High Court of KeralaSingle JudgeAppeals allowed; enhanced compensation to be pa...

M.A.C.A.2532 and 2533 of 2008

Case / Petition Number:MACA Nos. 2532 and 2533 of 2008

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • C. Jayachandran
Judgment Date
2023-07-03
Court Decision / Holding
The appeals are allowed. The insurer is directed to pay the enhanced compensation payable to the claimants at first instance, with a simultaneous right to recover the paid amounts from the owners. Interest on the enhanced amounts is to be at 7% from the petition date, with period-based set-offs if already paid. If bank details are not provided within the stipulated time, no interest will accrue after that period. The Tribunal’s enhanced quantum is adopted as per the tabulated heads, and NEFT/RTGS transfer to the claimant’s bank account must be completed within the specified timeline.
Final Disposition
Appeals allowed; enhanced compensation to be paid by insurer with right to recover from owner; interest and payment transfer directions as stated.

Parties to the Case

Appellants / Petitioners

  • Amina Ummal
  • Safia
  • Shihabudheen
  • Sharaffudheen
  • Abdul Kareem

Respondents

  • K.M.Yahyes
  • Biju @ Kuttan
  • New India Assurance Co. Ltd.

Legal Representation & Advocates

Counsels for Petitioners

  • • Lath ees Sebastian
  • • Domson J. Vatta Kuzhy
  • • Mathew John K

Counsels for Respondents

  • • Mathews K. Philip
  • • N.S. Mohammed Usman

Case Synopsis & Summary

These two Motor Accident Claims Appeals arise from a common award of the Motor Accident Claims Tribunal, Thodupuzha, in OP(MV) Nos. 781/2004 and 117/2005, linked to a single accident on 28 July 2004 in which a timber-laden lorry capsized. The claimants, including the legal heirs of Abdul Rahman, challenge the Tribunal’s exoneration of the third respondent insurer on the ground that the policy was an 'Act Only' policy. They contend that, even for gratuitous passengers in a goods vehicle, the insurer should initially compensate the claimants and then recover from the owner, following Supreme Court precedents (Saju P. Paul; Manuara Khatun) and Kerala decisions (Rijawana Jamshed Mulla). The insurer argues that liability hinges on policy terms and violations. After hearing, the High Court agrees with the appellants that complete exoneration is not legal and endorses the view that the insurer must pay the compensation at first instance with a right to recover from the owner. On quantum, the court revises the Tribunal’s figures in light of Ramachandrappa (notional income) and Pranay Sethi (future prospects, 25%, and 10% annual enhancement), applying a 14-year multiplier for the deceased aged 43. It increases transportation, funeral expenses, loss of estate, and loss of consortium while adjusting ‘love and affection’ awards. The orders culminate in reworked totals, with enhanced sums to be paid by the insurer and recoverable from the owner, with specified interest and time-bound transfer via NEFT/RTGS.

Legal Doctrines & Maxims

  • Act-only policy concept
  • Insurance liability to pay first and recover from owner in cases involving gratuitous passengers in goods vehicles (Saju P. Paul; Manuara Khatun; Rijawana Jamshed Mulla)
  • Notional income principle (Ramachandrappa)
  • Future prospects of 25% (Pranay Sethi)
  • Deduction of 1/4 for dependents (four dependents)
  • Enhancement principles and 10% annual increase (Pranay Sethi)

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellants submit that, despite the policy being labeled as 'Act Only', the insurer cannot be completely exonerated where gratuitous passengers sue in a goods vehicle. Relying on Saju P. Paul and Manuara Khatun (Supreme Court decisions) and Rijawana Jamshed Mulla (Kerala High Court), they contend that the insurer must pay the compensation at first instance and then recover from the owner, to avoid unjust results for innocent third parties. They challenge the Tribunal’s quantum, arguing for higher notional income (Ramachandrappa), a multiplier of 14 (for age 43), and 25% future prospects (Pranay Sethi), along with appropriate additions for transportation, funeral expenses, loss of estate, and loss of consortium, while reducing or adjusting certain other heads in light of the law. They urge enhancement of damages and a net reallocation of responsibility between insurer and owner consistent with the overarching insurance principle protecting third-party claimants.

Contentions of Respondents

The insurer/ respondents contend that policy terms govern liability and that an Act Only policy may exclude compensation obligations. They emphasize that insurance contracts are governed strictly by their terms, and the Tribunal’s exoneration is consistent with policy boundaries. They argue that compensation should be governed by established formulae without broad-based enhancement, and that any liability lies within the contractual limits of the policy. They further contend there is no justification to compel the insurer to pay first and then recover, as the policy terms and the law do not mandate such an unfettered liability posture in all circumstances.

Cited Precedents (5)

Case NameCitationTreatmentExplanation
United India Insurance Co. Ltd. v. Rijawana Jamshed Mulla2020(5) KLT 32PositiveCited to support the proposition that insurer should not be completely exonerated in act-only policy cases; first-instance compensation with recovery from the owner is justified.
Manager, National Insurance Company Limited v. Saju P.Paul and Another2013(2) SCC 41PositiveSupreme Court held insurer liable to pay first and recover from owner in act-only policy scenarios; foundational to the court’s approach here.
Manuara Khatun v. Rajesh Kr. Singh2017(4) SCC 796PositiveSupports equitable liability shifting to insurer at first instance with recovery rights from the owner.
Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Company Ltd.2011(13) SCC 236PositiveNotional income principle used to justify higher income for notional earnings in the calculation.
National Insurance Co. Ltd. v. Pranay Sethi2017(4) KLT 662 (SC)PositiveGuides calculation of future prospects (25%), and other head-judicial enhancements (Pranay Sethi principles).

Diagnostic Tool

Beta

Does this judgment govern your specific facts?

Don't risk relying on a distinguishable precedent. Enter your facts or proposition below. We will test it against M.A.C.A.2532 and 2533 of 2008 and instantly map out authorities that support, challenge, or govern your position.

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 3[RD] DAY OF JULY 2023/12TH ASHADHA, 1945 MACA NO. 2532 OF 2008** **AGAINST THE JUDGMENT DATED 22.12.2007 IN OP(MV) 781/2004 OF MOTOR ACCIDENT CLAIMS TRIBUNAL, THODUPUZHA** ## **APPELLANTS/PETITIONERS:** 1 AMINA UMMAL, W/O.ABDUL REHMAN, AGED 44 YEARS, KAMBUNKAL HOUSE, UDUMBANOOR KARA, UDUMBANNOOR VILLAGE. 2 SAFIA D/O.ABDUL REHMAN DO.DO. 3 SHIHABUDHEEN S/O.ABDUL REHMAN DO.DO. 4 SHARAFFUDHEEN S/O.ABDUL REHMAN DO.DO. BY ADVS. SRI.LATHEESH SEBASTIAN SRI.DOMSON J.VATTAKUZHY SRI.MATHEW JOHN K ## **RESPONDENTS/RESPONDENTS:** 1 K.M.YAHYES, S/O.MEERAKUTTY, KUDATHAPPILLY HOUSE, ADIVADU, PALLARIMANGALAM, ERNAKULAM. 2 BIJU @ KUTTAN, S/O.MANI, CHERIYIL HOUSE, PARIYARAM BHAGAM, EDAMARUKU KARA, UDUMBANOOR VILLAGE, THODUPUZHA. 3 NEW INDIA ASSURANCE CO.LTD., REP. BY ITS BRANCH MANAGER, MUVATTUPUZHA. BY ADVS. SRI.MATHEWS K.PHILIP SRI.N.S.MOHAMMED USMAN THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 26.06.2023, ALONG WITH MACA.2533/2008, THE COURT ON THE 03.07.2023 DELIVERED THE FOLLOWING: M.A.C.A.2532 and 2533 of 2008 2 **IN THE HIGH COURT OF KERALA AT ERNAKULAM** ## **PRESENT** **THE HONOURABLE MR.JUSTICE C. JAYACHANDRAN MONDAY, THE 3[RD] DAY OF JULY 2023/12TH ASHADHA, 1945** **MACA NO. 2533 OF 2008** **AGAINST THE JUDGMENT DATED 22.12.2007 IN OP(MV) 117/2005 OF MOTOR ACCIDENT CLAIMS TRIBUNAL, THODUPUZHA** ## **PETITIONER/APPELLANT:** ABDUL KAREEM, S/O.MEERANKUTTY, PANCHICKAL HOUSE, UDUMBANOOR P.O., THODUPUZHA. BY ADVS. SRI.LATHEESH SEBASTIAN SRI.DOMSON J.VATTAKUZHY SRI.MATHEW JOHN K ## **RESPONDENTS/RESPONDENTS:** 1 K.M.YAHYES, KUDATHAPPILLY HOUSE, ADIVADU, PALLARIMANGALAM,, ERNAKULAM. 2 BIJU @ KUTTAN S/O.MANI CHERIYIL HOUSE, PARIYARAM BHAGAM, EDAMARUKU KARA, UDUMBANOOR VILLAGE, THODUPUZHA. 3 NEW INDIA ASSURANCE CO. LTD., REPRESENTED BY ITS BRANCH MANAGER, MUVATTUPUZHA. BY ADVS. SRI.MATHEWS K.PHILIP SRI.N.S.MOHAMMED USMAN SMT.T.MANASY THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 26.06.2023, ALONG WITH MACA.2532/2008, THE COURT ON 03.07.2023 DELIVERED THE FOLLOWING: M.A.C.A.2532 and 2533 of 2008 3 ## **C.JAYACHANDRAN, J** **--------------------** **M.A.C.A.Nos.2532 and 2533 of 2008 ----------------------Dated this the 3[rd] day of July, 2023** ## **J U D G M E N T** Both these appeals arise from the common award of the Motor Accident Claims Tribunal, Thodupuzha arising from O.P(M.V).Nos.781/2004 and 117/2005. The above referred original petitions arose from the same accident, which took place on 28.07.2004, when a lorry fully loaded with timber capsized, causing injury to the claimant in O.P(M.V).No.117/2005 and the death of one Abdul Rahman, the legal heirs of whom are the claimants in O.P(M.V).No.781/2004. The claimants in both the original petitions are in appeal, essentially, aggrieved by the exoneration of the third respondent/insurance company by the Tribunal, on the premise that the policy in question was only an 'Act Only Policy'. The appellants are M.A.C.A.2532 and 2533 of 2008 4 also challenging the quantum of compensation granted by the Tribunal. **2.** Heard Sri.Mathew John, learned counsel for the appellants and Sri.N.S.Muhammed Usman, learned counsel for the third respondent/insurance company. Perused the records. **3.** This Court will first deal with the question of the exoneration of the insurance company's liability for reason of the policy being an 'Act only' one. The short point canvassed by the learned counsel for the appellants is that, even assuming that the claimant in O.P(M.V).Nos.117/2005 and Sri.Abdul Rahman (whose legal heirs are the claimants in O.P(M.V).781/2004) are considered as gratuitous passengers, still, going by the prevailing legal position, the insurance company, at the first instance, is liable to make good the loss sustained to the claimants and then seek recovery from the M.A.C.A.2532 and 2533 of 2008 5 owner. They cannot seek complete exoneration, as has been done by the Tribunal. Learned counsel relied on the judgment of this Court in **United India Insurance Co.Ltd. v. Rijawana Jamshed Mulla** [2020(5) KLT 32], in which, a learned Single Judge has relied upon an authoritative pronouncement of the Supreme Court in **Manager, National Insurance Company Limited v. Saju P.Paul and Another** [(2013)2 SCC 41]. Learned counsel also placed reliance upon other judgments of the Honourable Supreme Court, which are specifically referred in **Rijawana Jamshed Mulla** supra. **4.** Per contra, learned counsel for the third respondent/insurance company submitted that, in as much as there exists a specific violation of a policy condition, the insurance company is not liable to compensate the claimants and to seek recovery from the owner. Learned counsel would elaborate that an insurance policy is essentially a contract and the rights and liabilities of the M.A.C.A.2532 and 2533 of 2008 6 contracting parties should be only in accord with the terms of the contract; and not otherwise. **5.** Having heard learned counsel appearing on both sides, this Court can only endorse the submissions made by the learned counsel for the appellants in both the appeals. The legal position precisely on the question of compensating the claimants and then seeking recovery from the owner in the case of an 'Act only' policy, was addressed by the Honourable Supreme Court in **Saju P.Paul** supra, as also, in **Manuara Khatun v. Rajesh Kr. Singh** [(2017)4 SCC 796]. A perusal of the above decisions would leave no room for any doubt that, in cases of gratuitous passengers traveling in a goods vehicle, though the insurance company is not strictly liable to compensate the claimants, it is only just and equitable, having regard to the facts, to mulct the responsibility to pay the compensation on the Insurance Company at the first instance, M.A.C.A.2532 and 2533 of 2008 7 simultaneous with the right to recover it from the owner of the vehicle. This, in fact, is in accord with the larger concept and principle behind insurance of vehicles, whereby innocent third parties should not be made to suffer on account of the lacuna, if any, in the policy. It requires to be noted that the accident took place as far back as on 2004, as a result of which one lost his life and another, seriously injured. This Court, therefore, follow the judgments of the Honourable Supreme Court afore-referred to hold that complete exoneration of the third respondent/insurance company made by the Tribunal is not legal. This Court holds that the compensation amount, which is liable to be paid to the claimants, shall be paid by the third respondent/insurance company in both the original petitions, which are the subject matter of these appeals, at the first instance, with a simultaneous right to recover the same from the respective owners subsequently. M.A.C.A.2532 and 2533 of 2008 8 **6.** The next issue is with respect to the adequacy of the quantum of compensation granted by the Tribunal. ## **7. M.A.C.A.2532/2008** _**[Death Case]**_ As already indicated, the accident took place on 28.07.2004 and age of the deceased, going by the claim petition, is 43 years. There is no quarrel in respect of that fact, either before the Tribunal or before this Court. The claimants claimed a monthly income of Rs.4,500/- for the deceased, who was engaged in work related to timber at the time of his death. The Tribunal reckoned only Rs.2,000/-. Even going by the index available in **Ramachandrappa v.** ## **Manager, Royal Sundaram Alliance Insurance Company** **Ltd.** [(2011) 13 SCC 236], the notional income to be reckoned for the year 2004 is Rs.4,500/-, as claimed in the original petition. It is therefore reckoned so. M.A.C.A.2532 and 2533 of 2008 9 **8.** The next issue is with respect to the multiplier applied by the Tribunal, i.e, 13. Learned counsel pointed out that, for a person aged 43 years, 14 is the correct multiplier, which argument is not refuted or disputed by the learned counsel for the insurance company. The multiplier to be taken therefore is 14, instead of 13 as adopted by the Tribunal. **9.** It was then pointed out that, no amount, whatsoever, was granted towards 'future prospects'. Going by the larger Bench decision of the Honourable Supreme Court in **National Insurance Co. Ltd. v. Pranay Sethi** [2017(4) KLT 662 (SC)], the claimants are entitled to future prospects at the rate of 25%. The submission is well founded and the same is also accepted. **10.** It was argued that, in as much as the deceased is survived by four dependents, only 1/4[th] of the M.A.C.A.2532 and 2533 of 2008 10 amount alone is liable to be deducted, which contention is also to be accepted. It is accordingly held that loss of dependency has to be worked out reckoning the salary at Rs.4,500/-, with the multiplier 14 and future prospects at the rate of 25%. **11.** The remaining counts are with respect to the expenses for transportation, funeral expenses and loss of estate. For transportation, nothing has been reckoned by the Tribunal, under which head, this Court is inclined to grant a sum of Rs.1,500/-. As regards, funeral expenses and loss of estate, the legal position is settled by **Pranay Sethi** supra, which entitles the claimants for an amount of Rs.15,000/- each. Under both the heads, the claimants are entitled to 10% enhancement for efflux of the time period beyond 3 years, as contemplated in **Pranay Sethi** supra. M.A.C.A.2532 and 2533 of 2008 11 **12.** The last count, under which, the counsel seek enhancement is 'loss of consortium'. It was pointed out that the deceased is survived by four dependents, namely, the widow, two sons and daughter, all of whom are entitled to a sum of Rs.40,000/- each towards loss of consortium, along with an increase of 10% in terms of **Pranay Sethi** supra. However, the sum awarded under the head 'love and affection' has to be obliterated. The submission is well conceived and the same is accepted. **13.** This M.A.C.A is accordingly allowed and the compensation amount payable to the claimants in O.P(M.V).No.781 of 2004 (MACA 2532/2008] is reworked as indicated in the tabular statement shown below. |**Sl.**<br>**No.**|**Head of Claim**|**Amount**<br>**awarded**<br>**by the**<br>**Tribunal**|**Total amount after**<br>**enhancement in appeal**| |---|---|---|---| |1|Loss of Contribution and<br>dependency|207948|**7,08,750***| |2|Transportation and|5000|**1,500**| M.A.C.A.2532 and 2533 of 2008 12 ||Funeral Expenses||**16,500**<br>**[15000+(15000x10/100)]**| |---|---|---|---| |3|Loss of Estate|Nil|**16,500**<br>**[15000+(15000x10/100)]**| |4|Loss of Consortium|10000|**1,76,000**<br>**[40,000x4]x110/100**| |5|Loss of Love and<br>Affection|10000|**Nil**| |6|Pain and Suffering|5000|**Nil**| ||Total|237948|**9,19,250**| |Amount enhanced = Rs.**9,19,250**||– Rs.2,37,948 =**Rs.6,81,302/-**|| **[* 4,500 x 12 x 14 x 125/100 x 3/4]** ## **14. M.A.C.A.2533/2008** _**[Injury Case]**_ Here again, the income reckoned by the Tribunal was Rs.2,000/-, as against Rs.4,000/- claimed by the injured/claimant. The injured was again a timber worker and going by the index available in ## **Ramachandrappa v. Manager, Royal Sundaram Alliance** **Insurance Company Ltd.** [(2011) 13 SCC 236], the monthly income of Rs.4,000/- claimed cannot be said to be excessive. Therefore, the same is reckoned. As regards loss of earnings, the Tribunal reckoned only four months. Learned counsel invited the attention of this Court to the narration in paragraph nos.19 M.A.C.A.2532 and 2533 of 2008 13 and 20 of the impugned award to highlight the extensive injuries sustained by the claimant, including multiple fractures, requiring hospitalization for a period of 21 days. It was pointed out that, three ribs were fractured, besides there being lung contusion. Facio maxillary injuries were there and there was a frontal bone fracture as well, with another fracture at pneumocephalous. There was fracture on the mandible, besides avulsion of four teeth from the upper jaw and two teeth from the lower jaw. In the year 2004, the claimant had incurred a treatment expenditure of Rs.78,667/-, besides medical bills for Rs.34,302/-. The above aspects are highlighted only to notice that substantial injuries were sustained by the claimant and loss of earnings for a period of four months is grossly insufficient, especially taking into account the avocation of the claimant as a timber worker. The facts and circumstances and the interest of justice demands that a period of eight months is M.A.C.A.2532 and 2533 of 2008 14 liable to be reckoned for the purpose of calculating loss of earnings, which has to be calculated reckoning monthly income at Rs.4,000/-. No amount is granted under the head 'bystander expenses' and 'extra nourishment'. An amount of Rs.250/- each is liable to be reckoned under both the heads. Admittedly, the claimant was hospitalized for 21 days, as is discernible from Ext.A7 discharge certificate. **15.** The next major head, under which the claimant seeks enhancement is 'pain and suffering', where the Tribunal has reckoned only Rs.18,000/-. Here again, this Court takes into account the vast and extensive injuries, which this Court had already referred to above and taken note of by the Tribunal in paragraph nos. 19 and 20 of the award. This Court is of the opinion that, a sum of Rs.50,000/- would be reasonable under the head 'pain and suffering', taking into account the extensive injuries and M.A.C.A.2532 and 2533 of 2008 15 several fractures sustained by the claimant. Under the head 'loss of amenities', the Tribunal has reckoned only Rs.6,000/-. True that, no certificate indicating permanent disability has been produced. However, once again reckoning the extensive injuries and the fractures sustained by the claimant and taking into account his avocation as a timber worker, this Court is inclined to enhance the loss on account of amenities to Rs.15,000/-. **16.** In the result, the compensation amount payable to the claimants in O.P(M.V).No.117 of 2005 [M.A.C.A.No.2533 of 2008] is reworked and indicated in the tabular statement herebelow. |**Sl.**<br>**No.**|**Head of Claim**|**Amount**<br>**awarded by**<br>**the Tribunal**|**Total amount after**<br>**enhancement in appeal**| |---|---|---|---| |1|Loss of Earning|8000|**32,000 [4,000 x 8]**| |2|Transportation|1500|**1,500**| |3|Extra Nourishment|1500|**5,250 [250 x 21]**| |4|Bystander expenses|2000|**5,250 [250 x 21]**| |5|Treatment Expenses|34300|**34, 300**| M.A.C.A.2532 and 2533 of 2008 16 |6|Pain and Suffering|18000|**50,000**| |---|---|---|---| |7|Discomforts,<br>inconveniences and<br>loss of amenities<br>and enjoyment in<br>life|6000|**15,000**| ||Total|71300|**1,43,300**| |Amount enhanced = Rs.**1,43,300**– Rs.**71,300**/ =**Rs.72,000**|||| **17** . In as much as these appeals are allowed, the compensation amount fixed in both these cases shall be paid by the insurance company concerned at the first instance. However, the insurance company will be at liberty to recover the same from the registered owner of the lorry. The insurance company shall pay interest for the amount awarded by the Tribunal at the rate directed in the impugned award; and for the enhanced amount, at the rate of 7%, both from the date of original petition. If any amount has already been paid, the same shall be granted set off. In M.A.C.A.No.2533 of 2008, since there was a delay of 215 days in filing the appeal, the interest for the enhanced quantum shall not run for the said period, as directed in order dated 11.11.2013 in 17 ## M.A.C.A.2532 and 2533 of 2008 C.M.A.No.2607/2008. Similarly, in M.A.C.A.No.2532 of 2008, since there was a delay of 215 days in filing the appeal, the interest for the enhanced quantum shall not run for the said period, as directed in order dated 17.01.2022 in C.M.A.No.1/2008 [Old C.M.A.No.2606/2008]. **18.** The claimant shall produce the details of the Bank account before the Insurance Company/Tribunal within two months 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, within a period of one month thereafter. If the Bank account is not given 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 the enhanced amount shall also run at the rate ordered by the Tribunal from the M.A.C.A.2532 and 2533 of 2008 18 date of petition. The appeals are allowed as indicated above. Sd/- **C.JAYACHANDRAN** **JUDGE** Sbna/