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Smart Summary

Summary of Opinion: National Consumer Disputes Redressal Commission — Revision Petition No. 2086 of 2016

Factual and Procedural Background

The complaint arises from the death of Late Gaur Singh Sahu, who held an account with the respondent Jila Sahkari Kendriya Bank, Durg. The bank had taken a Group Personal Accident Policy for its account holders. The deceased, an agriculturist, was driving a tractor on 07.05.2014 to go to the mandi to sell paddy, met with an accident and died. The petitioner (his wife) submitted a claim under the bank's group insurance policy, which the insurer repudiated on the ground that the deceased did not possess an effective driving licence on the date of the accident.

The petitioner filed a consumer complaint before the District Forum. The insurer resisted the complaint primarily on the ground that the deceased was driving without a valid and effective driving licence, thereby breaching condition No. 3(6) of the insurance policy. The District Forum dismissed the complaint; the State Commission, on appeal, also dismissed the complaint. The petitioner filed the present revision petition before the National Consumer Disputes Redressal Commission challenging the concurrent findings below.

Legal Issues Presented

  1. Whether the insurer was liable to pay benefits under the Group Personal Accident Policy where the deceased was found not to possess a valid and effective driving licence on the date of the accident.
  2. Whether the absence of any driving licence produced by the complainant or provided to the insurer permitted the inference that the deceased did not hold an effective driving licence at the relevant time.
  3. Whether the fora below erred in dismissing the complaint in light of the policy condition and applicable authorities concerning licence validity and the insurer's liability in own-damage (insured's) claims versus third-party claims.

Arguments of the Parties

Respondent / Insurer's Arguments

  • The insurer's primary defence was that the deceased was driving the tractor without a valid and effective driving licence on the date of the accident, which constituted a breach of condition No. 3(6) of the Group Insurance Policy.

Petitioner / Complainant's Arguments

This opinion does not contain a detailed account of the petitioner's legal arguments beyond the fact that a claim was submitted and that no driving licence was produced. The record shows no driving licence of the deceased was filed before the District Forum or provided to the insurer.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
National Insurance Co. Ltd. v. Laxmi Narain Dhut, (2007) 3 SCC 700 Established that the decision in Swaran Singh has no application to own-damage cases; distinguishes third-party rights from owner's own-claim; fake licence renewal cannot cure a licence originally fake; sets out that insurer in own-damage cases is not automatically liable where licence is fake. The court relied on this decision to support the principle that where the insured (or insured's estate) seeks compensation for own loss, the insurer may not be liable if the driver did not possess a valid licence; this helped justify upholding the fora below.
National Insurance Co. Ltd. v. Swaran Singh & Anr., 2004 (3) SCC 297 Relevant ratio applies principally to third-party risks (as distinguished in subsequent cases). The court noted (via later authorities) that Swaran Singh is not applicable to own-damage cases; it therefore rejected any attempt to invoke Swaran Singh to make the insurer liable for the insured's own loss when the driver lacked a licence.
New India Assurance Co. v. Kamla Held that a fake licence cannot be validated by renewal; a licensing authority cannot cure a counterfeit document by renewing it; renewal cannot transform a fake licence into a genuine one. Used to support the proposition that if a licence is fake (or not effective), a later renewal cannot cure that defect; the court applied this to conclude that absence of a valid licence meant breach of policy condition.
National Insurance Co. Ltd. v. Om Prakash Jain, Civil Appeal No. 6248 of 2009 (decided 14.09.2009) Affirmed Laxmi Narain Dhut and Swaran Singh distinction; where original licence was fake renewal cannot validate the licence; Swaran Singh not applicable to cases other than third-party risks. The court cited this authority to underscore that, in own-damage claims where the original licence is fake, the fora below were correct to hold insurer not liable; applied in supporting dismissal of the revision petition.
United India Insurance Co. Ltd. v. Davinder Singh, (2007) 8 SCC 698 Explains distinction between insurer's statutory liability under Motor Vehicles Act (for third-party protection) and contractual claims before a consumer forum; insurer may be liable to third parties even if driver lacks licence, but that does not automatically extend to owner's own damage claims. The court relied on this distinction to support the proposition that an insurer's liability to indemnify the owner for his own loss is not automatic where the driver did not hold a valid licence; this reinforced the reasoning that the insurer need not reimburse the insured-owner.
Oriental Insurance Co. Ltd. v. Meena Variyal, (2007) 5 SCC 428 Reiterates difficulty of applying Swaran Singh to non-third-party cases; Swaran Singh ratio does not automatically render insurer liable in an owner's own-claim. Cited to reinforce the legal proposition that for non-third-party claims (i.e., owner claiming own loss) an insurer cannot be made automatically liable when the driver lacked a valid licence.
National Insurance Co. Ltd. v. Jarnail Singh & Ors, [JT 2001 (Supp. 2) SC 218] Where a driving licence had expired before the accident and was renewed only later, the proviso to section 15(1) applied and there was no effective licence on the date of the accident; policy condition was violated and insurer not liable. Applied to demonstrate that an expired licence (not effectively renewed as of the accident date) results in non-compliance with policy conditions and disentitles the insured from recovery under the policy.
New India Assurance Co. Ltd. v. Suresh Chandra Aggarwal, AIR 2009 SC 2987 Held that where licence renewal is not applied for within stipulated time (30 days), renewal operates only from date of renewal and not retrospectively; there is no effective licence in the interregnum; insurer not liable. Cited to underline the proposition that absence of an effective licence at the time of accident means breach of the policy condition and insurer's non-liability; used to support the result reached by the fora below.

Court's Reasoning and Analysis

The court proceeded in a sequential factual and legal analysis:

  1. Fact-finding and evidentiary inference: The court recorded that no driving licence of the deceased was provided to the insurer and none was filed before the District Forum. The court noted that, had a valid licence existed, its particulars could have been obtained from the Transport Authority even if the complainant did not possess the original or copy. Since that was not done, the court concluded the deceased did not possess a valid and effective driving licence on the date of the accident.
  2. Contractual breach: It was accepted (and not disputed) that driving a vehicle without a valid driving licence constituted a breach of the terms of the Group Insurance Policy (condition No. 3(6)), which is material to the insurer's liability under the policy.
  3. Application of authoritative precedent: The court surveyed controlling Supreme Court authorities distinguishing third-party liability (where statutory protection under Motor Vehicles law operates) from owner's own-claim cases. It cited Laxmi Narain Dhut, Om Prakash Jain, Davinder Singh, Meena Variyal, Jarnail Singh, and Suresh Chandra Aggarwal to establish these legal principles: (a) Swaran Singh's ratio is limited to third-party risks and not applicable to owner/insured's own-damage claims, (b) a fake licence cannot be validated by renewal, and (c) an expired licence not effectively renewed at the time of accident means no effective licence existed at that time.
  4. Conclusion from law to facts: Applying those principles to the factual record (no licence produced or shown to exist), the court accepted the concurrent findings of the District Forum and State Commission that the policy condition had been violated and the insurer was not liable to indemnify the claimant for the insured's own loss.
  5. Relief: The court found no reason to interfere with the concurrent view of the fora below and therefore dismissed the revision petition.

Holding and Implications

Holding: The revision petition is dismissed. The court affirmed the concurrent findings of the District Forum and the State Commission that the insurer was not liable to pay the claim because the deceased did not possess an effective driving licence on the date of the accident; the policy condition was therefore breached. The dismissal was recorded "with no order as to costs."

Implications: The direct consequence of this decision is that the claimant's claim under the Group Personal Accident Policy is not allowed and the insurer is not liable to indemnify the insured's estate for the loss. The opinion applies and follows existing Supreme Court precedents distinguishing third-party liability from owner's own claims and reiterates that absence of an effective licence (including where none is produced or shown to have existed) disentitles the insured to recover under the policy. The decision does not purport to lay down a new legal principle; it applies established authority to the facts before the fora below and affirms their concurrent conclusions.

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    Sharda Bai v. Manager, Liberty Videocon General Insurance Company Limited

    NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION

    NEW DELHI

    REVISION PETITION NO. 2086 OF 2016

    (Against the Order dated 21/03/2016 in Appeal No. 526/2015 of the State Commission Chhattisgarh)

    1. SHARDA BAI

    W/O. LATE GAUR SINGH SAHU, R/O. VILLAGE

    OJHAGAHAN, POST SANAUD, TEHSIL GURUR,

    DISTRICT-BALOD

    CHHATTISGARH ...........Petitioner(s) Versus

    1. MANAGER, LIBERTY VIDEOCON GENERAL

    INSURANCE COMPANY LIMITED & 2 ORS.

    10TH FLOOR, TOWER A, PENINSULA COMMERCIAL

    PARK, GANPAT RAO KADAM MARG, LAWER PAREL,

    MUMBAI-400013

    MAHARASHTRA

    2. MANAGER, JILA SAHKARI KENDRIYA BANK

    MARYADIT, DURG,

    IN FRONT OF DISTRICT HOSPITAL, G.E. ROAD,

    DISTRICT-DURG,

    CHHATTISGARH

    3. BRANCH MANAGER, JILA SAHKARI KENDRIYA

    BANK MARYADIT, DURG,

    ARMARIKALA TEHSIL GURUR,

    DISTRICT-BALOD

    CHHATTISGARH ...........Respondent(s)

    BEFORE:

    HON'BLE MR. JUSTICE V.K. JAIN,PRESIDING MEMBER For the Petitioner : Mr. R.K. Bhawnani, Advocate For the Respondent : MANAGER, LIBERTY VIDEOCON GENERAL INSURANCE COMPANY LIMITED & 2 ORS.

    Dated : 03 Mar 2017

    ORDER

    JUSTICE V.K. JAIN, PRESIDING MEMBER (ORAL)

    Late Gaur Singh Sahu, husband of the petitioner / complainant had an account with the respondent Jila Sahkari Kendriya Bank at Durg. The said bank had obtained a Group Personal Accident Policy for its account holders. The husband of the complainant being an agriculturist was using a tractor. On 7.5.2014, while diving the tractor for going to Mandi for sale of the Paddy, he met with an accident and later died. A claim was then submitted by the complainant for payment of benefit available under the group Insurance Policy taken by the bank. The claim having been repudiated on the ground that the deceased did not possess an effective and

    1

    valid driving license on the date he met with an accident, the complainant approached the concerned District Forum by way of a consumer complaint.

    2. The complaint was resisted by the insurer, primarily on the ground that the deceased was driving the tractor without a valid and effective driving license and thereby he violated condition No.3 (6) of the Insurance Policy.

    3. The District Forum having dismissed the complaint, the petitioner approached the concerned State Commission by way of an appeal. The said appeal also having been dismissed, she is before this Commission by way of this revision petition.

    4. Admittedly, no driving license of the deceased husband of the complainant was provided to the insurer. No driving license of the deceased was filed before the District Forum. Had the deceased possessed a valid driving license on the date he met with an accident, the complainant could easily have obtained its particulars from the concerned Transport Authority even if it is assumed that neither the original driving license nor its copy was available with her. That having not been done, there is no escape from the conclusion that the deceased did not possess a valid and effective driving license on the date he met with an accident. It is not in dispute that driving a vehicle without a valid driving license constituted a breach of terms of the Group Insurance Policy taken by the bank.

    5. In National Insurance Co. Ltd. Vs. Laxmi Narain Dhut (2007) 3 SCC 700, the Hon'ble Supreme Court noted as under:

    "24. In the background of the statutory provisions, one thing is crystal clear i.e. the statute is beneficial one qua the third party. But that benefit cannot be extended to the owner of the offending vehicle. The logic of fake licence has to be considered differently in respect of the third party and in respect of own damage claims.

    36. The inevitable conclusion therefore is that the decision in Swaran Singh case has no application to own damage cases. The effect of fake licence has to be considered in the light of what has been stated by this Court in New India Assurance Co. V. Kamla. Once the licence is a fake one the renewal cannot take away the effect of fake licence. It was observed in Kamla case as follows: (SCC p. 347, para 12)

    12. As a point of law we have no manner of doubt that a fake licence cannot get its forgery outfit stripped off merely on account of some officer renewing the same with or without knowing it to be forged. Section 15 of the Act only empowers any licensing authority to 'renew a driving licence issued under the provisions of this Act with effect from the date of its expiry'. No licencing authority has the power to renew a fake licence and, therefore, a renewal if at all made cannot transform a fake licence as genuine. Any counterfeit document showing that it contains a purported order of a statutory authority would ever remain counterfeit albeit the fact that other persons including some statutory authorities would have acted on the document unwittingly on the assumption that it is genuine".

    37. As noted above, the conceptual difference between third-party right and own damage cases has to be kept in view. Initially, the burden is on the insurer to prove that

    2

    the licence was a fake one. Once it is established the natural consequences have to flow.

    38. In view of the above analysis the following situations emerge:

    1. The decision in Swaran Singh case has no application to cases other than third- party risks.

    2. Where originally the licence was a fake one, renewal cannot cure the inherent fatality.

    3. In case of third-party risks the insurer has to indemnify the amount, and if so advised, to recover the same from the insured.

    4. The concept of purposive interpretation has no application to cases relatable to Section 149 of the Act.

    The High Courts/Commission shall now consider the matter afresh in the light of the position in law as delineated above."

    In National Insurance Co. Ltd. Vs. Om Prakash Jain Civil Appeal No. 6248 of 2009 decided on 14.09.2009, the Hon'ble Supreme Court referring to its earlier decision in Laxmi Narain Dhut (supra) and Swaran Singh (supra) specifically held as under:

    "In National Insurance Company Limited Vs. Laxmi Narain Dhut [2007 (3) S.C.C. 700], it has been clearly laid down that the decision in the case of National Insurance Company Ltd. Vs. Swaran Singh & Anr. [2004 (3) S.C.C. 297] has no application to the cases other than third-party risks and where originally licence was a fake, renewal thereof cannot validate the same. In the present case, the complaint was filed for damage of the vehicle of the insured and not the third party risk. The District Forum and State Commission have concurrently held that the original licence of the driver was fake. This being the position, the District Forum was justified in dismissing the complaint and the State Commission committed an error by awarding compensation to the respondent".

    In the aforesaid case, the complaint was filed by the insured himself seeking compensation for the damage caused to his vehicle, which had met with an accident. It was found that the driving licence possessed by the driver of the vehicle was a fake licence. The National Commission having decided in favour of the complainant, the matter was taken by the insurance company to the Apex Court.

    In United India Insurance Co. Ltd. Vs. Davinder Singh (2007) 8 SCC 698, the respondent owned a vehicle which he had got insured from the appellant United India Insurance Co. Ltd. The said vehicle met an accident with a truck. It was being driven by a person, who did not possess a valid licence. The owner of the vehicle filed a complaint before the District Forum,

    3

    seeking compensation for the damages caused to his vehicle. This Commission have ruled in his favour. The matter was taken to the Hon'ble Supreme Court by way of an appeal. Allowing the appeal filed by the insurance company, the Apex Court inter-alia held that the fora below had committed an error in holding the insurance company liable to indemnify the owner of the vehicle with regard to the losses sustained by him. During the course of the judgment, the Hon'ble Supreme Court, inter-alia observed as under:

    "10. It is, thus, axiomatic that whereas an insurance company may be held to be liable to indemnify the owner for the purpose of meeting the object and purport f the provisions of the Motor Vehicles Act, the same may not be necessary in a case where an insurance company may refuse to compensate the owner of the vehicle towards his own loss. A distinction must be borne in mind as regards the statutory liability of the insurer vis-à-vis the purport and object sought to be achieved by a beneficent legislation before a forum constituted under the Motor Vehicles Act and enforcement of a contract qua contract before a Consumer Forum".

    In Oriental Insurance Co. Ltd. V. Meena Variyal (2007) 5 SCC 428, the Hon'ble Supreme Court referring to its earlier decision in Swaran Singh, 2004(3) SCC 297 held as under:

    "It is difficult to apply the ratio of this decision to a case not involving a third party. The whole protection provided by Chapter XI of the Act is against third-party risk. Therefore, in a case where a person is not a third party within the meaning of the Act, the insurance company cannot be made automatically liable merely by resorting to Swaran Singh ratio. This appears to be the position. This position was expounded recently by this Court in Naitonal Insurance Co. Ltd. Vs. Laxmi Narain Dhut. This Court after referring to Swaran Singh and discussing the law summed up the position thus : (Laxmi Narain Dhut case, SCC p. 719 para 38)

    The legal proposition emerges from the above referred decisions of the Hon'ble Supreme Court is that though the insurance company is liable to a third-party even if the vehicle, at the time it meets with an accident is being driven by a person who does not possess a valid driving licence, the position would be different in a case where compensation is sought by the insured himself, for the damage caused to his vehicle. Wherever, the insured himself is the claimant, the insurance company is not liable to reimburse him for the damage caused to the vehicle, if it is found that the driver of the vehicle did not possess a valid licence at the time the vehicle met with an accident."

    6. In "National Insurance Co. Ltd. vs. Jarnail Singh & Ors." [JT 2001 (Supp. 2) SC 218], the driving licence of the driver, who drove the vehicle had expired on 16.05.94. The vehicle met with an accident on 20.10.94 and the driving licence was renewed only with effect from 28.10.96. It was held that the proviso of subsection (1) of section 15 became applicable to the case and since the driver had no effective licence to drive the vehicle on the date of the

    4

    accident, the policy condition was violated and the insurance company was not liable to pay any amount to the insured. The aforesaid decision was quoted and applied by the Hon'ble Supreme Court in "New India Assurance Co. Ltd. vs. Suresh Chandra Aggarwal" [AIR 2009 SC 2987]. In Suresh Chandra Aggarwal (supra), the driver of the vehicle was not holding an effective licence at the time it met with an accident since the said licence had already expired on 25.10.91, whereas the accident took place on 29.02.92. The policy condition applicable in that case required that the person entitled to drive the vehicle should hold or should have held a driving licence and should not be disqualified from holding an effective driving licence. It was noted that though the driving licence had expired on 25.10.91, 4 months prior to the accident it was got renewed only with effect from 23.03.1992 and the driver had not applied for the renewal of the licence within 30 days of its expiry. Referring to the proviso of section 15 sub-section (1) of the Motor Vehicles Act, it was held that in such a case, the licence could be renewed only from the date of its renewal and in the interregnum period between expiry of the licence and the date of its renewal, there was no effective licence in existence. The decision of this Commission holding the Insurance Company liable was, therefore, set aside by the Hon'ble Supreme Court.

    7. For the reasons stated hereinabove, I find no good reason to interfere with the concurrent view taken by the fora below. The revision petition, being devoid of any merit, is hereby dismissed, with no order as to costs.

    ......................J

    V.K. JAIN

    PRESIDING MEMBER

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    Sharda Bai v. Manager, Liberty Videocon General Insurance Company Limited
    (Mar 3, 2017)