High Court of KeralaSingle JudgeThe appeal is allowed in part.

M/S ICICI Lombard General Insurance Ltd. v. Anoop M S/o Kumar

Case / Petition Number:MACA No.1766 of 2015
Neutral Citation:/

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • C. Jayachandran
Judgment Date
2022-11-19
Court Decision / Holding
The appeal is allowed in part. The court accepts the lower percentage of disability at 30% (instead of 40%), re-computes the compensation with a notional monthly income of Rs.6,000 (Ramchandrappa-based), and adjusts the various heads of compensation accordingly. The revised total compensation is Rs. 8,59,600. The Insurance Company is directed to deposit the amount with interest at 10% per annum if delayed, and to transfer the amount to the claimant’s bank account via NEFT/RTGS within specified timelines.
Final Disposition
The appeal is allowed in part.

Parties to the Case

Appellants / Petitioners

  • M/S ICICI Lombard General Insurance Ltd.

Respondents

  • Anoop M S/O Kumar

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri.R.Ajith Kumar Varma

Counsels for Respondents

  • • Sri Arun Mathew Vadakkan
  • • Sri K.P. Sudheer

Case Synopsis & Summary

This appeal challenges the award of compensation in O.P.(M.V.) No.314/2010 by the Motor Accidents Claims Tribunal, Tirur. The accident occurred on 31 December 2007, when the claimant, a pillion rider, sustained head injuries after a collision between motorcycles. The core dispute concerns the disability assessment: Ext. C1 (District Medical Board) certified 40% permanent disability, primarily psychiatric, while Ext. C2 (State Medical Board) assessed 23.11% after the Court’s direction and inputs from seven doctors. The appellant-insurance company contends that Ext. C2 should be preferred and the Tribunal’s reliance on Ext. C1 is erroneous, especially since no meaningful reasoning is provided for Ext. C1’s basis. The claimant’s counsel maintains that the Tribunal has rightly considered disability and that the subsequent reassessment request, though rejected, supports the 40% finding. The appellants also challenge awards under the heads of ‘loss of amenities’ and ‘poor prospects of marriage’ as untenable, and contend that the income taken by the Tribunal (Rs. 4,000/month) is too low. Relying on Ramchandrappa, the Court accepts a notional income of Rs.6,000/month for 2007 and concludes that a 30% disability is just and reasonable. The Court re-computes the compensation, directs payment by NEFT/RTGS, and provides for interest if delayed, thus partially allowing the appeal and altering the award accordingly.

Provisions of Law Cited

Motor Vehicles Act

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellant contends that Ext. C1’s 40% disability certificate is not credible in light of Ext. C2’s 23.11% certification by the State Medical Board, prepared after directions and input from multiple specialists. It argues that Ext. C2 should have been accepted and that the Tribunal’s reliance on Ext. C1 was unjustified, especially since there is no adequate reasoning for Ext. C2’s basis or a clear explanation of disregarding Ext. C2. Further, the heads of compensation for loss of amenities and poor marriage prospects are challenged as untenable, and the claimed income of Rs.4,000/month is too low. The appellant relies on Ramchandrappa to press for a higher notional income (Rs.6,000/month) and a more just calculation of compensation.

Contentions of Respondents

The claimant’s counsel defends the Tribunal’s reasoning, arguing that substantial reasons were given for the 40% disability (Ext. C1) and that the State Medical Board’s reassessment (Ext. C2) corroborates the disability assessment. It was also argued that the interlocutory revision of disability was dismissed, and the Tribunal’s conclusions on various heads of compensation, including loss of amenities and poor marriage prospects, are proper. Regarding income, the respondent contends that the Tribunal’s notional income is adequate and that the Tribunal’s approach to compensation should be respected unless clearly erroneous.

Cited Precedents (1)

Case NameCitationTreatmentExplanation
Ramchandrappa v. Manager, Royal Sundaram Alliance Insurance Company Limited2011 KHC 4675PositiveCited to support the notional income of Rs.6,000/month for 2007 in determining compensation under the Motor Vehicles Act.

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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** **SATURDAY, THE 19[TH] DAY OF NOVEMBER 2022/28TH KARTHIKA, 1944 MACA NO. 1766 OF 2015** **OP(MV) 314/2010 OF MOTOR ACCIDENTS CLAIMS TRIBUNAL, TIRUR** **DTD.30.4.2014** **APPELLANT/2nd RESPONDENT:** M/S.ICICI LOMBARD GENERAL INSURANCE LTD., ICICI BANK TOWER, BANDRA KURLE COMPLEX, BANDRA (EAST), MUMBAI - 400 051, REPRESENTED BY IT'S MANAGER LEGAL. BY ADV SRI.R.AJITH KUMAR VARMA ## **RESPONDENT/CLAIMANT:** ANOOP M S/O.KUMARAN, MANGOTTIL HOUSE, P.O.VETTOM, TIRUR TALUK, MALAPPURAM DISTRICT - 676 102. BY ADVS. SRI.ARUN MATHEW VADAKKAN SRI.K.P.SUDHEER **THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 19.11.2022, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:** M..A.C.A.No.1766 of 2015 ..2.. ## **C.JAYACHANDRAN, J.** ---------------------------------------- M.A.C.A.No.1766 of 2015 -----------------------------------------------Dated this the 19[th] day of November, 2022 ## **JUDGMENT** This appeal is carried by the 2[nd] respondent/insurance company challenging the award of the Motor Accidents Claims Tribunal, Tirur in O.P.(M.V.)No.314/2010. The appellant's grievance is that the compensation awarded under various heads by the Tribunal are excessive, especially in the context of reckoning the permanent disability. The accident occurred on 31.12.2007, when the motorcycle, in which the claimant was a pillion, collided with another motorcycle, thus sustaining serious injuries on his head. **2.** Heard Sri.R.Ajithkumar Varma, learned counsel for the appellant and Sri.K.P.Sudheer, learned counsel for the respondent. Perused the records. **3.** Learned counsel for the appellant submitted that, as per Ext.C1 disability certificate assessed by the District Medical Board, 40% disability was found. The appellant/insurance company moved an application before the Tribunal for M..A.C.A.No.1766 of 2015 ..3.. re-assessment by the State Medical Board, which was allowed. As per Ext.C2, the State Medical Board assessed the disability at 23.11%. It is the contention of the learned counsel for the appellant that as against the four Doctors who are signatories to Ext.C1 disability certificate, Ext.C2 is vouched by as many as seven Doctors of various Specialties. Not only that, the assessment of disability at the second instance was pursuant to the direction by the Court, wherein all relevant inputs have been taken into account. Therefore, according to the learned counsel, the disability certified in Ext.C2 ought to have been taken. The exercise made by the Tribunal in reckoning the disability of 40% in terms of Ext.C1 is not a permissible course, submits the learned counsel. It was also pointed out that compensation at the rate of Rs.1,00,000/- each granted under the head 'loss of amenities' and also on 'poor prospects of marriage' are also not tenable. **4.** Per contra, the learned counsel for the respondent/claimant submitted that adequate reasons have been stated by the Tribunal to reckon the disability at 40% in terms of Ext.C1. It was also pointed out that a further M..A.C.A.No.1766 of 2015 ..4.. interlocutory application was preferred before the Tribunal to subject the claimant for a further assessment by the State Medical Board, which, however, was dismissed. According to the learned counsel, no interference is required with respect to the disability component assessed by the District Board. As regards the compensation granted under the head 'amenities' and 'poor marriage prospects', learned counsel would argue to sustain the same. Besides, it was specifically argued that the income reckoned by the Tribunal is very much on the lower side at Rs.4,000/- per month. Even the index available in the judgment of the Hon'ble Supreme Court in **Ramchandrappa** **v. Manager, Royal Sundaram Aliance Insurance Company Limited** [2011 KHC 4675], would indicate a monthly income of Rs.6,000/- for the year 2007. **5.** Having heard the learned counsel appearing on both sides, this Court finds merit in the contention raised by the appellant/insurance company. This Court perused Exts.C1 and C2 disability certificates. The disability in Ext.C1 is primarily assessed by a Psychiatrist, who indicated 40% psychiatric disability. Thereafter, three more Doctors, whose specialty is M..A.C.A.No.1766 of 2015 ..5.. not indicated, have recorded that there is no Orthopedic disability for the claimant, however, certifying that the permanent disability is 40%. The injury sustained to the brain/head is not seen considered, as decipherable from Ext.C1. In the circumstances, the disability indicated in Ext.C1 cannot be accepted, as such. In Ext.C2, as pointed out by the learned counsel for the appellant, seven doctors from various specialties have certified that the permanent disability is 23.11%. This Court also notices that Ext.C2 is preferred by the State Medical Board, whereas Ext.C1 is preferred by the District Medical Board. That apart, the physical condition of the claimant is seen assessed in paragraph no.1, where under, serial nos.1 to 3 the condition of the patient is seen referred. However, Ext.C2 also does not reflect any reasoning on the basis of which the disability has been assessed. It is true that the Tribunal is not a competent person, or an expert, to assess the disability. However, the reasons stated by the Tribunal in paragraph no.9 of the impugned award are also very relevant. The Tribunal after seeing the claimant made the following observations: M..A.C.A.No.1766 of 2015 ..6.. _“On seeing the petitioner it is revealed that he cannot either walk or even move without the assistance of others and he was virtually taken to the court hall by his brother taking too much strain. What I could gather on seeing the petitioner that his condition is highly pathetic and he has become a vegetable in all purpose. He is not in a position even to sit without the aid of others. Therefore, it is clearly established that the petitioner is totally incapacitated to do any work and thereby he is totally prevented from earning anything for his livelihood. As per Exts.A7 and A11 documents, petitioner had undergoing physiotherapy treatment on 155 days.”_ **6.** In the context of the facts referred above, as also, to balance the equities, this Court is of the opinion that it would be just and reasonable to reckon the permanent disability at 30%. It is so ordered. **7.** This Court finds no merit in the contention that the compensation amount granted under the heads 'loss of amenities' and also on account of 'poor marriage prospects' to be excessive. The amounts granted are quite reasonable. M..A.C.A.No.1766 of 2015 ..7.. Finally, this Court is inclined to accept the contention of the learned counsel for the respondent that the income of the claimant reckoned is on the lower side. As rightly pointed out by the learned counsel, even the income as indicated in **Ramchandrappa v. Manager, Royal Sundaram Aliance Insurance Company Limited** [2011 KHC 4675], he is entitled to a notional income of Rs.6,000/- per month. This Court is not influenced by the objection of the appellant that the income reckoned by the Tribunal cannot be interfered with in the absence of an appeal preferred by the claimant. What has to be looked into by every Court/Tribunal while dealing with compensation under the Motor Vehicles Act is the paramount requirement to ensure that the compensation granted is just and reasonable, wherefore the exercise of the jurisdiction by this Court to ensure the said component, would also take within its sweep, the duty to enhance the income, once it is found to be grossly insufficient. In these circumstances, this Court directs the monthly income to be reckoned at Rs.6,000/-. Loss of earnings for 6 months has to be calculated at the rate of Rs.6,000/- per month. M..A.C.A.No.1766 of 2015 ..8.. ## **8.** In the result, this M.A.C.A. is allowed in part and the compensation amount payable to the claimant/respondent is re-worked as indicated in the table hereinbelow: |**Sl.No.**|**Head of Claim**|**Amount**<br>**awarded**<br>**by the**<br>**Tribunal**<br>**(Rs.)**|**Total amount**<br>**after**<br>**enhancement in**<br>**appeal**<br>**(Rs.)**| |---|---|---|---| |1|Loss of earning (Total)|24,000|36,000<br>(6,000x6)| |2|Loss of earning<br>(partial)|Nil|--| |3|Medical, miscellaneous<br>& bystander expenses|87,000|87,000| |4|Future bystander<br>expenses|1,00,000|1,00,000| |5|Bystander expenses|Nil|--| |6|Transportation<br>expenses|20,000|20,000| |7|Extra-nourishment|20,000|20,000| |8|Damage to clothing,<br>etc.|1,000|1,000| |9|Pain and suffering|50,000|50,000| |10|Loss of dependency|Nil|--| |11|Loss of consortium|Nil|--| |12|Loss of love and<br>affection|Nil|--| |13|Loss of estate|Nil|--| |14|Compensation towards<br>permanent partial<br>disability|6,14,400|3,45,600<br>(6000x12x16x30/100)| |15|Compensation for loss<br>of amenities & future<br>treatment|1,00,000|1,00,000| M..A.C.A.No.1766 of 2015 ..9.. |16|Any other heads:-<br>Loss of earning power<br>Funeral expenses<br>Compensation for<br>matrimonial prospects|Nil<br>Nil<br>1,00,000|–<br>–<br>1,00,000| |---|---|---|---| ||Total|11,16,400|8,59,600| |Amount =|Rs.2,56,800/- (less)||| **9.** The Insurance Company shall pay interest for the amounts awarded by the Tribunal at the rate directed in the impugned award. If any amount has already been paid, the same shall be granted set off. **10.** 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 Insurance Company fails to deposit the amount, as directed, interest shall be paid at the rate of 10% per annum on the modified compensation amount from the date of petition till date of actual payment/deposit. M..A.C.A.No.1766 of 2015 ..10.. The appeal is allowed in part as above. Sd/- ## **C.JAYACHANDRAN, JUDGE** skj