Tuesday, 14 January 2025

Supreme Court: Coverage for the purpose of Motor accident claim petition under Insurance policy would begin from the day the money (i.e. premium) was received by the Insurance Company

Another aspect in need of consideration is as to whether the liability of the Insurance Company under the insurance certificate/policy granted by it would cover the incident. This is in reference to the question as to the date and time from when the concerned vehicle would be deemed to be covered by the policy. In the present case, the incident occurred on 11.04.2017 at 14:15 hrs, whereas the insurance policy discloses that insurance was obtained at 15:54 hrs on 11.04.2017. In this regard, on facts, the MACT has found that the premium was paid/given prior to the accident and it was the internal procedure, due to which the policy was issued the next day and, thus, coverage under the policy would begin from the day the money (i.e. premium) was received by the Insurance Company. {Para 11}

REPORTABLE

IN THE SUPREME COURT OF INDIA

CIVIL APPELLATE JURISDICTION

CIVIL APPEAL NOs. 15016-15017 OF 2024

NATIONAL INSURANCE COMPANY LTD. Vs  MAYA DEVI AND OTHERS 

Author: AHSANUDDIN AMANULLAH, J.

Citation:  2024 INSC 1050.

Dated: SEPTEMBER 02, 2024.

 Leave granted.

FACTS:

2. These appeals arise from the common Final Judgment and Order

dated 05.10.2018 rendered by a learned Single Judge of the High Court

of Punjab and Haryana at Chandigarh in F.A.O. Nos.2921/2018 (O&M)

and 2922/2018 (O&M) whereby, while dismissing the appeals preferred

by the Petitioner-Insurance Company, the High Court upheld the

compensation awarded to the claimants i.e., Respondents No.1 and 2

herein vide Award dated 01.02.2018 passed by the Motor Accidents

Claim Tribunal at Gurdaspur, Punjab (hereinafter referred to as the

‘MACT’) in the claim petitions1

 filed by the Respondents No.1 and 2. The

MACT had awarded compensation to the tune of Rs.67,50,000/- and

Rs.8,70,000/- with interest @9% per annum to the Respondent No.1,

being the mother of Sh. Om Prakash and mother-in-law of Smt. Asha

Rani, and Respondent No.2, being the daughter of Sh. Om Prakash and

Smt. Asha Rani, who expired in an unfortunate road accident on

11.04.2017. The MACT assessed and quantified the compensation as

under:

1

 MACT Cases No.09/2017 and 10/2017.

3

MACT Case No.09/2017

(On account of

Sh. Om Prakash’s

death)

No.10/2017

(On account of

Smt. Asha Rani’s

death)

Age of

Deceased

>45 y/o 41-45 y/o

Occupation of

Deceased

Havaldar in the

Indian Army and

was doing

agriculture work.

Homemaker &

used to do

stitching and

tailoring.

Income of

Deceased

Rs.46,129/- p.m.2 Rs. 5,000/- p.m.

Future

Prospects

30% Nil

Deductions

towards

Personal

Expenses

1/3rd Nil

Multiplier 14 14

Loss of

Dependency

Rs.67,20,000/- Rs.8,40,000/-

Loss of Love

and Affection

Rs.15,000/- Rs.15,000/-

Funeral

Expenses

Rs.15,000/- Rs.15,000/-

Total

Compensation

Awarded

Rs.67,50,000/-

R1/MotherRs.17,50,000/-

R2/DaughterRs.50,00,000/-

Rs.8,70,000/-

R1/MotherRs.70,000/-

R2/DaughterRs.8,00,000/-

2 Abbreviation for per mensem/per month.

4

3. The MACT held Respondent No.3, Respondent No.4 and the

Petitioner, being driver, owner and insurer, respectively, as jointly and

severally liable to pay the awarded compensation to the claimants. The

MACT specifically observed that the Petitioner-Insurance Company

could not avoid its liability to indemnify Respondent No.4, owner of

tractor bearing registration No.PB-06-Q-6846 and thus, held it liable to

pay compensation to the claimants.

4. The High Court, while considering the appeals preferred by the

Petitioner-Insurance Company and in view of the position on record,

particularly the evidence of the claimants and Ex. R-5, the proposal

form and Ex. R-6, the insurance policy, having gone unrebutted,

concluded that there was no reason to disbelieve the findings recorded

by the MACT after appreciation of evidence. It upheld the MACT’s

Award.

5. Aggrieved by the concurrent findings of the High Court and the

MACT, the Appellant (hereinafter referred to as the ‘Insurance

Company’) is before us.

5

SUBMISSIONS, ANALYSIS, REASONING AND CONCLUSION:

6. Having heard and considered the submissions advanced by

learned counsel for the parties and the facts and circumstances of the

case, we find that the present petitions are misconceived.

7. First and foremost, the basic contention put forth by the Insurance

Company is that the vehicle which was insured with it, was not involved

in the accident and some other vehicle was mentioned in the initial

Written Statement filed before the MACT. On this point, there is a

detailed discussion in the Award of the MACT itself which explains that

various witnesses have stated that it was the vehicle as described in

the complaint which was involved in the accident and further, that one

witness produced by the Insurance Company had only raised some

doubt with regard to the vehicle as claimed by the complainants, but not

with the make of the vehicle involved in the accident as the difference in

number was that instead of the vehicle that the complainants claimed

bore Registration No.PB-06-Q-6846, it was actually a vehicle bearing

Registration No.PB-06-Q-6847. But even this witness has stated that

both vehicles were there and he was not sure as to which vehicle was

actually involved in the incident. On scrutiny, we are of the view that this

6

would not help the Insurance Company’s case or go against the

respondents-claimants.

8. Moreover, the MACT has rightly observed that eventually in crossexamination, no suggestion was given to any of the witnesses

produced by the complainants that the vehicle as claimed by the

complainants was not the vehicle, which was involved in the accident

and that it was some other vehicle.

9. One further aspect which this Court cannot shut its eyes to is the

fact that post-investigation, the Final Report under Section 173 of the

Code of Criminal Procedure, 1973 also stated that the vehicle as

claimed by the complainants was the vehicle involved in the accident.

Therefore, the onus was on the Insurance Company or Respondents

No.3 and 4 to get the same disproved by either calling the Investigating

Officer as a witness or by any other means to establish a factual

position to the contrary. Admittedly, this was not done.

10. The Court, through  Para 110(iv) of Swaran Singh (supra). learned Judges, categorically held in

National Insurance Co. Ltd. v Swaran Singh, (2004) 3 SCC 297, that

‘Insurance companies, however, with a view to avoid their liability must not only establish the available defence(s) raised in the said

proceedings but must also establish “breach” on the part of the owner of the vehicle; the burden of proof wherefor would be on them.’


 It was also stated that ‘The Court cannot lay down any criteria as to how the said burden would be discharged, inasmuch as the same would depend on the facts and circumstances of each case’. Para 110(v) of Swaran Singh (supra).

 In the above analysis, the Insurance Company cannot be said to have established its defence.

11. Another aspect in need of consideration is as to whether the liability of the Insurance Company under the insurance certificate/policy granted by it would cover the incident. This is in reference to the question as to the date and time from when the concerned vehicle would be deemed to be covered by the policy. In the present case, the incident occurred on 11.04.2017 at 14:15 hrs, whereas the insurance policy discloses that insurance was obtained at 15:54 hrs on 11.04.2017. In this regard, on facts, the MACT has found that the premium was paid/given prior to the accident and it was the internal procedure, due to which the policy was issued the next day and, thus, coverage under the policy would begin from the day the money (i.e. premium) was received by the Insurance Company.

12. In Oriental Insurance Co. Ltd. v Dharam Chand, (2010) 15

SCC 141, the Court noted ‘When this appeal was taken up, the counsel

for the Insurance Company very fairly stated that since the cheque for

the premium amount was received by the Company at 4.00 p.m. on 7-

5-1998, the insurance must be deemed to have commenced from that

time and four hours later when the vehicle met with the accident, the

owner must be deemed to have been covered by the insurance policy.

We appreciate the fairness shown by the counsel for the Insurance

Company.’

 Clearly, Dharam Chand (supra) did not entail any

examination of the law due to the fair stand taken by the insurer therein.

However, herein we have examined the ‘Certificate of Insurance cum

Policy Schedule’ which states ‘PERIOD OF INSURANCE From:

11/04/2017 To: midnight of 10/04/2018’. It also records ‘Date of

commencement of risk : 11/04/2017’. In this factual backdrop, we have

no hesitation to hold that the vehicle was insured when the accident

took place. As such, currently, we need not dwell on the law, except to

5 Para 3 of Dharam Chand (supra).

reiterate the view in National Insurance Co. Ltd. v Sobina Iakai

(Smt), (2007) SCC 786 [considering the position, and change, in law

enunciated in New India Assurance Co. Ltd. v Ram Dayal, (1990) 2

SCC 680; National Insurance Co. Ltd. v Jikubhai Nathuji Dabhi,

(1997) 1 SCC 66; Oriental Insurance Co. Ltd. v Sunita Rathi, (1998)

1 SCC 365; New India Assurance Co. v Bhagwati Devi, (1998) 6

SCC 354; New India Assurance Co. Ltd. v Sita Bai, (1999) 7 SCC

575; National Insurance Co. Ltd. v Chinto Devi, (2000) 7 SCC 50

and J Kalaivani v K Sivashankar, JT (2001) 10 SC 396] that ‘…the

effectiveness of the insurance policy would start from the time and date specifically incorporated in the policy and not from an earlier point of time.’


13. The Insurance Company has not been able to prove that it had

not received the money/premium prior to the accident and the only

stand taken was that the insurance was fraudulently obtained. The law is very clear – fraud vitiates everything, but merely alleging fraud does not amount to proving it. For, it has to be proven in accordance with law by adducing evidence etcetera, the onus of which would also lie on the

6 Para 19 of Sobina Iakai (Smt) (supra).

10

person alleging fraud. Long ago, 5 learned Judges in Bishnudeo

Narain v Seogeni Rai, 1951 SCR 458, had laid down:

‘… Now if there is one rule which is better established

than any other, it is that in cases of fraud, undue influence

and coercion, the parties pleading it must set forth full

particulars and the case can only be decided on the

particulars as laid. There can be no departure from them

in evidence. General allegations are insufficient even to

amount to an averment of fraud of which any court ought

to take notice however strong the language in which they

are couched may be, and the same applies to undue

influence and coercion. See Order 6 Rule 4, Civil

Procedure Code.’

(emphasis supplied)

14. Of much more recent vintage, is the decision in Bhaurao Dagdu

Paralkar v State of Maharashtra, (2005) 7 SCC 605, wherein it was

explained as under:

‘9. By “fraud” is meant an intention to deceive; whether it

is from any expectation of advantage to the party himself

or from ill will towards the other is immaterial. The

expression “fraud” involves two elements, deceit and

injury to the person deceived. Injury is something other

than economic loss, that is, deprivation of property,

whether movable or immovable or of money and it will

include any harm whatever caused to any person in body,

mind, reputation or such others. In short, it is a noneconomic or non-pecuniary loss. A benefit or advantage

to the deceiver, will almost always cause loss or detriment

to the deceived. Even in those rare cases where there is

a benefit or advantage to the deceiver, but no

11

corresponding loss to the deceived, the second condition

is satisfied. [See Vimla (Dr.) v. Delhi Admn. [1963 Supp

(2) SCR 585: AIR 1963 SC 1572] and Indian

Bank v. Satyam Fibres (India) (P) Ltd. [(1996) 5 SCC 550]

]

10. A “fraud” is an act of deliberate deception with the

design of securing something by taking unfair advantage

of another. It is a deception in order to gain by another's

loss. It is a cheating intended to get an advantage.

(See S.P. Chengalvaraya Naidu v. Jagannath [(1994) 1

SCC 1].)

11. “Fraud” as is well known vitiates every solemn act.

Fraud and justice never dwell together. Fraud is a conduct

either by letters or words, which induces the other person

or authority to take a definite determinative stand as a

response to the conduct of the former either by words or

letters. It is also well settled that misrepresentation itself

amounts to fraud. Indeed, innocent misrepresentation

may also give reason to claim relief against fraud. A

fraudulent misrepresentation is called deceit and consists

in leading a man into damage by wilfully or recklessly

causing him to believe and act on falsehood. It is a fraud

in law if a party makes representations, which he knows

to be false, and injury ensues therefrom although the

motive from which the representations proceeded may

not have been bad. An act of fraud on court is always

viewed seriously. A collusion or conspiracy with a view to

deprive the rights of others in relation to a property would

render the transaction void ab initio. Fraud and deception

are synonymous. Although in a given case a deception

may not amount to fraud, fraud is anathema to all

equitable principles and any affair tainted with fraud

cannot be perpetuated or saved by the application of any

equitable doctrine including res judicata. (See Ram

Chandra Singh v. Savitri Devi [(2003) 8 SCC 319] .)


12. In Shrisht Dhawan v. Shaw Bros. [(1992) 1 SCC 534],

it was observed as follows: (SCC p. 553, para 20)

“Fraud” and collusion vitiate even the most solemn

proceedings in any civilised system of jurisprudence. It is

a concept descriptive of human conduct. Michael Levi

likens a fraudster to Milton's sorcerer, Camus, who

exulted in his ability to, “wing me into the easy-hearted

man and trap him into snares”. It has been defined as an

act of trickery or deceit. In Webster's Third New

International Dictionary “fraud” in equity has been defined

as an act or omission to act or concealment by which one

person obtains an advantage against conscience over

another or which equity or public policy forbids as being

prejudicial to another. In Black's Law Dictionary, “fraud” is

defined as an intentional perversion of truth for the

purpose of inducing another in reliance upon it to part with

some valuable thing belonging to him or surrender a legal

right; a false representation of a matter of fact whether by

words or by conduct, by false or misleading allegations, or

by concealment of that which should have been

disclosed, which deceives and is intended to deceive

another so that he shall act upon it to his legal injury.

In Concise Oxford Dictionary, it has been defined as

criminal deception, use of false representation to gain

unjust advantage; dishonest artifice or trick. According

to Halsbury's Laws of England, a representation is

deemed to have been false, and therefore a

misrepresentation, if it was at the material date false in

substance and in fact. Section 17 of the Contract Act,

1872 defines “fraud” as an act committed by a party to a

contract with intent to deceive another. From the

dictionary meaning or even otherwise fraud arises out of

the deliberate active role of the representator about a fact,

which he knows to be untrue yet he succeeds in

misleading the representee by making him believe it to be

true. The representation to become fraudulent must be of

fact with knowledge that it was false. In a leading English

case i.e. Derry v. Peek [(1886-90) All ER Rep 1: (1889) 14

13

AC 337: 61 Lt 265 (HL)] what constitutes “fraud” was

described thus : (All ER p. 22 B-C)

“Fraud is proved when it is shown that a false

representation has been made (i) knowingly, or (ii) without

belief in its truth, or (iii) recklessly, careless whether it be

true or false.”

But “fraud” in public law is not the same as “fraud” in

private law. Nor can the ingredients, which establish

“fraud” in commercial transaction, be of assistance in

determining fraud in administrative law. It has been aptly

observed by Lord Bridge in Khawaja v. Secy. of State for

Home Deptt. [(1983) 1 All ER 765: 1984 AC 74 : (1982) 1

WLR 948 (HL)] that it is dangerous to introduce maxims

of common law as to the effect of fraud while determining

fraud in relation of statutory law. “Fraud” in relation to the

statute must be a colourable transaction to evade the

provisions of a statute.

“‘If a statute has been passed for some one particular

purpose, a court of law will not countenance any attempt

which may be made to extend the operation of the Act to

something else which is quite foreign to its object and

beyond its scope.’ Present day concept of fraud on statute

has veered round abuse of power or mala fide exercise of

power. It may arise due to overstepping the limits of

power or defeating the provision of statute by adopting

subterfuge or the power may be exercised for extraneous

or irrelevant considerations. The colour of fraud in public

law or administrative law, as it is developing, is assuming

different shades. It arises from a deception committed by

disclosure of incorrect facts knowingly and deliberately to

invoke exercise of power and procure an order from an

authority or tribunal. It must result in exercise of

jurisdiction which otherwise would not have been

exercised. That is misrepresentation must be in relation to

the conditions provided in a section on existence or nonexistence of which power can be exercised. But nondisclosure of a fact not required by a statute to be

disclosed may not amount to fraud. Even in commercial

transactions non-disclosure of every fact does not vitiate

the agreement. ‘In a contract every person must look for

himself and ensure that he acquires the information

necessary to avoid bad bargain.’ In public law the duty is

not to deceive.” (See Shrisht Dhawan v. Shaw

Bros. [(1992) 1 SCC 534], SCC p. 554, para 20.)

13. This aspect of the matter has been considered

recently by this Court in Roshan Deen v. Preeti

Lal [(2002) 1 SCC 100 : 2002 SCC (L&S) 97] , Ram

Preeti Yadav v. U.P. Board of High School and

Intermediate Education [(2003) 8 SCC 311] , Ram

Chandra Singh case [(2003) 8 SCC 319] and Ashok

Leyland Ltd. v. State of T.N. [(2004) 3 SCC 1]

14. Suppression of a material document would also

amount to a fraud on the court.

(See Gowrishankar v. Joshi Amba Shankar Family

Trust [(1996) 3 SCC 310] and S.P. Chengalvaraya Naidu

case [(1994) 1 SCC 1].)

15. “Fraud” is a conduct either by letter or words, which

induces the other person or authority to take a definite

determinative stand as a response to the conduct of the

former either by words or letter. Although negligence is

not fraud but it can be evidence on fraud; as observed

in Ram Preeti Yadav case [(2003) 8 SCC 311].

16. In Lazarus Estates Ltd. v. Beasley [(1956) 1 QB 702:

(1956) 1 All ER 341: (1956) 2 WLR 502 (CA)] Lord

Denning observed at QB pp. 712 and 713 : (All ER p. 345

C)

“No judgment of a court, no order of a minister, can be

allowed to stand if it has been obtained by fraud. Fraud

unravels everything.”

In the same judgment Lord Parker, L.J. observed that

fraud vitiates all transactions known to the law of however

high a degree of solemnity. (p. 722) These aspects were

recently highlighted in State of A.P. v. T. Suryachandra

Rao [(2005) 6 SCC 149: (2005) 5 SCALE 621].’

15. An interesting passage on fraud can be found in Reddaway

(Frank) & Co. Ltd. v George Banham & Co. Ltd., 1896 AC 199,

where the House of Lords stated:

‘But fraud is infinite in variety; sometimes it is audacious

and unblushing; sometimes it pays a sort of homage to

virtue, and then it is modest and retiring; it would be

honesty itself if it could only afford it. But fraud is fraud all

the same; and it is the fraud, not the manner of it, which

calls for the interposition of the Court.’


16. From the record, we do not find that the Insurance Company has

discharged its onus to prove the alleged fraud. Therefore, the Insurance Company’s liability under the issued insurance certificate/policy to cover the incident, cannot be escaped by alleging fraud.

17. Thus, on an overall circumspection, the Court does not find any

merit in the present appeals, which, accordingly, stand dismissed. No

order as to cost.

7 Quoted approvingly in Venture Global Engineering v Satyam Computer Services Limited, (2010) 8 SCC 660.

16

18. The Insurance Company shall deposit the monies as per the Award

passed by the MACT, if not already done, latest by 15.01.2025. The

same shall be distributed forthwith to the claimants by the MACT.

………………..........................J.

 [SUDHANSHU DHULIA]



 …………………..................…..J.

 [AHSANUDDIN AMANULLAH]

NEW DELHI

SEPTEMBER 02, 2024

Print Page

No comments:

Post a Comment