{"id":237521,"date":"2020-10-16T09:00:36","date_gmt":"2020-10-16T03:30:36","guid":{"rendered":"https:\/\/www.scconline.com\/blog\/?p=237521"},"modified":"2020-11-07T15:30:08","modified_gmt":"2020-11-07T10:00:08","slug":"ncdrc-can-driving-a-motor-cycle-without-taking-orientation-desired-by-owner-and-resulting-in-accident-be-equated-with-intentional-self-injury-read-commissions-opinion","status":"publish","type":"post","link":"https:\/\/www.scconline.com\/blog\/post\/2020\/10\/16\/ncdrc-can-driving-a-motor-cycle-without-taking-orientation-desired-by-owner-and-resulting-in-accident-be-equated-with-intentional-self-injury-read-commissions-opinion\/","title":{"rendered":"NCDRC | Can driving a motor cycle without taking orientation desired by owner and resulting in accident be equated with intentional self-injury? Read Commission&#8217;s opinion"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>National Consumer Disputes Redressal Commission (NCDRC):\u00a0<\/strong>V. K. Jain (Presiding Member) while addressing the present matter observed that,<\/p>\n<div class=\"page\" style=\"text-align: justify;\" title=\"Page 4\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<blockquote>\n<p style=\"text-align: justify;\">A negligent act such as driving a motor cycle without taking the orientation desired by its owner can never be equated with an intentional self-injury if driving the vehicle result in an accident.<\/p>\n<\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n<p style=\"text-align: justify;\"><span style=\"color: #800000;\">Personal Accident Insurance (Individual) Policy<\/span><\/p>\n<p style=\"text-align: justify;\">Deceased had obtained the above-stated policy from the OP whereunder a sum of Rs 58,75,000 was payable by the insurer in case he was to die in an accident.<\/p>\n<p style=\"text-align: justify;\">In an accident, the Late Mr Sunil Seth died after. Complainant lodged a claim in the above-referred policy. Surveyor concluded that the death of Sunil Seth took place in a road accident and hence the claim may be processed as per the terms and conditions of the policy and its coverage.<\/p>\n<p style=\"text-align: justify;\">Though the Insurer repudiated the claim vide letter dated 20-07-2017, which reads as follows:<\/p>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"layoutArea\" style=\"text-align: justify;\">\n<div class=\"column\">\n<p><em>\u201cThe claim is repudiated as per Exception No. 5(a) of the policy which stands as \u201cThe Company shall not be liable under this policy for Payment of compensation in respect of Death, Injury or Disablement of the Insured from Intentional self-injury.&#8221;<\/em><\/p>\n<p>On being aggrieved with the repudiation of the claim, the complainant approached the Commission.<\/p>\n<p><span style=\"color: #800000;\">Pecuniary Jurisdiction<\/span><\/p>\n<p>OP resisted the complaint stating that the Commission lacked pecuniary jurisdiction to entertain the consumer complaint.<\/p>\n<p>In accordance with Section 21 of the Consumer Protection Act, 1986, the Commission has pecuniary jurisdiction to entertain the consumer complaint where the value of the goods or services and the compensation claimed by the complainant exceeded Rs 1,00,00,000.<\/p>\n<p>Commission did have requisite pecuniary jurisdiction to entertain the consumer complaint.<\/p>\n<p>Further, the Commission opined that in no case, whatsoever, an insurer can be asked to pay any amount beyond the sum insured to the complainant. <span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif;\">Whether any compensation, over and above, the sum insured should be awarded in a given case or not would depend upon the facts and circumstances of the individual case. <\/span><\/p>\n<p><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif;\">Therefore, it would be difficult to say that merely because the sum insured was only Rs 58,75,000 this Commission would not have pecuniary jurisdiction to entertain the complaint.<\/span><\/p>\n<p>In view of the Supreme Court decision in\u00a0<em>Galada Power and Telecommunication Ltd. v. United India Insurance Company Ltd.,\u00a0<\/em><a href=\"http:\/\/www.scconline.com\/DocumentLink\/48d976cM\">(2016) 14 SCC 161<\/a>, the insurer cannot be allowed to contest the consumer complaint beyond the ground on which the claim has been repudiated.<\/p>\n<p>According to the repudiation letter, the claim was repudiated solely on the ground that Eagle Rider who had given the motorcycle to its pillion rider Neeraj Sethi on hire had advised the person driving the motorcycle to undergo an orientation and the decease did not go such orientation, hence this was a case of <span style=\"color: #ff0000;\"><strong>intentional self-injury.&#8221;<\/strong><\/span><\/p>\n<p><span style=\"color: #ff0000;\"><strong>The use of the term &#8216;intentional self-injury&#8217; in the insurance policy would mean that the person who suffered the injury must have wanted such an injury caused to him.<\/strong><\/span><\/p>\n<div class=\"page\" title=\"Page 4\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Ordinarily, this would happen in a case where a person either wants to commit suicide or he wants to cause injury to himself.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 4\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<blockquote>\n<p style=\"text-align: justify;\">A person driving a high-end motorcycle without taking the orientation which the owner of the vehicle wants to be taken by the driver of the vehicle may be said to be negligent if he drives the vehicle without such an orientation, but it can never be said that his intention behind driving such a motorcycle without orientation, desired by its owner, was to cause injury to himself.<\/p>\n<\/blockquote>\n<p style=\"text-align: justify;\">Hence, the present case was not covered under exception no. 5(a) of the policy.<\/p>\n<p style=\"text-align: justify;\">OP shall pay a sum of Rs 58,75,000 to the complainant along with compensation in form of simple interest <span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif;\">on that amount @ 8% p.a. w.e.f. 6 months from the date of lodgement of the claim till the date of payment. Rs 50,000 as cost of litigation to be paid by the OP. [Mala Sahni Seth v. New India Assurance Co. Ltd., <a href=\"http:\/\/www.scconline.com\/DocumentLink\/9eTCgAai\"><b>2020 SCC OnLine NCDRC 461<\/b><\/a>, decided on 08-10-2020]<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>National Consumer Disputes Redressal Commission (NCDRC):\u00a0V. K. Jain (Presiding Member) while addressing the present matter observed that, A negligent act such as <\/p>\n","protected":false},"author":8808,"featured_media":199533,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3,11],"tags":[2735,2728,39605,3095,43797],"class_list":["post-237521","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casebriefs","category-tribunals_commissions_regulatorybodies","tag-Accident","tag-compensation","tag-consumer-complaint","tag-NCDRC","tag-self-injury"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.4 (Yoast SEO v26.4) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCDRC | Can driving a motor cycle without taking orientation desired by owner and resulting in accident be equated with intentional self-injury? 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Earlier,\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"National Consumer Disputes Redressal Commission","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":6382,"url":"https:\/\/www.scconline.com\/blog\/post\/2015\/02\/18\/repudiation-of-claim-on-ground-that-complainant-failed-to-prove-that-cause-of-death-was-a-result-of-accidental-injuries-upheld\/","url_meta":{"origin":237521,"position":1},"title":"Repudiation of claim on ground that complainant failed to prove that cause of death was a result of accidental injuries, upheld","author":"Sucheta","date":"February 18, 2015","format":false,"excerpt":"National Consumer Disputes Redressal Commission (NCDRC): NCDRC has upheld a repudiation of claim by an insurance company on the ground that complainant failed to prove that the cause of death of the insured was the injury caused by the accident. Earlier, complainant\u2019s mother obtained insurance cover from HDFC Ergo General\u2026","rel":"","context":"In &quot;Tribunals\/Commissions\/Regulatory Bodies&quot;","block_context":{"text":"Tribunals\/Commissions\/Regulatory Bodies","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/tribunals_commissions_regulatorybodies\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":324853,"url":"https:\/\/www.scconline.com\/blog\/post\/2024\/06\/21\/consumer-protection-examining-homicide-in-the-context-of-accidental-death-insurance\/","url_meta":{"origin":237521,"position":2},"title":"Consumer Protection &#8211; Examining Homicide in the Context of Accidental Death Insurance","author":"Bhumika Indulia","date":"June 21, 2024","format":false,"excerpt":"by Namrata Chandorkar*","rel":"","context":"In &quot;Op Eds&quot;","block_context":{"text":"Op Eds","link":"https:\/\/www.scconline.com\/blog\/post\/category\/op-ed\/legal-analysis\/"},"img":{"alt_text":"Context of Accidental Death Insurance","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/06\/Context-of-Accidental-Death-Insurance.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/06\/Context-of-Accidental-Death-Insurance.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/06\/Context-of-Accidental-Death-Insurance.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/06\/Context-of-Accidental-Death-Insurance.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":203031,"url":"https:\/\/www.scconline.com\/blog\/post\/2018\/10\/03\/murder-without-the-deliberate-and-willful-act-of-the-insured-falls-within-the-definition-of-the-term-accident-for-the-purposes-of-an-accident-insurance-claim\/","url_meta":{"origin":237521,"position":3},"title":"Murder without the deliberate and wilful act of the insured falls within the definition of the term \u2018accident\u2019 for the purposes of an accident insurance claim","author":"Bhumika Indulia","date":"October 3, 2018","format":false,"excerpt":"National Consumer Disputes Redressal Commission (NCDRC): The bench comprising of S.M. Kantikar and Dinesh Singh, Members, while dealing with an appeal filed against the order of State Commission, held that murder of an insured person must be treated as an accidental death if the same is not the result of\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"National Consumer Disputes Redressal Commission","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":45001,"url":"https:\/\/www.scconline.com\/blog\/post\/2016\/04\/28\/repudiation-of-claim-on-ground-of-absence-of-valid-driving-licence-to-drive-a-transport-vehicle-upheld\/","url_meta":{"origin":237521,"position":4},"title":"Repudiation of claim on ground of absence of valid driving licence to drive a transport vehicle, upheld","author":"Sucheta","date":"April 28, 2016","format":false,"excerpt":"National Consumer Disputes Redressal Commission (NCDRC):\u00a0While observing that a driving licence must carry an endorsement that permits its holder to drive a transport vehicle even if the licence is valid for a commercial vehicle, NCDRC upheld the repudiation of claim by an insurance company on the ground that at the\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"National Consumer Disputes Redressal Commission","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2018\/08\/NCDRC_.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":235511,"url":"https:\/\/www.scconline.com\/blog\/post\/2020\/09\/08\/madras-hc-can-mact-deal-with-claims-policies-other-than-accident-claims-provisions-of-mv-act-contractual-statutory-liability-cannot-be-equated-hc-elaborates\/","url_meta":{"origin":237521,"position":5},"title":"Madras HC | Can MACT deal with claims &#038; policies other than Accident Claims provisions of MV Act? Contractual &#038; Statutory liability cannot be equated: HC elaborates","author":"Bhumika Indulia","date":"September 8, 2020","format":false,"excerpt":"Madras High Court:\u00a0S.M. Subramaniam, J., while addressing a motor accident claim, observed that, Once, the policy is contractual in nature and the parties have signed the agreement, then such a contract cannot be construed or brought within the ambit of statutory liability. The Cholamandalam MS General Insurance Company Limited is\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/237521","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/users\/8808"}],"replies":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/comments?post=237521"}],"version-history":[{"count":0,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/237521\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media\/199533"}],"wp:attachment":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media?parent=237521"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/categories?post=237521"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/tags?post=237521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}