in the

said circumstance, the licence to drive a light motor vehicle

was not enough to drive a transport vehicle . But the Apex

Court observed that the clause (e) referring to transport vehicle

was introduced only by virtue of amendment of the rules/Form

w.e.f. 28.03.2001 and as such, the term 'light motor vehicle'

defined under Section 2(21), as then existed, included a light


transport vehicle as well. It was in the said circumstance, that

the challenge raised was repelled, holding that the driver was

duly licensed as on the date of the accident i.e., 09.12.1999,

i.e. prior to the date of the amendment i.e., w.e.f. 28.03.2001.

      20. A Division Bench of this Court in 2007(4) KHC 385

(P.T. Moidu vs. Oriental        Insurance Co.Ltd. and others)

observed that absence of valid badge to drive a commercial

vehicle will attract penal consequences, but, it cannot be a

ground to deny statutory liability to third party compensation.

The right of recovery      reserved in favour of the   insurance

Company by the Tribunal after satisfying the liability towards

claimant     was intercepted by the Bench; also making an

observation that, at the time of the accident, according to the

appellant/insured, though the vehicle involved was having a taxi

permit, it was actually being used by the owner for travel of

his family (private). No reference was made to Section 3, 7

and 10 of the relevant Act or Rule 6 of the Kerala Rules; but for

placing reliance on the decision rendered by the Full Bench in

Oriental Insurance Co. Ltd. vs. Paulose (2004(1) KLT 8 )so


as to arrive at an inference as to what        duly licensed was

meant. But it remains a fact that the above decision rendered

by the Full Bench in 2004(1) KLT 8 (cited supra) has already

been overruled by a Larger Bench of this Court in 2015(1) KLT

682 (LB) (cited supra).

     21. The Act is a beneficial statute and hence it has to be

liberally construed for the benefit of the victim, but not for the

benefit of 'wrong doer'; more so, in view of alarming increase in

the number of road traffic accidents because of the reckless

use/driving of transport vehicles, without any regard to the lives

and limbs of the general public.     As mentioned already, mere

absence of 'badge' cannot be held as violation or involvement of

breach of statutory/policy conditions, providing a ground of

defence under Section 149 (2) of the M.V.Act. But authorization

to drive the vehicle of a particular class, as stipulated under the

Act has necessarily to be there. This is more so, since a person

on obtaining a learner's licence cannot claim authorisation to

drive a transport vehicle as a matter of right on the same day

and he has necessarily to gather      experience of one year     to


obtain such authorisation as discernible from Sections 7 and

10 of the Act and as per Rule 6 of the Kerala Motor Vehicles

Rules, 1989.

      22. Particulars of the licence, the procedure ,the contents

and such other aspects come strictly within the      rule making

power of the Central Government by virtue of Section 27 of the

Act. The rule making power of the State Government is only with

reference to the matters enunciated under Section 28 and as

such, the State Government cannot transgress into the powers

and authorities of the Central Government in this regard.   Even

in the case of Kerala Rules, Rule 9 stipulates that a person

who is applying    to obtain authorization    to drive transport

vehicle,  subject to the proviso of having gathered one

year's experience , shall be issued a summons to appear for

an oral test to ascertain the factual position before granting

the authorisation to drive the transport vehicle. The rule

further stipulates that, if the authority finds that the person

concerned was actually not having any experience for the past

one year immediately preceding the application, he can be asked



to undergo a fresh test to have granted the licence. This being

the position, 'test' is mandatory whether it be 'oral'          or

'otherwise'; the sum and substance of which shows that it is

not automatic. The scheme of the statute is to safeguard the

rights and interests of the general public, particularly the lives

and limbs of the passengers or the persons who are proceeding

along the road.

     23. It is also relevant from the rules quoted above that, on

obtaining authorisation to drive transport vehicle, the person

concerned shall be given a metallic badge showing him as a

driver as contemplated therein. In other words, a 'badge' is a

material object given to the party, who is authorised to drive a

transport vehicle, to be given while returning the licence after

effecting endorsement as to his authorisation as provided in

Rule 11 of the Kerala Rules.          This being the position,

authorisation to drive a transport vehicle is one thing; while

'badge' supplied after effecting the endorsement of authorisation

in the licence is another thing.  As such, if the person concerned

has not applied for and obtained a badge to be worn on his left


chest, as prescribed by the rules does not do so, the absence of

badge by itself cannot be said to be 'fundamental breach' and

that it could only be 'technical'. Under such circumstance, the

Insurance Company cannot disown the liability or claim the right

of recovery from the insured. But if there is no authorisation at

all, enabling the driver to drive the transport vehicle, it is a

fundamental lapse and under such circumstance, it is open for

the Insurance Company to proceed with           steps for  recovery

from the insured, who is violator of law. This is more so since, as

observed by the Apex Court in Swaran Singh's case (cited supra),

insurance is    also a contract     and the provisions have to be

strictly interpreted to give effect to the terms agreed between the

insured and the insurer.

      24. The statute/M.V Act is of course a welfare legislation,

which intends to extend       benefit/welfare   to the victims/third

parties/claimants.       A person who is committing any breach

involving an offence under Section 3(1) of the Act r/w Sec.181

of the MV Act is a person who is having no regard to the rule of

law and as such, the provision is not intended to extend any



benefit to such wrong-doer. It is settled law that, provision of

law is not liable to be interpreted in favour of a 'wrong-doer'.

      25.   In the above circumstance, we respectfully disagree

with the view expressed by the learned Judges of the Full Bench

in 2015(1) KLT 1 (cited supra).

      The Registry is directed     to place the matter before the

Hon'ble Chief Justice, to cause the matter to be considered by

the Bench of appropriate strength, to resolve the issue once and

for all.




                                  P.R. RAMACHANDRA MENON,
                                               JUDGE




                                            K. HARILAL
                                              JUDGE



No comments:

Post a Comment