How Principle of Subrogation is Implied in Insurance

Subrogation is a right that a person has of standing in the place of another and availing himself of all the rights and remedies of that another, whether already enforced or not.

In insurance, after payment of a claim, the insurers shall be entitled to take over the legal right of the insured against the liable third party for the purpose of recovery.

Everybody is entitled to live peacefully and if this peace is disturbed by the wrong doing of another then the person who has been subjected to this wrong has a legal right of action against the wrong doer.

Here comes up the proposition then that if the damage sustained by the wronged is also covered by a policy of insurance then after getting the claim from insurers he gives up his right of recovery against the wrong doer in favor of his insurers.

Insurers then proceed against the liable third party direct and recover the loss or damage for their own benefit.

An example will make this position clear. Let us assume that A’ had been to New Market driving his car. After parking the car some-where in front of the market he went inside, made some shopping, came back and found that ‘B’ was damaging the car.

In law ‘A’ has a legal right of action against ‘B’ for damages. Incidentally A’ may also have a comprehensive motor insurance which protects him against such losses.

Here ‘A’ has open to him two avenues of recovery and the principle of subrogation asserts that if the insurers pay the full loss then they (insurers) shall take over the right of ‘A’ (insured) for proceeding against B (third party) for their own (insurers) benefit. In reality various other propositions may be thought about.

As for example, a carrier is primarily liable for safe delivery of the goods as per contract of affreightment. A bailee is primarily liable as per contract of bailment. Such goods may also be covered by insurance policies where the insurer’s liability is secondary.

Here, even though the insurers would make payments in respect of a loss, nevertheless, they would be entitled to, or subrogated to the right of the insured against the negligent or liable carrier or bailee. “If an insured has a means of diminishing the loss, the result of the use of these means belongs to the insurers.”(CASTELLAIN V. PRESTON, 1883)

A very prominent question that crops up into our mind is why the insured shall not be entitled to recover from both the sources? Why he shall have to give up his right in favor of and for the benefit of the insurers?

In fact it has to be borne in mind that the principle of indemnity prevents the insured from getting more than the actual amount of loss.

As a result of a loss a person certainly cannot benefit or make a profit. Moreover, under the principle of indemnity it has been well asserted and established that after a loss the insured should get the actual amount of loss, neither more nor less.

If this principle is to be maintained and preserved from any possible threat or defect, then it has be ensured that all possible flaws are properly guarded and loopholes are properly blocked.

Principle of subrogation is a method whereby the possibility of getting more than the actual amount of loss from various sources, thereby infringing the principle of indemnity, is defeated.

Therefore, it is also very correctly said that the principle of subrogation is indeed a corollary to the principle of indemnity, it has its birth from the principle of indemnity and it has its existence to preserve the principle of indemnity.

It should be clearly borne in mind and appreciated that as the principle of subrogation is a corollary to the principle of indemnity, therefore, it applies only to those insurance contracts which are contracts of indemnity.

As such it has to be understood that subrogation does not apply to life insurance and personal accident insurance contracts as these are not contracts of indemnity.

HOW THIS RIGHT OF SUBROGATION ARISES

As already indicated, right of subrogation arises in the following ways:

  1. Under tort: This is a wrongdoing to another. In other words, it is a breach of duty owed to^a third party. A person cannot do wrong to another thereby causing damage to another’s property or inflicting injury to the person of that another. If it is so done then a right of action accrues in favor of the wronged and to the detriment of the wrong-doer.
  2. Under contract: A contract may put some obligation on the person making breach of the contract to compensate the person who has been aggrieved as a result of the breach. As for example, obligation under contract of affreightment and contract of bailment etc.
  3. Under Statute: Statutes may also create liability, for making compensation, arising out of a breach thereof Examples are, Factories Act. Occupiers Liability Act. The Riot Act Carriage of Goods by Sea Act etc.

APPLICATION OF SUBROGATION IN CLAIMS

It has already been explained how subrogation arises and how this goes to the benefit of insurers. In so far as the application of subrogation in claims is concerned, certain considerations must be properly grasped and these are as follows;

WHEN SUBROGATION ARISES

The position is different, with regard to common law and with regard to contractual terms and conditions. Under common law the position is this that the insurers must pay the claim first before the right of subrogation can be exercised.

In other words, the insurers cannot go against the third party for the purpose of recovery unless they (insurers) have made payments to the insured. This position may however be varied by means of policy terms and conditions.

In non-marine policies there is usually a policy condition, known as subrogation condition, whereby the insurers may require the insured to recover (or take all steps of recovery) against the liable third party first at insurer’s cost and expenses.

This in fact modifies the common law position. In marine insurance, however, the right of subrogation arises only after making payment by insurers as it is not customary ( and most unusual ) to incorporate any policy condition as such so as to modify the Common law position

EXTENT OF SUBROGATION

Under the right of subrogation the insurers are only entitled to benefit to the extent of payment made. Therefore, if the insurers recover more than the amount paid out, then they are entitled to retain from the recovery only to the extent of the payment they made to the insured.

The balance amount must be refunded to the insured. If, however, the recovery is less than the amount of claim paid out to the insured, there is no question of realizing balance money from the insured. If the insured already recovers from the third party and if that is full indemnity, he has no claim against his insurer.

If he has also received payment from the insurer, he must refund the payment received from his insurers.

If the amount received from the third party does not represent full indemnity then he is entitled to claim only the balance from his insurers so that both the payments together would constitute one full indemnity only.

The idea is this that as a result of a loss the insured cannot get more than actual indemnity even though he may have numbers of avenues open to him for recovery.

If the insured realizes form both insurer and third party, then he (insured) retains only to the extent of full indemnity and returns balance to the insurer subject to the limit of insurer’s payment

EX-GRATIA PAYMENTS

Although not legally liable, insurers do sometimes make payments under their policies as a matter of grace or favor. May be, there has been minor breaches of policy terms for which the insurers could easily repudiate the claim.

But considering the commercial aspect and minor nature of the breach, may be the insurers will not be that much strict and will be willing to make some payment (whether in full or not) without admitting liability under the policy.

Such payments are in fact known as ex-gratia payments and never create a precedence so as to give a right of claim to the insured in similar other cases.

It should be remembered that when ex-gratia payments are made insurers are not subrogated to the right of the insured. This is because payments are not made by admitting liability.

When, however, one insurer makes a normal payment and the insured gets an ex-gratia payment from another insurer also, then the former insurer shall stand subrogated to the ex-gratia money received from the latter insurer even though this money has not been received as a matter of legal right under that policy.

In connection with the study of subrogation, it is necessary for the students to understand the implication of “Salvage” and “Abandonment” as these do have a bearing on subrogation right.

SALVAGE

This usually refers to remains of the property after a loss. Normally, as a result of a loss the whole property is not lost, damaged or destroyed. Mostly, there remains some value in the damaged property or may be it is a case of partial loss when the question of salvage becomes more prominent. The rule is this that when it is a case of partial loss, the insured can only claim to the extent of the loss or damage sustained.

He cannot normally abandon the property and claim the full. The situation may be different only if the insured surrenders the remains of the property and the insurer also agrees to accept the salvage. In such a situation the claim shall be paid in full and the insurer shall become the owner of the salvage, hi cases of clear cut total losses, the insurers will pay in full and, therefore, shall be entitled to the benefit of the salvage.

Confusion may arise as to the ownership of salvage in circumstances when under-insurance exists and there is a total loss. As the insured will not be fully indemnified he shall be entitled to salvage, but only to such an extent that the loss payment and the value of salvage together does not exceed the full loss or actual indemnity.

It should also be remembered side by side that when full insurance exists (i. e., no under-insurance) and the loss is paid in full, the insurers become the absolute owners of the salvage, if any, and the total sale proceeds belong to them even though the proceed may turn up to be more than the amount of the claim paid out.

ABANDONMENT

Abandonment usually means surrendering by the insured the remains of the damaged property to the insurer and claiming total loss. It is not basically peculiar to marine, as in marine insurance practice the assured has the right to abandon the property (subject to the acceptance by the insurer) thereby claiming a constructive total loss.

When, therefore, the insurer pays a total loss he takes over the salvage as owner thereof. He becomes the absolute owner irrespective of what value is received from subsequent sale.

The comments made in the English Court judgment of Kaltenbach V. Mackenzie (1878) is important in this regard, which goes on to saying, “that abandonment is not peculiar to policies of marine insurance ; abandonment is part of every contract of indemnity.

Whenever, therefore, there is a contract of indemnity and a claim under it for an absolute indemnity, there must be abandonment on the part of the person claiming indemnity of all his right in respect of that for which he receives indemnity”.

The situation is different in respect of most of the non-marine policies. Usually, there is a policy condition in such policies prohibiting abandonment by the insured and claiming total loss. However, the insurers may waive this condition in appropriate circumstances on merit basis.