Case Law[2022] ZAGPJHC 295South Africa
Musa v King Price Insurance CO (33559/2020) [2022] ZAGPJHC 295 (9 May 2022)
High Court of South Africa (Gauteng Division, Johannesburg)
9 May 2022
Judgment
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# South Africa: South Gauteng High Court, Johannesburg
South Africa: South Gauteng High Court, Johannesburg
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## Musa v King Price Insurance CO (33559/2020) [2022] ZAGPJHC 295 (9 May 2022)
Musa v King Price Insurance CO (33559/2020) [2022] ZAGPJHC 295 (9 May 2022)
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sino date 9 May 2022
SAFLII
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Certain
personal/private details of parties or witnesses have been
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SAFLII
Policy
REPUBLIC
OF SOUTH AFRICA
IN
THE HIGH COURT OF SOUTH AFRICA
GAUTENG
DIVISION, JOHANNESBURG
CASE
NO: 33559/2020
REPORTABLE:
OF
INTEREST TO OTHER JUDGES:
REVISED.
In
the matter between:
ZANDISIWE
MUSA
Applicant
And
KING
PRICE INSURANCE CO
Respondent
JUDGMENT
MAKUME,
J
:
[1]
In this matter the Applicant seeks an order against the Respondent in
the following
terms:
1.1
That the Respondent be
directed to determine the insured value of the insured property as on
date of damage using the methodology
agreed in the Insurance
Contract.
1.2
Pay the amount of the
insured value to Applicant or his financier within 30 days of the
order.
1.3
Remove from its records
where it so exists an entry that Applicant’s claim was rejected
by Respondent.
1.4
Costs on an attorney and
client scale.
[2]
The following are common cause facts
2.1
During or about 2017 the parties concluded a short term insurance
contract
in terms of which the Respondent provided comprehensive
cover in respect of the Applicant’s motor vehicle being a BMW
with
registration number F[....] against damage to the vehicle.
2.2
On the 10
th
April 2020 the Applicant whilst driving his
motor vehicle described above was involved in a collision causing
damage to the motor
vehicle.
2.3
The Applicant reported the accident to the Police and subsequently
filed
a claim with the Respondent.
2.4
The Respondent’s assessor requested certain information from
the
Applicant being access to his cell phone records.
2.5
The Applicant refused to let the Respondent’s assessor have
access
to his cell phone records. It was as a result of that refusal
that the Respondent rejected the Applicant’s claim and
cancelled
the contract.
2.6
The Applicant then filed a complaint with the Ombudsman for short
term
insurance. The complaint was dismissed and the Ombudsman
endorsed the decision of the Respondent.
[3]
The claim is for specific performance. The Respondent’s case is
that since the
contract has been cancelled it cannot perform in terms
of a cancelled contract. The Respondent maintains that the relief
sought
by the Applicant is incompetent in view of the absence of any
prayer to review and set aside the Respondent’s decision to
reject the claim.
[4]
The issue before me which is dispositive of the matter is whether the
Respondent correctly
and procedurally rejected the claim and
cancelled the agreement.
[5]
The material terms of the policy of insurance referred to above were
as follows:
5.1
The Applicant undertook to always provide the Respondent
with true
and complete information.
5.2
The Applicant also undertook to provide the Respondent with
all
information and documentation that the Respondent asks for and to do
so within the time frame set by the Respondent.
5.3
The Applicant undertook to provide the Respondent with any
relevant
documents required to validate the claim.
5.4
The Applicant undertook to comply with the Respondent’s
instructions and requests as and when required.
[6]
It is common cause that the Respondent was entitled to request
further information
and documentation to enable it to validate the
claim. In particular the Respondent requested from the Applicant to
grant it permission
and consent to approach MTN Cellphone Operator to
enable the Respondent to establish beacons and billing report in
order to verify
the Applicant’s version and to establish the
whereabouts of the Applicant at the time of the accident.
[7]
The steps leading to the Respondent rejecting the Applicant’s
claim are as follows:
7.1
On the 22
nd
May 2020 the Respondent sent a letter to the
Applicant requesting the Applicant to furnish the Respondent with
authority to obtain
cell phone records. The Respondent informed the
Applicant that it requires the said authorisation by close of
business on the 25
th
May 2020. That deadline was not met.
7.2
A further letter was addressed to the Applicant requesting that the
information be made
available by close of business on the 03
rd
June 2020.
7.3
On the morning of the 03
rd
June 2020 Applicant promised
that he will make the information available and did not do so.
7.4
On the 03
rd
June 2020 the Respondent addressed a formal
letter to the Applicant notifying him of the rejection of the claim
on the basis of
the Applicant’s failure to comply with a
reasonable request by the Respondent to enable the Respondent to
verify the claim.
In the letter the Applicant was informed that the
policy will be regarded as cancelled by the 30
th
July
2020.
[8]
The Applicant maintains that he refused to grant access to the
Respondent because
firstly such information as required was not
reasonable, secondly that the Applicant insisted on being furnished
with an undertaking
by the Respondent to safeguard his personal
information.
[9]
The Applicant by his own action failed to comply with a condition of
the policy of
insurance and thus breached the agreement. The
Respondent as it was entitled to accepted the Applicant’s
breach and cancelled
the policy.
[10]
The Applicant has not challenged the cancellation which still stands
but has instead elected
to claim specific performance on a
non-existent contract.
[11]
The legal position as enunciated in
Taljaard v Sentrale Raad Vir
Kooperatiewe Assuransie BPK
1974 (2) SA 450
(A)
as well as in
Commercial Union Assurance Company of South Africa Ltd v KwaZulu
Finance and Investment Corporation and Another
[1995] ZASCA 63
;
1995 (3) SA 751
(A)
is that it is for the insurer to allege and prove that it is entitled
to repudiate the claim based on the reason relied upon.
[12]
I am accordingly persuaded that the Respondent has conclusively
demonstrated that it was entitled
to reject the claim and
subsequently cancel the policy as it did.
[13]
The Applicant places reliance for its submission on the unreported
decision by Rathivhumo AJ
in the matter of
Mashele v Momentum
Insurance and Another (15304/2016) [2017] ZAGPSHC 33 (2 March 2017)
and says that the facts in that matter are almost identical to the
facts in the present matter. That cannot be correct this matter
is
about cancelation of a policy based on breach whilst in Mashele the
issue was about reversal of the decision to repudiate.
[14]
The other issue raised by the Respondent in respect of the defective
service as well as dispute
of fact are equally valid. In view of the
decision I have arrived at I do not deem it necessary to deal with
those issues save
to say that they are valid in law and have been
well made.
[15]
In the result I have come to the conclusion that the Respondent
correctly cancelled the agreement
and is accordingly released from
any liability therein. This application fails and I make the
following order:
ORDER
(i)
The Application is
dismissed.
(ii)
The Applicant is ordered
to pay the Respondent’s taxed party and party costs.
Dated at Johannesburg on
this 09 day of May 2022.
M A MAKUME
JUDGE OF THE HIGH
COURT
GAUTENG DIVISION,
JOHANNESBURG
Appearances:
DATE
OF HEARING: 03
MAY 2022
DATE
OF JUDGMENT: 09 MAY 2022
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