Lakhmi Chand v. Reliance General Insurance
Background
The appellant's goods-carrying vehicle was insured with Reliance General Insurance. It met with an accident caused by the rash and negligent driving of another vehicle, and an FIR was registered against that other driver. The insurer rejected the appellant's repair claim on the ground that the vehicle, registered to carry only "1+1" persons, was found carrying five passengers at the time: a violation of policy conditions. The District Forum allowed the claim, but the State and National Consumer Commissions later ruled against the appellant.
Decision Breakdown
The Supreme Court held that for an insurer to avoid liability on the basis of a policy breach, the breach must be fundamental enough to defeat the very purpose of the contract, and the burden is on the insurer to prove such a breach. Here, the accident was undisputedly caused by the negligence of the other vehicle's driver, and the overloading of passengers had no causal connection to the damage claimed. The Commissions had ignored this link while setting aside the District Forum's order. The Court restored the District Forum's award and imposed Rs. 25,000 in costs on the insurer for unnecessarily prolonging litigation despite settled law on the point.
Lesson Learnt
An insurance company cannot deny a legitimate claim by pointing to an unrelated technical violation of policy conditions unless that violation actually caused or contributed to the loss being claimed; the burden of proving such a breach lies squarely on the insurer.