High Court of KeralaSingle JudgeAppeal partly allowed; uphold exoneration of in...

Biju T.M. v. E.V. Sunil, Ajeesh K.B. and National Insurance Co. Ltd.

Case / Petition Number:MACA NO. 1456 OF 2010

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • C.S. Dias
Judgment Date
2021-12-08
Court Decision / Holding
Appeal partly allowed. The insurer’s exoneration is upheld; however, the first two respondents are directed to pay an enhanced amount of Rs. 11,000 (Rs. 8,000 for pain and suffering and Rs. 3,000 for loss of earnings) with interest at 7% per annum from the date of petition to realisation, plus costs of Rs. 5,000. The enhanced amount must be deposited before the Tribunal within 60 days from receipt of a certified copy of the judgment; failure to deposit allows the appellant to seek execution.
Final Disposition
Appeal partly allowed; uphold exoneration of insurer; enhance compensation payable by respondents 1 and 2; interest and costs; deposit within 60 days; execution if not deposited.

Parties to the Case

Appellants / Petitioners

  • Biju.T.M.

Respondents

  • E.V. Sunil
  • Ajeesh K.B.
  • National Insurance Co. Ltd.

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri.P.V.Chandramohan

Counsels for Respondents

  • • Sri.M.A.George
  • • Smt. Deepa George

Case Synopsis & Summary

This is a Motor Accident Claims Appeal (MACA) before the Kerala High Court arising from an award under the Motor Vehicles Act, 1988. The appellant, Biju T.M., sustained injuries as a pillion rider on a scooter in an accident on 30 November 2002. The Additional Motor Accidents Claims Tribunal, Thrissur, awarded compensation but exonerated the insurer (the third respondent) on the ground that the policy was an Act Policy and the rider was entitled to no indemnity from the insurer. The appellant challenged the tribunal’s conclusion and the quantum of compensation. The High Court considered two questions: (i) whether the insurer’s exoneration was legally sustainable; (ii) whether the quantum of compensation was just and adequate. For (i), the court relied on Supreme Court precedents United India Insurance Co. Ltd. v. Thilak Singh and National Insurance Co. Ltd. v. Balakrishnan, which hold that an insurer is not liable to indemnify a pillion rider under an Act Policy. The court accordingly upheld the Tribunal’s exoneration. For (ii), the court re-evaluated notional income, increasing it from Rs. 2,500 to Rs. 3,500 per month (in light of Ramachandrappa v. Manager) and awarded additional compensation for loss of earnings, pain and suffering, and disability, while maintaining other Tribunal findings. The appeal is allowed in part: the first two respondents must pay enhanced compensation totaling Rs. 11,000 with 7% interest and Rs. 5,000 costs, to be deposited within 60 days; failure permits execution. The judgment closes with consolidation of these orders and a direction to deposit the enhanced amount.

Provisions of Law Cited

Section 166 of the Motor Vehicles Act, 1988

Legal Doctrines & Maxims

  • Pillion rider under an Act Policy insurer is not liable to indemnify (United India Insurance Co. Ltd. v. Thilak Singh)
  • National Insurance Co. Ltd. v. Balakrishnan: reiterates insurer not liable under Act Policy for pillion rider claims
  • Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Co. Ltd: fix notional income (notion of earnings) for compensation
  • Raj Kumar v. Ajay Kumar: functionally assess disability rather than mere numeric disability to determine compensation

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellant contends that the Tribunal’s exoneration of the insurer is not legally sustainable and that the compensation awarded is inadequate. He argues that the insurer, though bound by the policy type, should still bear liability in light of negligence, and that the Tribunal undervalued notional income and consequential losses. He seeks reversal of the exoneration and enhancement of compensation, including damages for pain and suffering and loss of earnings, with appropriate interest and costs.

Contentions of Respondents

The respondents contend that the motorcycle was covered by an Act Policy, and the insurer is not liable to indemnify a pillion rider; exoneration of the insurer is in accordance with established law (Thilak Singh and Balakrishnan). They argue that the functional disability is limited and that the Tribunal’s determination of income and other heads was appropriate, urging dismissal or minimal interference with the award.

Cited Precedents (4)

Case NameCitationTreatmentExplanation
United India Insurance Co. Ltd. v. Thilak Singh2006 (4) SCC 404PositiveEstablishes that insurer is not liable to indemnify a pillion rider under an Act Policy; relied upon to sustain insurer’s exoneration.
National Insurance Co. Ltd. v. BalakrishnanAIR (2013) SC 473PositiveReiterates the principle that supports non-liability of insurer in the pillion rider/Act Policy context.
Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Company Limited(2011) 13 SCC 236PositiveUsed as yardstick to fix notional monthly income; supports reassessment of earnings for compensation.
Raj Kumar v. Ajay Kumar2011 (1) KLT 620 SCPositiveAffirms that functional disability, not merely a percentage, informs compensation."

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Extracted Judgment Text

Exact text extracted from official judgment records.

# **IN THE HIGH COURT OF KERALA AT ERNAKULAM** ## **PRESENT** ## **THE HONOURABLE MR.JUSTICE C.S.DIAS** **WEDNESDAY, THE 8[TH] DAY OF DECEMBER 2021 / 17TH AGRAHAYANA, 1943** ## **MACA NO. 1456 OF 2010** **AGAINST THE AWARD DATED 31.12.2009 IN OPMV 1264/2003 OF THE** **ADDITIONAL MOTOR ACCIDENT CLAIMS TRIBUNAL, THRISSUR** ## **APPELLANT/PETITIONER:** BIJU.T.M. AGED 34 YEARS, S/O.MANI, SELVARAJ VIHAR, PAMBOOR, P.O.KUTTOOR, THRISSUR DISTRICT. BY ADV SRI.P.V.CHANDRA MOHAN ## **RESPONDENTS/RESPONDENTS:** - 1 E.V.SUNIL S/O.VASUDEVAN, EDAKKUNNI HOUSE, P.O.VIYYUR, THRISSUR DISTRICT 680 010 - 2 AJEESH K.B. S/O.BALAN K.G. KADAVIL HOUSE, PAMBOOR, KUTTOOR, THRISSUR DISTRICT 680 013. 3 NATIONAL INSURANCE CO.LTD. DIVISIONAL OFFICE, KOLLANNUR DEVASSY, SMARAK BUILDING, ROUND EAST, THRISSUR 680 001. BY ADV SRI.M.A.GEORGE ## **THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION** **ON 08.12.2021, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:** **MACA NO. 1456 OF 2010 2** ## **Dated this the 8[th] day of December, 2021. JUDGMENT** The appellant was the petitioner in OP(MV) 1264/2003 on the file of the Additional Motor Accidents Claims Tribunal, Thrissur. The respondents in the appeal were the respondents before the Tribunal. 2. The appellant had filed the claim petition under Section 166 of the Motor Vehicles Act, 1988,(in short ‘Act’) claiming compensation on account of the injuries that he sustained in an accident on 30.11.2002. It was his case that, on the aforesaid date, while he was travelling as a pillion rider in a scooter bearing registration No. KL 8M 1838 through the Poonkummam - MLA road, due to the negligence of the second respondent, the scooter overturned and the appellant sustained serious injuries. ## **MACA NO. 1456 OF 2010 3** He was treated at the West Fort Hospital as an inpatient for a period of five days. The appellant was a jewellery worker and was earning a monthly income of Rs.8000/-. The scooter was owned by the first respondent and insured with the third respondent. Hence, the appellant claimed a compensation of Rs.1,97,750/- from the respondents. 3. The respondents 1 and 2 did not contest the proceedings and were set ex parte. 4. The third respondent had filed a written statement and an additional written statement, inter alia, contending that the motorcycle was only covered by an ‘Act Policy’. Therefore, the third respondent was not liable to pay the compensation amount. 5. The appellant had produced and marked Exhibits A1 to A11 in evidence. The third respondent produced the insurance policy of the motorcycle, which was marked as Exhibit B1. ## **MACA NO. 1456 OF 2010 4** 6. The Tribunal, after analysing the pleadings and materials on record, exonerated the third respondent and permitted the appellant to realise from the respondents 1 and 2 an amount of Rs.41,550/- with interest at the rate of 7% per annum from the date of petition till the date of realisation. 7. Aggrieved by the exoneration of the third respondent and dissatisfied with the quantum of compensation awarded by the Tribunal, the petitioner is in appeal. 8. Heard; Sri.P.V.Chandramohan, the learned counsel appearing for the appellant/petitioner and Smt. Deepa George, the learned counsel appearing for the third respondent/insurer. 9. The questions that arise for consideration in this appeal are (i) whether the exoneration of the third respondent/insurer was sustainable in law ? (ii) whether the quantum of compensation awarded by the Tribunal is ## **MACA NO. 1456 OF 2010 5** reasonable and just? ## **Question No.(i)** 10. Admittedly, the appellant was a pillion rider on a motorcycle, which was covered by Exhibit B1 ‘Act Policy’. 11. In **United India Insurance Company Ltd vs. Thilak Singh and others** [2006 (4) SCC 404], the Honourable Supreme Court has categorically held that the insurer is not liable to indemnify the insured in a claim petition filed for compensation by a pillion rider travelling on a two wheeler covered by an ‘Act Policy’. The said legal position is reiterated by the Honourable Supreme Court in **National Insurance Co. Ltd. v. Balakrishnan and another** [AIR (2013) SC 473]. 12. In view of the above authoritative precedents and the fact that Exhibit B1 is an ‘Act Policy’, and that the appellant was a pillion rider on the motorcycle, I do not find any error or illegality in the conclusion arrived at by the Tribunal exonerating the third respondent-insurer ## **MACA NO. 1456 OF 2010 6** from indemnifying the first respondent to pay the compensation amount. Hence, I answer question No.(i) against the appellant. ## **Question No.(ii)** 13. The appellant had claimed that the was a jewellery worker by profession and earning a monthly income of Rs.8000/-. For the want of materials, the Tribunal fixed the notional monthly income of the appellant at Rs.2500/-. 14. In **Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Company Limited** [(2011) 13 SCC 236], the Honourable Supreme Court has fixed the notional monthly income of a coolie worker in the year 2004, at Rs.4500/- per month. 15. Following the yardstick in the afore-cited decision and considering the fact that the accident occurred in the year 2002, I re-fix the notional monthly income of the appellant at Rs.3500/-. ## **MACA NO. 1456 OF 2010 7** ## **Loss of earnings** 16. The Tribunal has found that the appellant was indisposed for a period of three months, which finding I do confirm. 17. In view of the re-fixation of the notional monthly income of the appellant at Rs.3500/-, I hold that he is entitled for enhancement of compensation under the head ‘loss of earning’ by a further amount of Rs.3000/-i.e. total amount of Rs.10,500/-. ## **Disability** 18. The appellant had produced Exhibit A8 disability certificate issued by the Neurologist attached to the Thrissur Heart Hospital. The Doctor, who issued the certificate has stated that the appellant had giddiness, watering of eyes and had a scar. Hence, the appellant has a permanent partial disability of 12%. 19. In **Raj Kumar v. Ajay Kumar** [2011 (1) KLT 620 SC], the Honourable supreme Court has held that what ## **MACA NO. 1456 OF 2010 8** needs to be looked into in a injury claim for compensation is the functional disability of the injured -claimant. 20. In the instant case, going by Exhibit A8 disability certificate is found that the Doctor has stated that the appellant has only a permanent partial disability of 12%. Moreover, the reasons for the permanent partial disability are only giddiness, watering of the eyes and a scar on his face. The said reasons cannot be considered to hold the appellant has any functional disability. I am not convinced that the appellant was prevented from carrying on his avocation. Therefore, I uphold the finding of the Tribunal that the appellant has no functional disability. ## **Pain and sufferings** 21. In the light of the nature of injuries sustained by the appellant, that he was treated as an inpatient for a period of five days and that he was indisposed for a period of three months, I hold that the appellant is entitled to Rs. 20,000/- for ‘pain and sufferings’ as claimed in the ## **MACA NO. 1456 OF 2010 9** claim petition, i.e an enhancement of Rs.8,000/-. 22. With respect to other heads of compensation, I find that the Tribunal has awarded reasonable and just compensation. In the result, the appeal is allowed in part, I uphold the finding of the Tribunal with regard to exoneration of the liability of the third respondent, but direct the respondents 1 and 2 to pay the appellant a further amount of Rs.11,000/- (ie. Rs.8000/- towards compensation for ‘pain and suffering’s, and Rs.3000/towards ‘loss of earnings’) with interest at the rate of 7% per annum, from the date of petition till the date of realisation, and a cost of Rs.5000/-. The respondents 1 and 2 are ordered to deposit the enhanced compensation with interest and cost before the Tribunal within sixty days from the date of receipt of a certified copy of the judgment. If the said amount is not deposited by the respondents 1 and 2, within the prescribed time period, **MACA NO. 1456 OF 2010 10** the appellant would be at liberty to move the Tribunal for executing this judgment to realise the above ordered compensation, which shall be disbursed to the appellant in accordance with law. Sd/- **C.S.DIAS, JUDGE** rmm08/12/2021