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Muhavar Samachar
Policy Servicing

ACCIDENT / DISABILITY BENEFIT IN A LIFE INSURANCE CONTRACT


As per clause 10.2 of the policy document pertaining to Accident Benefit, one of the conditions under which the additional sum assured is not payable is “If the disability or the death of the Life Assured shall result from his committing any breach of law”. What constitutes a “breach of law”? We present herein below some of the cases decided by various State Commissions and the National Commission on “Breach of Law”.

CASES PERTAINING TO BREACH OF LAW

1. In the SCDRC, Chattisgarh (1(2004) CPJ 163) it was held: “Sec 128 of the M.V. Act provides that no driver of two wheeler motor cycle shall carry more than one person in addition to himself. In this instant case there were two pillion riders ie., two additional persons besides himself. Therefore it is clear violation of Sec 128 which constitutes a breach of law And also “The term ‘breach of law. is wide enough to cover breach of any provision of law including the provisions of M.V. Act.
1988.”

2. In I (2004) CPJ 102, the SCDRC, Uttaranchal has held: “In this case the driver was holding a driving licence by which he was not authorized to drive the vehicle which he was driving and the accident took place as a result of the vehicle itself. In this case, the accident is the direct result of the driving of the driver”.

3. In II (1995) CPJ 208 (NC), The National Commission held that “ A transport vehicle,
which has been defined in clause 47 of Sec. 2 of the M.V. Act meant to be a service vehicle, a goods carriage, an education institution bus or a private service vehicle. The goods carriage was a transport vehicle and the driver was not having specific authorization for driving suéh a vehicle from the transport dept which is required under Sec. 3 of M.V. Act.

Based on the above, SCDRC, Chandigarh has held that (2004 (3) CPR 461) : Where Driver holding light motor vehicle licence was driving the LMV used as transport vehicle without an endorsement to that effect by the Transport Authority on his driving licence, it constitutes a breach (of law).

No effective driving licence : New India Assurance Vs S. Arumugam in AP 25/99 Decided on 9.2.2004 - 2004 (3) CPR 386 (SCDRC, Chennai)

Important point (Held) : “The vehicle was driven by a person who did not have any effective or valid licence and thus it was driven by an un authorized person”.

“The National commission has held in a decision reported in 1996 (1) CPR 78 that if the driver did not have an effective driving licence on the date and even pending appeal, licence has been renewed, still it cannot protect the interest of the insured, since the licence can be effective only from the date of such revival”.