High Court of KeralaSingle JudgePartially allowed; impugned order modified to c...

IFFCO TOKIO GENERAL INSURANCE COMPANY LIMITED v. CHACKO, S/O LATE PATHROSE; BIJI JESUS SAINT JEO'S CRUSHER DP; SUSEELA BIJI

Case / Petition Number:MFA.(WCC).No.115 of 2013

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • P. B. Suresh Kumar
Judgment Date
2015-08-31
Court Decision / Holding
The appeal is allowed in part. The impugned order is modified to limit the appellant’s liability to Rs.17,446. The first respondent may recover the interest and penalty from respondents 2 and 3, less Rs.1,000 already paid. The Commissioner shall release any excess amount deposited under Section 13 of the Workmen’s Compensation Act to the appellant.
Final Disposition
Partially allowed; impugned order modified to cap insurer’s liability at Rs.17,446, with interest/penalty recoverable from respondents 2 and 3; excess deposit under Section 13, if any, to be released to the appellant.

Parties to the Case

Appellants / Petitioners

  • IFFCO Tokio General Insurance Company Limited

Respondents

  • Chacko, S/o. Late Pathrose, Palliyadiyil House, Puthamattom Malikakadavu P.O., Panachikadu, Kottayam, PIN-686320
  • Biji Jesus Saint JEO's Crusher DP, Poovantthuruth Kottayam, PIN-686318
  • Suseela Biji W/o. Biji Jesus, IX/131-A, Kattiayamthuruthu Thrikkothamangalam P.O., Puthuppally, Kottayam, PIN-686315

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri Mathews Jacob (Sr.)
  • • Sri P. Jacob Mathew

Counsels for Respondents

  • • Sri C.S. Manilal
  • • Sri Titus Mani
  • • Sri Binny Thomas

Case Synopsis & Summary

This is a Kerala High Court appeal (MFA.(WCC).No.115 of 2013) challenging the order of the Commissioner for Workmen’s Compensation, Kottayam, in W.C.C. No.82 of 2002, dated 14 April 2012. The first respondent (Chacko) was employed by respondents 2 and 3, a metal crusher unit, and suffered crush injuries to his right little and ring fingers on 14 May 2002 in the course of employment. The appellant insurer had issued Ext. A2, a group personal accident policy to respondent 2, but contended that it did not cover Workmen’s Compensation Act liabilities or pay interest/penalty. The Commissioner found that the injuries led to a loss of earning capacity of 11%, assessed monthly income at Rs. 2,400, and calculated a compensation of Rs. 17,446, directing deposit before the Commissioner with interest at 12% per annum and penalty provisions. The insurer argued there is no statutory obligation to pay interest and that contracting out is permissible; the first respondent argued for recovery of the due compensation along with interest/penalty under the Act. The High Court, relying on New India Assurance Co. Ltd. v. Harshadbhai Amrutbhai Modhiya and Anr., held that contracting out is permissible and modified the order, limiting the insurer’s liability to Rs. 17,446, while allowing the first respondent to recover interest/penalty from respondents 2 and 3 (less Rs.1,000 already paid). Any excess deposited under Section 13 is to be released to the appellant.

Provisions of Law Cited

Section 22 of the Workmen's Compensation ActSection 13 of the Workmen's Compensation ActSection 17 of the Workmen's Compensation Act

Legal Doctrines & Maxims

  • Contracting out of liability in contract of insurance is permissible under the Insurance Act; insurer is not statutorily liable under the Act
  • Terms of a contract of insurance govern liability; contracting out can limit insurer’s obligations
  • Indemnity of employer by insurer is conditioned by the contract; statutory liability does not compel insurer to cover all consequences of the Act

Submissions & Arguments

Contentions of Appellants / Petitioners

Learned counsel for the appellant submitted that Ext. A2 is a group personal accident policy and does not cover Workmen’s Compensation liability, including interest and penalties. He contended that, unlike the Motor Vehicles Act, S.17 does not restrict contracting out by the employer, and the Insurance Act governs the contract’s terms. Since Ext. A2 does not provide for interest or penalties, the insurer cannot be held liable for such sums. Relying on New India Assurance Co. Ltd. v. Harshadbhai Amrutbhai Modhiya and Anr., the insurer argued contracting out is permissible, and the Commissioner’s impugned order should be modified to limit liability to Rs.17,446. The insurer asserted that the first respondent should recover interest/penalty from respondents 2 and 3, less Rs.1,000 already paid, and any excess deposited under Section 13 should be released to the appellant.

Contentions of Respondents

The respondents contended that the first respondent is entitled to compensation under the Workmen’s Compensation Act along with interest and penalties, and that the insurer cannot contract out statutory liability. They argued Ext. A2 does not cover WCC claims, but the Act requires payment of interest and penalties where due, which the insurer should indemnify. They relied on the Act’s provisions for liability and asserted that the Commissioner’s award should be upheld or enhanced to reflect the statutory interest/penalty, not merely the principal compensation amount. They emphasised that policy terms cannot override statutory rights conferred by the WCC Act and that the insurer’s contractual limitations should not defeat a workman’s right to compensation and interest under the Act.

Cited Precedents (1)

Case NameCitationTreatmentExplanation
New India Assurance Co. Ltd. v. Harshadbhai Amrutbhai Modhiya and Anr.2006(2) KLT 539PositiveThe Kerala High Court relies on the Apex Court decision to uphold the insurer’s contractual liberty to contract out liability for interest/penalty, thereby supporting the appellant’s position.

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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 P.B.SURESH KUMAR** **MONDAY, THE 31ST DAY OF AUGUST 2015/9TH BHADRA, 1937** **MFA.No. 115 of 2013 () -----------------------** **AGAINST THE ORDER/JUDGMENT IN WCC 82/2002 of W.C.C.,KOTTAYAM DATED 14-04-2012** **APPELLANT(S)/3RD OPPOSITE PARTY: --------------------------------** **IFFCO TOKIO GENERAL INSURANCE COMPANY LIMITED, COCHIN, NOW REPRESENTED BY ITS MANAGER-LEGAL, 'SATGAMAYA', M.G.ROAD, KOCHI-600 011.** **BY ADVS.SRI.MATHEWS JACOB (SR.) SRI.P.JACOB MATHEW** **RESPONDENT(S)/APPLICANT AND OPPOSITE PARTIES 1 & 4:** **---------------------------------------------------** **1. CHACKO, S/O.LATE PATHROSE, PALLIYADIYIL HOUSE, PUTHAMATTOM MALIKAKADAVU.P.O., PANACHIKADU, KOTTAYAM. PIN-686 320.** **2. BIJI JESUS SAINT JEO'S CRUSHER DP, POOVANTHURUTH KOTTAYAM. PIN-686 318.** **3. SUSEELA BIJI W/O.BIJI JESUS, IX/131-A, KATTIYAMTHURUTHU THRIKKOTHAMANGALAM.P.O., PUTHUPPALLY KOTTAYAM. PIN-686 315.** **R2 & 3 BY ADV. SRI.TITUS MANI R2 & 3 BY ADV. SRI.BINNY THOMAS R1 BY ADV. SRI.C.S.MANILAL** **THIS MISC. FIRST APPEAL HAVING BEEN FINALLY HEARD ON 31-08-2015, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:** ## **P.B.SURESH KUMAR, J.** ## **-----------------------------------** **M.F.A.(WCC).No.115 of 2013 -----------------------------------------------Dated this the 31[st] day of August, 2015** ## **JUDGMENT** The order passed by the Court of the Commissioner for Workmen's Compensation, Kottayam in W.C.C.No.82 of 2002 is under challenge in this appeal. 2. The first respondent instituted the proceedings referred to above invoking Section 22 of the Workmen's Compensation Act. It is alleged by the first respondent that he sustained injuries in an accident took place on 14.5.2002 in the course of his employment under respondents 2 and 3. The establishment of respondents 2 and 3 was a metal crusher unit and the first respondent sustained crush injuries to his right little finger and ring finger. He claimed a M.F.A.(WCC).No.115 of 2013 2 sum of Rs.50,000/- by way of compensation in the proceedings. The appellant was arrayed as a respondent in the proceedings alleging that they have issued a policy of insurance to respondents 2 and 3 to cover the risks of respondents 2 and 3 under the Workmens' Compensation Act. Respondents 2 and 3 contested the application, contending that they have no liability to pay compensation to the first respondent and that if at all it is found that they have any liability, they are liable to be indemnified by the appellant. The appellant contested the application, contending that they have not issued any policy to respondents 2 and 3 to cover the risks of respondents 2 and 3 under the Workmen's Compensation Act. According to them, they have issued only a group personal accident insurance policy to the second respondent and that therefore they are liable to pay only the amounts payable to the first respondent as per the terms of the said policy. M.F.A.(WCC).No.115 of 2013 3 3. The Commissioner for Workmen's Compensation found that the first respondent was employed under respondents 2 and 3 and that he sustained personal injuries out of an accident occurred during and in the course of his employment on 14.5.2002. The Commissioner also found that the percentage of loss of earning capacity suffered by the first respondent in the accident is 11%. Thereupon, the Commissioner worked out the compensation payable to the first respondent as per the provisions of the Workmen's Compensation Act at Rs.17,446/-, reckoning his loss of earning capacity at 11% and the monthly income at Rs.2,400/- and passed the impugned order directing the appellant and respondents 2 and 3 to deposit the said amount before the Commissioner less Rs.1,000/- already paid, with interest at the rate of 12% per annum. The Commissioner also directed that if the said direction is not complied with, the said amount will be realised with 30% of M.F.A.(WCC).No.115 of 2013 4 the said amount towards penalty also. The appellant is aggrieved by the said decision of the Commissioner for Workmen's Compensation. 4. Heard the learned Senior Counsel for the appellant as also the learned counsel for the respondents. 5. Ext.A2 is the insurance policy issued by the appellant to the second respondent. It is beyond dispute that Ext.A2 is not a policy covering the risks of the second respondent under the Workmens' Compensation Act. On the other hand, Ext.A2 is a group personal accident insurance policy issued by the appellant. According to the appellant, as per the terms of Ext.A2 policy, they are not liable to pay any interest or penalty to the workmen. The fact that Ext.A2 policy does not provide for payment of interest and penalty is not in dispute. The case of the first respondent is that in so far as he is entitled to recover the compensation determined as due with interest and penalty under the M.F.A.(WCC).No.115 of 2013 5 Workmens' Compensation Act, the appellant is liable to pay the said amount to him. According to the appellant, unlike the provisions contained in the Motor Vehicles Act, in so far as no liability is fastened on them under the Workmens' Compensation Act, they are entitled to contract out the liability to pay interest and penalty. 6. The question whether the insurer is liable to pay interest in a case like this has been considered by the Apex Court in _**New India Assurance Co. Ltd. v. Harshadbhai Amrutbhai Modhiya and Anr.**_ [2006(2) KLT 539] and it was held that the insurer can contract out the liability to pay interest in policies of this nature. Paragraphs 14 and 15 of the said judgment reads thus: “14. By reason of the provisions of the Act, an employer is not statutorily liable to enter into a contract of insurance. Where, however, a contract of insurance is entered into by and between the employer and the insurer, the insurer shall be liable to indemnify the employer. The insurer, however, unlike under the provisions of the Motor Vehicles Act does not have a M.F.A.(WCC).No.115 of 2013 6 statutory liability. S.17 of the Act does not provide for any restriction in the matter of contracting out by the employer visa-vis the insurer. 15. The terms of a contract of insurance would depend upon the volition of the parties. A contract of insurance is governed by the provisions of the Insurance Act. In terms of the provisions of the Insurance Act, an insured is bound to pay premium which is to be calculated in the manner provided for therein. With a view to minimize his liability, an employer can contract out so as to make the insurer not liable as regards indemnifying him in relation to certain matters which do not strictly arise out of the mandatory provisions of any statute. Contracting out, as regards payment of interest by an employer, therefore, is not prohibited in law.” In the light of the aforesaid decision of the Apex Court, the contention raised by the learned counsel for the appellant has to be accepted. In the result, the appeal is allowed in part and the impugned order is modified limiting the liability of the appellant to Rs.17,446/-. It is made clear that the first respondent is free to recover the interest and penalty from respondents 2 and 3 less Rs.1,000/- already paid by the M.F.A.(WCC).No.115 of 2013 7 second respondent. The Commissioner for Workmen's Compensation shall release the excess amount, if any, deposited under Section 13 of the Workmen's Compensation Act to the appellant. All the interlocutory applications in the appeal are closed. **P.B.SURESH KUMAR, JUDGE.** smm