High Court of KeralaSingle JudgeAppeal allowed; enhanced compensation awarded w...

Fathima v. Nazar & United India Insurance Company Ltd.

Case / Petition Number:MACA 1755/2013

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • C. Jayachandran
Judgment Date
2022-07-18
Court Decision / Holding
The appeal is allowed. Enhanced compensation is awarded across heads: notional income fixed at Rs. 7,500/month; loss of earning capacity extended to four months; pain and suffering increased; bystander and nourishment expenses adjusted; transportation and other heads adjusted; multiplier fixed at 14; total enhanced compensation Rs. 3,34,650; interest at 5% on enhanced amounts from petition date; NEFT/RTGS payment to claimant’s bank account; bank details to be provided within one month; if not provided, no interest beyond stipulated; if insurer fails to deposit, interest on enhanced amount continues as per Tribunal’s rate.
Final Disposition
Appeal allowed; enhanced compensation awarded with payment directions and interest terms.

Parties to the Case

Appellants / Petitioners

  • Fathima

Respondents

  • Nazar
  • The Branch Manager, United India Insurance Company Ltd.

Legal Representation & Advocates

Counsels for Petitioners

  • • SMT. CELINE JOSEPH

Counsels for Respondents

  • • John Joseph Vettikad

Case Synopsis & Summary

The Kerala High Court hears MACA No. 1755 of 2013, challenging the Motor Accidents Claims Tribunal, Kalpetta’s award in O.P.(MV) No. 220/2010 (2010 accident). The appellant, a 48-year-old female coolie, sustained vertebral fractures, rib fractures, and related injuries in the accident, resulting in disability and loss of earning capacity. The Medical Board assessed disability at 16% for the whole body; the appellant contends that additional functional impairments — including hearing impairment, urinary incontinence, and loss of teeth — were not captured in the disability certificate and should be reflected in the compensation. The Tribunal’s award relied on the disability percentage and a notional income framework, but the appellant argues that the heads of compensation (income, loss of earning capacity, pain and suffering, loss of amenities, bystander expenses, and nourishment) were inadequately calculated; and that the multiplier is improper. The State High Court emphasizes that disability assessment is the province of experts and that the Medical Board’s certificate governs the disability figure, but it applies Supreme Court precedents Ramachandrappa and Minu Rout to determine a just compensation framework. It fixes the notional monthly income at Rs. 7,500 (for 2010) and expands several heads of compensation, enhancing loss of earning power to four months, pain and suffering, bystander expenses, and nourishment, applying a multiplier of 14 (age 45). The appeal is allowed with an enhanced total compensation and specific payment directions, including 5% interest on enhanced amounts and NEFT/RTGS transfer.

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellant submits that the 16% whole-body disability fixed by the Medical Board does not capture the true extent of her impairment. The vertebral fracture has caused a bending disability; the loss of three teeth, possible hearing impairment, and urinary incontinence reflect functional disabilities that are not reflected in the disability certificate. The Tribunal erred by relying solely on the 16% figure and should consider these additional disabilities to enhance compensation. The notional monthly income for 2010 should be Rs. 7,500 as per Ramachandrappa (2011) and Minu Rout (2013) to ensure just compensation; the Tribunal’s calculation underpays the appellant’s losses, including four months of loss of earning capacity (instead of three), increased pain and suffering, higher bystander and nourishment expenses, and an updated per-day rate. The multiplier should be 14 due to age 45 at the time of the accident. The appellant seeks recalculated compensation reflecting these principles, and payment with interest and direct bank transfer.

Contentions of Respondents

The respondents contend that the Medical Board’s 16% disability is to be treated as the basis for compensation and that no separate functional disability is established by the records. The Tribunal’s determination of notional income (Rs. 3,000) and other heads aligns with the evidence and the record, and should not be disturbed. Although the Tribunal applied a 13-multiplier, the respondents note the judge’s admission that the correct multiplier is 14, which aligns with the respondents’ position that the existing framework yields a fair award. The insurer maintains that the award is just, consistent with the evidence, and that substantial enhancement should not be entailed absent clear proof of higher impairment or earning loss beyond the board certificate.

Cited Precedents (2)

Case NameCitationTreatmentExplanation
Ramachandrappa v. The Manager, Royal Sundaram Alliance Insurance Company Ltd.(2011) 13 SCC 236PositiveUsed to fix notional monthly income at Rs. 7,500 for 2010 and to guide determination of just compensation in accident cases.
Minu Rout & Another v. Satya Pradyumna Mahopatra & Others(2013) 10 SCC 695PositiveCited to emphasize tribunal’s duty to fix a just compensation and not deprive the claimant of fair amounts.

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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. JAYACHANDRAN** **MONDAY, THE 18[TH] DAY OF JULY 2022 / 27TH ASHADHA, 1944 MACA NO. 1755 OF 2013** **AGAINST THE AWARD DATED 03.10.2012 IN O.P.(MV) NO.220/2010 OF THE MOTOR ACCIDENT CLAIMS TRIBUNAL, KALPETTA. APPELLANT/PETITIONER:** **FATHIMA, AGED 48 YEARS, W/O.ALI, THANIKKAD HOUSE, THARUVANA POST, PORUNNANNOOR, MANANTHAVADY VIA, WAYANAD DISTRICT. BY ADV. SMT. CELINE JOSEPH** ## **RESPONDENTS/RESPONDENTS:** **1 NAZAR, AGED 41 YEARS, S/O.IBRAHIM, KOZHISSERY HOUSE, KOKKADAVU,PORUNNANNOOR, VELLAMUNDA POST, WAYANAD DISTRICT-673 121. 2 THE BRANCH MANAGER, UNITED INDIA INSURANCE COMPANY LTD, BRANCH OFFICE, RAWTHER BUILDING, NEAR PINANGODE ROAD JUNCTION, MAIN ROAD, KALPETTA-673 121.** **BY ADVS.JOHN JOSEPH VETTIKAD** **THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 18.07.2022, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:** MACA 1755/2013 2 C.JAYACHANDRAN, J. -----------------------------------MACA No.1755 of 2013 ------------------------------------Dated this the 18[th] day of July, 2022 ## J U D G M E N T 1. The injured/claimant in O.P(M.V) No.220/2010 of the Motor Accidents Claims Tribunal, Kalpetta is the appellant herein. By virtue of this appeal, the appellant seeks enhancement of compensation granted by the learned Tribunal on the following grounds: The first is with respect to the percentage of disability. The Medical Board reckoned disability at 16% on the basis of the injuries/fractures suffered by the appellant/claimant. Learned counsel would submit that the disability assessed at 16% is the whole body disability. The appellant was a coolie and on account of the fracture sustained at the vertebra, she is not in a position to bend. She lost three teeth as well. According to the learned counsel, the appellant has hearing disability pursuant to the accident and she also has urinary discontinence, which also is the result of the accident. Therefore, MACA 1755/2013 3 the percentage of disability is liable to be increased, is the submission made by the learned counsel for the appellant. This submission is opposed by the learned counsel for the second respondent/insurance company. 2. Having heard the learned counsel appearing on both sides, I am not in a position to endorse the submissions made by the learned counsel for the appellant. The claims now espoused before this Court have been considered by the learned Tribunal in paragraph no.12 of the award. A perusal of the same would indicate that the fractures at the ribs are well united as per a subsequent x-ray. Further, the learned Tribunal found that the ailments/difficulty spoken to by the appellant/claimant do not find a place in the disability certificate issued by the Medical Board. This Court is of the opinion that assessment of disability of a person, pursuant to an accident, is purely the job of an expert and this Court cannot substitute its views as against the opinion of the expert. The appellant was subjected to examination by the Medical Board specifically for the purpose of assessing disability. If any disability MACA 1755/2013 4 other than the 16% disability reckoned for the whole of the body was indicated from the difficulties or the medical situation of the appellant, the same should have found a place in the certificate. In the absence of the same, this Court is not in a position to accede to the request made by the learned counsel for the appellant. There exists nothing to indicate a functional disability which is different and distinct from the whole body disability assessed by the Board. 3. The second head is with respect to the monthly income. As against Rs.6,000/- claimed, only Rs.3,000/- alone was reckoned by the Tribunal. Going by Ramachandrappa v. The Manager, Royal Sundaram Alliance Insurance Company Ltd. [(2011) 13 SCC 236] , the monthly income to be reckoned for the year 2010 is Rs.7,500/-. This was opposed by the learned counsel for the insurance company pointing out that the amount more than what has been claimed by the appellant/petitioner cannot be granted. This court finds little merit in the objection made by the learned counsel, since the Tribunal is liable to arrive at a just and fair compensation, for which MACA 1755/2013 5 purpose, a just and fair monthly income also should be reckoned, based on material particulars. In Minu Rout & Another v. Satya Pradyumna Mahopatra & Others [(2013) 10 SCC 695] , the Hon'ble Supreme Court held that it was in fact the duty of the Tribunal to fix a just compensation. When the Hon'ble Supreme Court categorically holds for the purpose of uniformity in Ramachandrappa (supra) that the notional monthly income to be reckoned for the purpose of compensation for accidents in the year 2010 is Rs.7,500/-, this Court is of the view that the claimant/appellant need not be deprived of the same, only for the reason that she mentioned Rs.6,000/- only in her petition. In the circumstances, the monthly income is reckoned at Rs.7,500/- and the compensation on account of disability is liable to be reworked on that basis. 4. The next ground is with respect to loss of earning capacity, wherein the Tribunal had reckoned only three months. Learned counsel again emphasised the fact that the appellant/claimant suffered fractures at the 6[th] and 7[th] ribs, with minimal hemothorax, besides fracture to the right transverse processes with L2 and L3. She had also suffered a MACA 1755/2013 6 disability to the extent of 16%. Therefore, the period of three months reckoned is inadequate is the submission made by the learned counsel for the appellant. This Court finds merit in the said submission and the period is, therefore, enhanced to four months. 5. Pain and suffering was reckoned only at Rs.12,000/-. Having regard to the injuries referred above and having regard to the fact that the appellant was an inpatient for a period of seven days, this Court enhances the compensation on account of pain and suffering to Rs.25,000/-, especially for the reason that the fractures sustained were on the vertebra. 6. Under the head loss of amenities and inconvenience, only Rs.5,000/- was given. Here again, going by the nature of the injuries sustained and the disability assessed, this Court is of the opinion that the same is to be enhanced to Rs.20,000/-. Finally, the bystander expenses and expenses for extra nourishment were reckoned only at the rate of Rs.100/- each, per day. The accident is of the year MACA 1755/2013 7 2010, wherefore, the former is liable to be enhanced to Rs.250/- per day and the latter, at the rate of Rs.200/- per day. 7. Another contention is with respect to the multiplier adopted by the learned Tribunal. As against the correct multiplier of 14, the Tribunal had taken only 13. Learned counsel for the second respondent/insurance company has no quarrel in respect of this aspect, since the appellant/claimant was aged 45 years at the time of the accident. Therefore, the correct multiplier to be applied is 14. 8. In the result, the M.A.C.A is allowed and the compensation amount payable to the appellant/claimant will be as indicated in the tabular statement shown hereunder: |Sl.<br>No.|Head of Claim|Amount<br>awarded by<br>the<br>Tribunal<br>(Rs.)|Total amount<br>after<br>enhancement in<br>appeal (Rs.)| |---|---|---|---| |1|Income/notional income|3000|7500| |2|Loss of earning<br>(total)|9000|30000| |3|Medical and<br>miscellaneous expenses|37900|37900| MACA 1755/2013 8 ||8||| |---|---|---|---| |4|Bystander expenses|700|1750| |5|Transportation<br>expenses|4000|4000| |6|Extra nourishment|700|1400| |7|Damage to clothing|500|500| |8|Pain and suffering|12000|25000| |9|Compensation for<br>permanent disability|74880|201600*| ||Loss of amenities and<br>inconvenience|5000|20000| |10|Loss of earning power|5000|5000| ||Total|1,49,680/-|3,34,650/-| ||Total enhancement =Rs.1,84,970/-<br>(3,34,650/- - 1,49,680/-)||| *(7500x16%x14x12) 9. The Insurance Company shall pay interest for the amounts awarded by the Tribunal at the rate directed in the impugned award and for the enhanced amounts at the rate of 5% from the date of petition. If any amounts have already been paid, the same shall be granted set off. Since there was a delay of 207 days in filing the appeal, the interest for the enhanced quantum shall not run for the said period as directed in order dated 3.1.2022 in C.M.Appl.No.1/2013. The claimant/s shall produce the details of the Bank account before the Insurance Company/Tribunal within one month from the date of receipt of a certified copy of this judgment and amount shall be transferred to the Bank account directly through NEFT/RTGS mode, MACA 1755/2013 9 within a period of one month thereafter. If the Bank account is not furnished within the time stipulated, it is made clear that no interest shall run on the enhanced amount after the period stipulated by this Court. However, if the Insurance Company fails to deposit the amount as directed, interest on enhanced amount shall also run at the rate ordered by the Tribunal from the date of petition. 10. The appeal is allowed as indicated above. Sd/C.JAYACHANDRAN JUDGE jg